Follow-up on corrections·October 4, 2021

Licensing Program Analyst (LPA) Lady Cabrera conducted a case management visit to the facility. LPA identified herself and discussed the purpose of the visit Administrator Elizabeth Moreland was present via telephone. On 9/23/2021, CCL received a Special Incident (SIR) Report Central Valley Regional Center regarding incident that occurred on 08/01/2021. Per SIR, Resident (R1) was not administered his prescribed dosage of Phenobarbital (97.2mg twice daily) on 08/01/2021, 08/20/2021, 08/03/2021, 08/04/2021, 08/06/2021 and 08/11/2021. One each of these dates, R1 was administered AM dosage of the medication, but not the PM dosage of the medication as prescribed. Based on the LPAs interview and records review, the Licensee did not meet California Code of Regulations, Title 22, Division 6, Chapter 8, Section 87465(b) Incidental Medical and Dental Care. Deficiencies are being cited on the attached LIC 809-D. Exit interview was conducted. A copy of this report, LIC809, LIC809-D and appeal rights were provided. The Licensee’s signature on this form acknowledges receipt of these documents.