Facility Evaluation Report
On 10/16/2024, Licensing Program Analysts (LPAs) P. Manalo and K. Nguyen conducted an unannounced case management visit regarding an incident report that was reported to CCLD on 10/07/2024. LPAs met with Administrator, Monique Tran, and explained the purpose of the visit.
The incident occurred on 10/06/2024 when C1 was given medication in error. LPAs and Administrator discussed that C1 was given a discontinued medication from October 1,2024 to October 6, 2024. Staff knew that the medication was discontinued from the doctor's notes and the Medication Administration Record (MAR), but still continued to give the medication out to C1. After this incident occurred, Administrator had Medication In-Service Training.
Moving forward, Administrator implemented that medications will be passed out with a two person assist. One staff will assist with the medications, and the second staff will ensure that the MAR is accurate and that the medication was given out to the resident.
The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiency by POC date may result in additional Civil Penalties.
Exit interview conducted with Administrator. Appeal Rights and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction