Facility Evaluation Report
Licensing Program Analyst (LPA) Cassandra Mikkelson conducted a case management visit. LPA met with Administrator and explained the purpose of today's visit. The purpose of today's visit is to follow up on an incident report received on 04/20/2026.
On 04/14/2026, Resident R1 received medication that was intended for another resident (R2). The error was immediately identified and reported. Emergency services was initiated and R1 was transported to hospital for further evaluation. R1 did not sustain any adverse reactions.
Facility conducted inservice training after the incident occurred.
At this time, a deficiency is cited pursuant to California Code of Regulations, Title 22, and documented on the attached LIC809D. Exit interview conducted and a copy of the report and appeal rights was left at the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction