complaint·September 29, 2023

Continued from Lic9099... It was alleged that; Staff did not dispense medication according to doctor's orders. Based on Interviews, and record review conducted, S1, S2, S3, and S4 stated that S4 accidentally grabbed the incorrect eye drop bottle and was about to administer medication to resident on 8/19/2023. Reporting Party (RP) noticed S4 was going to use the incorrect eye drops, and RP stopped S4 before administering the eye drops into R1's eyes. S5 was a witness when RP realized S4 grabbed the incorrect eye drop bottle. The correct eye drops for R1 was grabbed and administered to R1 accordingly. S4 was suspended from the community until the investigation was finished. On 6/23/2023, a different staff had provided multiple drops into R1's right eye and should have only gotten one drop. LPA conducted record review, which confirmed that S4 made a medication error dated 6/23/2023, which was self reported to CCL. Based on LPAs interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8) are being cited on the attached LIC 9099D. Exit interview conducted with RN, and a copy of this report provided along with appeal rights.