Facility Evaluation Report

On 7/12/23 at 9:00am Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced case management deficiencies inspection to address a self reported medication error. LPA met with Administrator Neal Torres to discuss the reported incident.

Administrator confirmed that there was a medication error regarding the administration of a resident's medication 6/25/23. Facility contacted the resident's physician to ensure the safety of the resident. Facility has already conducted in services training with the staff member and has resumed several days of shadowing during medication pass. Facility continues to evaluate electronic medication administration records (EMARs) for incorporation into the facility's medication administration process.

LPA and Administrator discussed additional steps the facility can take to eliminate additional medication administration errors.

Per California Code of Regulations, Title 22, the following deficiency is cited. Due to a previous citation in the past 12 months, a civil penalty is issued.