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 Administrator Jeremiah Letuligasenoa.
Today's visit was in response to an LIC624 Incident Report, which licensee self-submitted to the CCLD San Diego Regional Office (received on 05/08/2023). The LIC624 described a medication incident involving Client #1 (C1). [See LIC 811 Confidential Names List for a description of C1.]
During today’s visit, LPA performed a brief facility tour and welfare check on clients in care, finding that all were safe. LPA also reviewed pertinent records and interviewed relevant staff.
No deficiencies were cited for the incident. Also, no deficiencies were observed or cited during today's visit.
An exit interview was conducted with Letuligasenoa, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction