Senior Care Records.

Facility Evaluation Report

Elwyn California - Happy Valley, Santa Rosa09/16/2021Licence 496803724

Capacity4
Census3
Date signed09/16/2021 02:58:54 PM
The inspector’s account

Licensing Program Analyst Willis arrived unannounced to conduct a Case Management inspection and met with Administrator, Christina The.

LPA is following up regarding an incident that was self-reported by the facility for a medication error. Facility reported a medication error occurring 7/19/2021 for client, C1 where a medication was not given. Error was found during an audit. Client did not have any adverse effects from missing medication.

A Civil Penalty in the amount of $250.00 is being assessed due to a repeat violation of the same regulation in a 12 month period.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction