Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a case management visit to follow up on a self-incident report dated 4/3/25 received by Community Care Licensing (CCL) regarding a medication error and met with Administrator, Makeylia McCorley.

Per incident report: "On 3/31/25 about 1am and 8am, staff (S1) missed two doses of client (C1) prescribed antibiotic (Cephalexin 250 mg per 5ml). C1 was monitored for any adverse medical reaction, but no further incidents happened. C1's physician was notified as well as responsible parties.

During today's visit, LPA requested C1's medication administration records (MARs) and staff training records. According to Administrator, the confusion started when someone (unknown) highlighted the MARs' 3/31/25 date leading to S1 to assume that C1 did not need to be assisted with that medication on that day, which resulted in C1 missed two dosages of prescribed 10-day antibiotic medication. Administrator provided LPA medication records with medication error and all staff training records dated 4/5/25 regarding physician's order, mentor medication policy and administration, maintaining accurate logs of MAR and medication error. Per records review, C1's physician discarded the medication due that medication was not helping C1 and new prescription was issued. No further incidents have happened.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Licensee. **Civil penalty assessed in the amount of $250 for repeated violation within 12 months**

Exit interview conducted with Administrator and copy of this report was given .