Facility Evaluation Report

Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced case management visit during complaint control number 56-AS-20231109090240. LPA met with Office Manager Lizeth Gomez and explained the reason for the visit.

During initial visit facility failed to provide special incident report (SIR), reporting the administration of medication to be given late to residents due to staffing conflict.

Based on this matter, one (1) one deficiency was cited per Title 22, Division 6, of the California Code of Regulation.

An exit interview was conducted where this report (LIC 809) was discussed and and copy was provided to Office Manager Lizeth Gomez.