Facility Evaluation Report
On 05/07/24, Licensing Program Analysts (LPAs) Bains and Muscan arrived at the above to conduct a Case Management visit regarding an incident that occurred on 04/24/24 for resident R1 regarding medication error. LPAs met with Administrator, Shoa Johnson and explained reason for visit.
Incident for R1- Alta California Regional Center Special Incident Report submitted by facility on 04/25/24 to CCL stated that on 04/24/24 at approximately 4pm, staff gave Clonidine 0.2mg medication to resident, R1 by mistake. Record review indicated that R1 has order for Clonidine 0.1 mg daily at 8pm but staff administered wrong dose of medication (Clonidine) to R1 and at wrong time. Facility notified R1s physician, CCL, ALTA and other agencies regarding this medication error.
Based on above information, it was determined that facility administered wrong medication and at wrong time for R1 which was Not ordered by their physician, therefore deficiencies are cited pursuant to California Code of Regulations, Title 22, Section 80075(b)(5)(B) and documented on the attached LIC809D. Immediate Civil penalty of $250.00 was assessed on LIC421FC today due to repeat violation of the same regulation within 12 months.
The report was reviewed, appeal rights and a copy of this report was left at the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction