Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to meet with Ashley Murillo, assistant administrator regarding a Case Management- Incident Report at approximately 4:00 PM on 04/28/2023. The inspection is being conducted to review client's incident report of 03/26/2023 to determine the safety of medication administration at the facility.

LPA conducted an incident report review of client medication error with Assistant Administrator Ashley Murillo (AM). AM reported that the facility has put new protocols in place to ensure medications are administered correctly. The facility is using a "Buddy System", where two staff work together to double-check accuracy of medication administration. in addition, the Administrator is using a new Calendar System, which posts med times on staff/facility mobile phone and staff computer (which remains in office and for staff use only). Per conferencing with administration the licensee will ensure that clients are administered the correct dosage of a medication