Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez conducted a case management - incident visit. LPA was joined by Tri-Counties Regional Center Quality Assurance Specialist (QAS) Katy Robison. Upon arrival there was no staff or clients present at the home. Administrator Floro Cortes was called to informed of the visit and arrived during the visit at approximately 11:45 a.m. and was explained the reason for the visit. .

The reason for today's inspection is to follow up on a self-reported incident report received on 07/18/2025. The incident report pertains to Client 1 (C1) being administered C2's medication by Staff 1 (S1) in error on 07/14/25. On 07/18/25, the LPA interviewed the Administrator telephonically, and the LPA received proof of four (4) hours of medication training S1 had due to the error.

During today's visit at 12:00 p.m., the LPA and QAS conducted an interview with the Administrator. At 12:20 p.m., the LPA conducted a medication audit for C1 and C2 to verify their morning medications. Interviews with the Administrator and medication audit confirmed that C1 was administered C2's medications in error, and, C2 was administered their correct medications. The Administrator reported the error to C1's Physician and followed their recommendation. Additionally, the Administrator stated that S1 had left medications unattended on 07/18/25.

The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 . Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.