Facility Evaluation Report

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced Case Management- Deficiencies visit. LPA identified herself and discussed the purpose of the visit with Licensee, Ayad George.

The reason for the visit was to issue a deficiency that was identified during a complaint investigation. It was reported Staff # 1 (S1) did not have medication training on file and was dispensing medications to clients. There was an unintentional medication overdose error made by S1 on 04/28/23. A review of facility records indicated S1 did not have any medication training on file. S1 confirmed not receiving any medication training from the facility. However, the house manager stated she provided medication training to S1 but forgot to document it. The house manger stated the medication training also included one week of shadowing. Title 22 Regulations requires documentation of training.

Based on interviews and record review, a deficiency is being cited on the attached 809D. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 01/16) were provided to Licensee, Ayad George whose signature below confirms receipt of these rights.