Follow-up on corrections·February 19, 2026

Licensing Program Analysts (LPAs) Emily Peraldi and Quoc Huynh conducted an unannounced Case Management visit in conjunction with Complaint #29-AS-20251219143302. At 9:57 a.m. The LPAs met with Executive Director (ED) Francesca West and explained the reason for the visit. Entrance interview conducted. During today’s visit between 10:30 a.m. and 3:08 p.m., LPAs reviewed and obtained pertinent documents, interviewed the ED, and conducted a physical plant tour. Between 1:44 p.m. and 3:05 p.m., the LPAs conducted a review of medication and medication documentation with the ED for three (3) residents. During the review of resident medication and documentation, it was observed that two (2) out of three (3) residents’ centrally stored medication and destruction record (CSMDR) were not updated and documented correctly. The ED stated that she will review the facilities medication procedures and ensure that all CSMDR are current and accurate. The LPAs also followed up on a self-reported incident report dated 01/21/2026. The report indicated that on 01/20/2026 a medication error occurred, as Staff #1 (S1) gave Resident #1 (R1) the incorrect medication. The error was identified and staff monitored R1 for any symptoms. It was also noted that R1’s responsible party and physician were notified of the medication error. During today’s visit, LPA Peraldi cited for medication errors on the above mentioned Complaint. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiency was observed and cited during the visit (See 9099-D). Exit interview conducted. A copy of the report and appeal rights were provided.