Facility Evaluation Report

Licensing Program Analysts (LPA) Dang Nguyen and Alyssa Ramirez conducted an unannounced Case Management visit. LPAs were welcomed by, identified themselves to, and discussed the purpose of the visit with licensee Astrid Garcia.

Today's visit was in response to two Special Incident Reports (SIR), which licensee self-submitted to the CCLD San Diego Regional Office on 02/15/2023, regarding Client #1 (C1) and Client #2 (C2) both not receiving medication as prescribed, involving multiple days during February 2023. [See LIC 811 Confidential Names List for a description of person identifiers used in this report].

During today’s visit, all clients in care were at an off-site day program. LPAs performed a facility tour, collected records, and interviewed staff.

Per their respective LIC602 Physician’s Reports, C1 and C2 both required staff assistance with taking their prescribed medications. According to staff interview, and corroborated by personnel records and outside investigative records: Staff #1 (S1) did not give C1 and C2 specific prescribed medications over multiple days during February 2023. Neither C1 nor C2 suffered adverse health consequences as a result of these missed doses.

A deficiency is cited per California Code of Regulations, Title 22 (refer to the attached LIC 809-D). A Plan of Correction was jointly developed with the licensee. An exit interview was conducted with Garcia, to whom a copy of this report, the LIC 809-D, the LIC811 Confidential Names List, and the Licensee/Appeal Rights