Facility Evaluation Report

On 5/15/2024, Licensing Program Analyst(LPA) D. Ayers arrived at the facility unannounced to conduct a case management inspection. LPA met with Administrator Mitchell Guevara and announced the purpose of the inspection. LPA toured the facility inside and outside.

This inspection was conducted to follow up on an incident which facility staff reported to the department on 4/29/2024. On 4/29/2024, around 8:00 pm, staff realized that Resident 1(R1) had not received one of his morning medications from that day. R1's primary care provider was notified and no adverse effects were observed.

See attached LIC-809D for a Type-B Citation issued in accordance with California Code of Regulations, Title 22, Division 6, Chapter 1. A copy of the report and appeal rights were provided to the licensee.