Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Executive Assistant Rowena Lomboy and Director of Resident Health Services Aurora Galicia.

Today's visit was in response to an LIC624 Incident Report, which licensee self-submitted to the CCLD San Diego Regional Office on 03/29/2023. According to the LIC624: in late March 2023, there were occasions when staff did not give (i.e., missed giving) Resident #1 (R1) their prescribed antibiotic medication. [See LIC 811 Confidential Names List for a description of person identifiers used in this report]. Staff first discovered the medication errors on 03/25/2023 and notified R1’s responsible party and physician that same day. The missed doses did not result in any visible adverse health consequence for R1.

During today’s visit, LPA performed a brief facility tour and attempted a welfare check on R1, but R1 was off-site on an outing during LPA's visit. LPA interviewed pertinent staff and reviewed relevant records.

Per their latest LIC602 Physician’s Report: to the stock questions of whether R1 was able to store and administer their own prescription medications, R1’s doctor checked the “Yes” boxes. However, the same doctor also diagnosed R1 with “Mild Cognitive Impairment.” Staff interviews revealed that, in practice: staff stored R1’s prescribed medications, R1 required staff help with safely taking their medications, and R1 was paying licensee for medication management services.