Incident investigation·October 20, 2022

At approximately 12:00PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a case management visit in regards to a report of a medication error. LPA met with Administrator Perla Gonzalez, interviewed staff and reviewed records. Based on interviews conducted, R1 received another residents medication, in error, during morning medication administration. Staff contacted Administrator and responsible party. Resident physician was notified. R1 was monitored throughout the day. LPA learned of another incident where a resident required medical attention and 911 was notified on 10/13/2022. Licensee did not notify CCL of this occurrence. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Appeal Rights given.