101427(c) · 101427(c) The infant shall be fed in accordance with the individual plan.

Facility will submit to LPA Alvarado proof of trainings and actions taken to prevent further incidents. Director will submit proof via email to LPA Alvarado by 9/5/2025. Based on interview and record review, the facility did not comply with the section cited above by providing an incorrect bottle of breast milk to an infant, which poses a potential health, safety or personal rights risk to persons in care. Ali Zebila NAME OF LICENSING PROGRAM MANAGER: Diana Alvarado NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/27/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.