Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management – Incident visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with House Manager Raquel Garcia.

Today's visit was in response to two (2) Special Incident Reports (SIRs), which Licensee self-submitted to the CCLD San Diego Regional Office (received on 02/14/2023 and 02/15/2023, respectively). The first SIR described a medication incident involving Client #1 (C1). The second SIR described a medication incident involving Client #2 (C2). [See LIC 811 Confidential Names List for a description of person identifiers used in this report].

During today’s visit, C1 and C2 were both off-site at day program. LPA performed a brief facility tour, interviewed relevant staff, and collected copies of pertinent care and medication records for C1 and C2.

Manager interview showed: The above incidents did not result in any adverse health consequence to either C1 or C2.

No deficiencies were cited during today’s site visit.

An exit interview was conducted with Garcia, to whom a copy of this report, he LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.