Facility Evaluation Report

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to conduct a case management visit in relation to incident reports regarding missed medication. LPA met with program director Arthur Estrada and personnel director Jessica Zepeda arrived shortly.

On 4/27/23, program director was notified by staff that Client 1 was not administered their 4/26/23 scheduled evening medication but was otherwise marked as given. On 5/2/23, program director was notified by staff that Client 1 and Client did not receive their 5/1/23 scheduled evening medication. Program administrator stated that there were different staff for either incident.

LPAs Bueno and Amber Coleman last visited the facility on 10/28/2023 for a similar incident. LPAs were advised that an in-service training was completed for this incident. During today’s visit, LPA Bueno reviewed staff records. LPA found no records of in-service training conducted by a licensed professional. This poses a potential health and safety risk to clients in care

An exit interview was conducted where this report, LIC 809D, and appeal rights were discussed with and provided to Mr. Estrada.