Facility Evaluation Report

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Peach Hub, The for the purpose of following-up on an incident report that was forwarded to the Regional Office (RO) on October 3, 2022. LPA was greeted at the door by Program Manager, Jeremy Condez, and was granted access into the facility.

CCL received an incident report reporting a medication error. The error occurred on September 29, 2022 due to a miscommunication. Staff was preoccupied with another client and did not realize it was time for C1's medication (See LIC 809D) . Responsible party and prescribing physician were notified of the medication error. LPA obtained copies of the Medication Assessment Record (MAR) for the month of September for C1 that reflects the said medication error.

Deficiencies are cited from the California Code of Regulations (CCRs), Title 22, Division 6, Chapter 1 and the Health and Safety Code. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview was conducted with the Administrator and appeal rights was given to the Administrator.