Facility Evaluation Report
Licensing Program Analyst (LPA) Toan Luong conducted an unannounced on-site visit to the facility in regards to an incident reports received from the facility. LPA was accompanied by Tri-Counties Regional Center Quality Assurance Specialist (TCRCQAS) Vincent Figueroa. LPA met with Administrator Chris Patton and explained the purpose of the visit.
On 7/30/21, Staff gave C1 incorrect dosage of Clonidine. C1 was given .15 mg instead of .1 mg.
On 8/3/21 at 8:00 p.m., staff discovered 1 pill of Trazadone 100 mg remained in bubble pack for 8/2/21 8:00 p.m. dosage for C1.
On 1/2/22, staff did not provide C1 medication of Pregabalin 100 mg in the 8:00 a.m. period. Administrator conducted second check at 10:45 a.m. and verified that 8:00 a.m. dosage remained in bubble pack with noon dosage.
On 3/14/22, Staff discovered that C1 was provided incorrect dosage of Clonidine on 2/17/2022. C1 received .1 mg of Clonidine instead of .2 mg.
LPA reviewed Medication Administration Record (MAR) for dates 5/1/22 through 5/4/22 and medication bubble packs. MAR reflects the correct amount remained in bubble pack with one exception. One 12:00 p.m. medication was not in bubble pack due to C1 being on an outing. As such, item was not checked off. All other items were accurate.
Exit interview conducted with Administrator, report and appeal rights emailed to the administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction