Follow-up on corrections·March 9, 2022

Licensing Program Analyst (LPA) LaQueena Lacy conducted a subsequent Case Management visit, LPA arrived at the facility at 11:00am on 03/09/2022, regarding incident that occurred on 09/11/2021. LPA meet with Adriana Sais and explained the purpose of the visit. LPA conducted a physical plant tour at 11:12am. Woodland Hills South Adult and Senior Care Regional Office (WHASCRO) received an incident report involving the facility resident #1 (R1). Per Incident report on 09/11/2021, The nurse had given R1 an additional dose of a prescribed medication. On 12/23/2021 at 11:20am, LPA obtained documents relevant to the investigation. LPA conducted interviews with ED on 09/20/2021, and staff and R1 on 03/09/2022 between 11:51am and 2:24pm. Per ED, the nurse that administered the additional dose resigned from the position on 09/18/2021. ED admitted and Interviews confirmed that S1 administered an additional dose of a prescribed medication, and did not use the facility Accuflow computer system, that would tell staff exactly what medications are to be dispensed. During the investigation, upon record review of R1's facility file, medical records, and other relevant documents, R1 is to take the prescribed medication, one (1) tablet by mouth daily. R1 did not experience any complications due to the additional medication, and R1 was monitored on an hourly basis. Pursuant to the California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiency was observed and cited during the visit. See LIC 809-D. Exit interview conducted, copy of report and appeal rights issued.