Facility Evaluation Report

Licensing Program Analysts (LPAs) Willis and Felias arrived unannounced to conduct a Case Management visit and met with staff member, Clairisse Daniels, Administrator Shanice Moore was available by phone. Administrator has given permission for staff member to sign.

LPAs spoke with Administrator Shanice Moore regarding a medication error that occurred on 2/2/2022 for Client, C1. Per conversation with Administrator and review of incident report, the staff was temporary and was filling in due to staff shortage. C1 grabbed medication cup that had another client's medication in it and staff was unable to intervene in time. C1 did not have any adverse effects to taking incorrect medication.

Staff was retrained and facility updated their medication procedures to minimize the risk of clients grabbing the incorrect medication.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.