Facility Evaluation Report

On 7/2/2024, Licensing Program Analysts (LPA's) D. Ayers and M. Vega arrived at the facility unannounced to conduct a case management inspection. LPA's met with Administrator Mitchell Guevara and announced the purpose of the inspection. LPA's toured the facility inside and outside.

This inspection was conducted to follow up on an incident which facility staff reported to the department on 6/21/2024. On 6/21/2024 staff realized that Resident 1(R1) received an extra dose of his PRN medication. 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. See attached LIC 421FC for civil penalty issued due to repeat violation of CCR 80075(b). A copy of the reports and appeal rights were provided to the licensee.