• Type A

  101226(e)(3)(A)(B) · 101226 Health-Related Services (e)(3)(A)(B) Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician... in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child. Facility has provided documentation of the LIC 9221.LPA observed prescription medication of C1 with documentation of approval and instructions from the child's authorized representative for the administration of the medication to the child in accordance with the label directions as prescribed by the child's physician.

  C1 was provided medication that was prescribed to S1 Martha Malane NAME OF LICENSING PROGRAM MANAGER: Olivia Meza NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/18/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

  Open Not marked corrected in the state record

  Category: ratio. Open / not marked corrected.

Disposition: Unsubstantiated