Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Follow-up on corrections

TAMALPAISLicense 2101027611 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Hansen arrived unannounced at facility for the purpose of conducting a Case Management regarding a self-reported medication error. LPA met with Administrator, Terence Tumbale. LPA is following up regarding a self-reported Incident Report received by Community Care Licensing (CCL) on 8/28/2024 of a medication error. The error occurred during AM shift medication pass on 8/23/2024 while med tech was dispensing medication. Medication technician provided resident (R1) 2 milligrams of hydromorphone instead of doctors prescribing order of 1 milligram due to transcription error, Regulation 87465(a)(4). (See LIC809-D). Hospice & family contacted. R1 was monitored with no sign of adverse reaction. LPA obtained internal investigation, EMAR & care notes. LPA was also provided medication training documents for Med Tech as Nurse no longer with the community. *******Total Civil Penalties issued today in the amount of $250.00 A $250.00 civil penalty is being issued for 2 nd citation in less than 12 months for the same violation 87465(a)(4). Previous citation 11/9/2023. 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

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87465(a)(4)Type A

    87465 Incidental Medical and Dental Care(a):(4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on document review and interview with Administrator, Licensee did not comply with the section cited above when R1 did not receive medication as prescribed. This poses an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 26, 2024 inspection of TAMALPAIS?

This was a other inspection of TAMALPAIS on September 26, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to TAMALPAIS on September 26, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87465 Incidental Medical and Dental Care(a):(4) The licensee shall assist residents with self-administered medications a..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.