Facility Evaluation Report
On 07/10/23,Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility to conduct a Case Management visit regarding an incident that occurred on 06/26/23. LPA met with Administrator Grace Woodford and explained the reason for the visit.
Alta California Regional Center Special Incident Report submitted by facility on 06/27/23 to CCL stated that Staff (S1) did not give 2 scheduled medications to R1 on the evening of 06/26/23.
Based on incident report, staff interviews, medication record review and observation from the facility, R1 was supposed to receive, Quetiapine 150 mg ( 1 tablet ) and Citalopram 20 mg tablet ( 1 tablet ) on the evening of 06/26/23 but staff did not give these 2 medications to R1 as ordered by R1s physician .Facility noticed the medication error on 06/27/23 in the morning time and found out that these 2 medications were left in bubble pack. Facility notified R1s physician, CCL, ALTA and other agencies regarding this medication error on 06/27/23. Per facility’s reports, there were no changes to R1s health due to this medication error and R1 was at their baseline. Based on this information, it was determined that facility did not administer these 2 medications to R1 which poses a immediate health and safety risk to residents in care.
Deficiency is cited per California Code of Regulations, Title 22, and listed on LIC 809D.
Failure to submit Proof of Correction (POC) by Plan of Correction date may result in civil penalties.
Exit interview conducted. Appeal rights provided. Copy of the report left at facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction