Facility Evaluation Report

Licensing Program Analyst (LPA) R. Campbell conducted an unannounced Case Management on this date and met with House Manager Victoria Gomez, The case management visit pertains to medication errors.

During the visit, the LPA spoke with House Manager Victoria Gomez regarding PRN medications. LPA Campbell reviewed the Centrally Stored Medication Log and observed that the start dates were inconsistent in comparison with the first dose given out. Staff either entered the the date medication was received as the start date or did not enter a start date at all. LPA Campbell interviewed the House Manager, who described the Centrally Stored Medication Log process. She also provided the binders for all residents who receive medication.

After record reviews and interview, it was determined that the facility was not correctly updating the start date for medications. Staff either did not understand the definition of the start date or did no know tot enter a start date.

The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health and Safety Code. Failure to correct the deficiencies may result in civil penalties.