complaint·July 9, 2024

Continued from LIC9099 LPA conducted an interview with Staff Member 1 (S1). During interview, S1 informed LPA that they were alone in the medication room making a video of themselves when another staff member approached them to provide resident care updates. Per S1, they forgot that the video was still recording. S1 informed LPA that the videos did not contain any identifiable medical information and that the videos had been posted on their personal social media page. S1 immediately deleted the videos when it was discovered that information regarding resident care was included. S1 informed LPA that they had training regarding the incident. Based on interview conducted, this allegation is Substantiated . Complainant alleged that facility staff mismanaged medications. Per Complainant, Resident 1’s (R1) narcotic medications were found with another resident's narcotic medication when they moved to a new facility. LPA reviewed incident report that was submitted to the Department on 03/04/2024. Report stated that on 02/19/2024, S1 released the resident's narcotic medication to their new facility. On 02/20/2024, it was discovered that R1’s narcotic medication was with this resident's narcotic medication. Per report, R1’s narcotic medication was appropriately destroyed on 02/19/2024 and a new supply of narcotic medication was received on 02/22/2024. Review of R1’s Electronic Medication Administration Record and Physician Orders indicated that their medication was prescribed as a PRN or “as needed” medication. Record review indicated that R1 did not take the PRN medication. Facility submitted documentation to the Department showing that S1 had an in-service training on the following topics: Narcotic, Controlled Substances and Preventing Drug Diversion, Six Rights of Medication Administration, Confidentiality Policy, and Release of Medications. Based on review of documents, this allegation is Substantiated . A finding that the complaint allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiencies, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. **An Immediate Civil Penalty in the total amount of $250 is being assessed for a repeat violation of Regulation 87468.2(a)(2) more than once in a 12 month period. (See LIC421FC)** Licensee submitted Inservice Training for S1 to the Department on 03/04/2024. Deficiency cited for Regulation 87468.2(a)(2) cleared during visit. Exit interview conducted. Copy of report, LIC811 (Confidential Names), LIC809D, LIC421FC (Civil Penalty), Appeal Rights, and Plan of Corrections Letter discussed and provided to Health and Wellness Director. Signature on form confirms receipt of documents. Continued from LIC9099A A finding that the complaint allegation is Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No Deficiencies Cited during visit. Exit interview conducted. Copy of report discussed and provided to Health and Wellness Director. Signature on form confirms receipt of documents.