Facility Evaluation Report
Capacity110
Census74
Date signed11/20/2025 07:58:03 AM
Name of licensing program analystShawna Doucette
Name of licensing program managerAlexandria Walton
Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct a Case Management for incident which occurred on 09/12/25. LPA met with Administrator Amanda Kelsey.
LPA interviewed Administrator and reviewed records. Records and interviews revealed R1 was administered a narcotic medication in error.
A copy of this report was provided along with appeal rights and plan of corrections.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction