Facility Evaluation Report

Licensing Program Analyst (LPA) Loera arrived unannounced to conduct a Case Management - Incident visit and met with Executive Director, Corrine Tanchoco, Resident Services Director, Jocelyn Vahle. The purpose of the visit was to follow up on self-reported incidents that were submitted to Community Care Licensing (CCL).

CCL received three incident reports on 12/04/2025. Incident report #1 states on 12/03/2025, during an incident investigation staff (S1) verbalized to staff (S2) that on 12/02/2025 during S1s shift training of a new staff (S3), S3 did not give resident (R1) narcotic medications. It was reported they attempted to pass the medication while R1 was in the dining room and another staff stopped them. They then took the medication back to the cart and locked it in the top drawer. Later when R1 was ready for medication they only dispensed R1s non narcotic medications and omitted the narcotics from administration.

Incident report #2 states on 12/03/2025, S2 went to resident's (R2) room after getting report from staff that R2 was not feeling was and reported R2 was given two doses of medication the night before. R2 reported having new staff given them medication and then seeing their normal med tech. S2 called 911 and R2 was transported to the hospital for further evaluation.

Incident report #3 states on 12/03/2025, at approximately 6:30am staff called and reported to S2 that resident's (R3) Alprazolam had been tampered with. It was observed on the #7 bubble pill that Alprazolam was removed and replaced with mirtazapine tablet and taped back up.

LPA was informed S1 and S3 were both terminated as of 12/08/2025.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Exit interview conducted. Copy of report, LIC809D, LIC811, and Appeal Rights discussed and provided to Executive Director.