Non-compliance follow-up·July 17, 2025

Licensing Program Analyst (LPA) Teresa Camara conducted a case management legal/non-compliance visit. LPA met with Interim Executive Director (ED) Joanna Enriquez and Clinical Director David Rivas, RN, and explained the reason for the visit. At 11:56 a.m. LPA conducted a medication audit for five residents' medications, which included medications on-cycle, medications not on-cycle, and PRN medications, including narcotics. All of the medications were correctly documented and all had physicians' orders. The ED and Clinical Director have set up frequent medication training to address any issues regarding documentation and plan to utilize a pharmacy representative for quarterly audits as well. No citations issued. Exit interview conducted and a copy of the report was issued.