Facility Evaluation Report
On 04/24/2024 at 11:40 AM Licensing Program Analyst (LPA) Lori Alexander conducted an unannounced Case Management visit regarding an Unusual Incident Report (UIR) that was reported to CCLD on 03/03/2024. LPA met with Executive Director (ED), Joseph Villanueva , and explained the purpose of the visit.
The incident report indicated that S1 gave another resident's medication to R1 in error while in training. The UIR indicated that the care staff notified R1's physician and family and that R1 was placed on 72 hours monitoring. The UIR indicated that S1 was provided additional training on the same day. In-service Training to be provided to all Medication Technicians
LPA L. Alexander reviewed the documents pertinent to the incident report:
In-Service Training Attendance Roster for "Med Errors"; ED stated that the training took place on 02/29/2024.
The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties.
Exit interview conducted. A copy of this report and appeal rights provided
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction