Facility Evaluation Report
Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced complaint visit to investigate the allegations listed above. LPA was joined by Tri-Counties Regional Center (TCRC) Quality Assurance Specialist (QAS) Ryan Landseadel and Patrick Brown. Upon arrival, LPA and QAS met with staff explained the reason for the visit. Administrator Danika-Jean Lewis arrived during the visit.
On 03/20/2025, the Regional office received an incident report that stated on 03/09/2025, at approx. 08:00p.m. while doing medication pass, it was observed that Client #1 (C1) was not provided their medication Depakote as prescribed.
On 04/12/2025, the Regional office received an incident report that stated on 04/10/2025, at approx 02:00 a.m. NOC Med Passer conducted a medication audit revealed that a medication was not given as prescribed as Client #2 (C2)'s Metformin was still in the pill pack.
At approx 10:00a.m. LPA and QAS conducted physical plant, interviewed staff, medication audit and reviewed and obtained copies of pertinent documentation relevant to the investigation.
Pursuant to Title 22 of the California Code of Regulations Division 6, Chapter 8, the following deficiencies were cited (refer to LIC 809-D). Failure to correct the deficiencies may result in additional civil penalties.
Exit interview conducted, appeals rights discussed and copy of report issued.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction