Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to conduct a case management follow up on an incident report submitted to the Orange County Regional Office on May 14, 2025. LPA was greeted and granted entry by staff. LPA met with Operations Manager Pinky Quintana and explained the purpose of the visit.

The incident report submitted to the Orange County Regional Office stated that on May 12, 2025 Resident #1 (R1) was found lying in bed anxious with traces of vomit on their mouth with a white residue. R1 was found by staff, 911 was called and the resident was transported to the hospital.

After file review it was revealed that R1s physician report stated that supervision is needed for medication administration and storage. It also states on R1s physician report that they do not have a substance abuse problem, is not depressed and does not have suicidal ideation. LPA interviewed Staff #1(S1) and it was revealed that the resident ingested Tylenol and that the medication should not have been in R1s possession. S1 informed LPA that facility staff notified R1s doctor and responsible party of the incident.

LPA toured the facility and did a health and safety check on R1. LPA observed R1 relaxing in their bed. R1 did not want to talk about the incident with LPA but informed LPA that they are feeling okay and happy. LPA did not observe any medications in R1s room at the time of inspection.

Based on today’s inspection a deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Operations Manager Pinky Quintana and a copy of this report along with LIC 809-D, LIC 811 and appeal rights were given at the time of inspection.