Facility Evaluation Report

Licensing Program Analyst (LPA) Dwayne Mason Jr arrived at the facility for the purpose of conducting a Case Management inspection to follow up on the visit from 12/21/2023. LPA was greeted and granted entry by staff and brought to Residential Supervisor (RS) Alexis Le's office.

LPA stated that amendments were made to the forms RS signed at the previous visit and required new signatures. LPA also requested proof of training completed by the staff who made the medication error (S1) on 11/15/2023. RS printed out emails between S1 and their trainer (T1).

Based on documentation, LPA determined the previously issued deficiency has been corrected. An exit interview was conducted, new signatures were obtained and a copy of this report was provided.