Incident investigation·February 23, 2024

On 2/23/2024 at 2:40pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 2/14/2024. LPA met with Sheila Rodriguez, Director of Sales and Mark Tabanera, Med Tech Manager, and explained the purpose of the visit. Incident report dated 2/13/2024, stated that a Resident 1 (R1) was given the wrong medication. The staff that administered the medication immediately notified the Medication Manager and was pulled from the schedule. Staff 2 (S2) also stated Staff 3 (S3) will complete medication management retraining. The incident report as well as S2 stated that all Med Techs completed an in-service training on six rights, three checks, and name alert protocol. LPA obtained a copy of the training documentation with signatures. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of the appeal rights and this report provided.