Follow-up on corrections·November 30, 2023

Licensing Program Analyst (LPA) Hansen arrived unannounced at facility for the purpose of conducting a Case Management regarding a medication error. LPA met with Executive Director Paul Friesen and Director of Nursing Heidi Rieser RN. LPA is following up regarding a self-reported Incident Report received by Community Care Licensing (CCL) on 11/13/2023 of a medication error. The error occurred on the evening of 11/09/2023 while employee was dispensing medication. Med tech inadvertently gave resident (R1) another resident’s medications during medication passing Regulation 87465(a)(4). (See LIC809-D). Poison control contacted and confirmed to facility, the medications given are not of great concern for adverse reactions. R1 monitored with no adverse reactions. Prescribing physician and responsible party was notified of medication error. Review of on-line training for medication administration,was provided to Med tech. In service training to be conducted 11/30/2023.. LPA was provided medication training documents. Appeal of Rights Given. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided