Facility Evaluation Report

Licensing Program Analysts Victoria Willis and Caitlynn Felias arrived unannounced to conduct a Case Management inspection and met with Shift Leaf, Nayely Jimenez.

Facility submitted an incident report for client, C1 for a medication error. According to interview and report, C1 was on an outing and upon return was not given their PM medication. It is facility policy that medications are audited on each shift but the medication was not audited per facility protocol. The error was discovered during the morning shift. Client did not have any adverse affects to not receiving medication. Involved staff were re-trained.

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.