Incident investigation·June 13, 2022

This unannounced case management visit is being conducted by Licensing Program Analyst (LPA), Kathrina Chin to follow up on a medication error to Community Care Licensing on 5/19/2022. LPA arrived at facility and met with Maria Domingo, Executive Director and explained the nature of the visit. Maria Domingo, Executive Director stated that resident 1's medications were not "activated" on the E-mar system. Resident had just moved into the community on the evening of May 17, 2022. The staff were then unaware that resident's medications was to be given. Staff did not give resident 1's medications for two days, May 18, 2022 and May 19, 2022. Staff reported the missed medications to the resident's primary physician. No negative effects noted. Staff continued to observe resident for any negative outcome. At this time, based on the information available, there are no deficiencies being cited per Title 22, Division 6 of the California Code of Regulations . An exit interview interview was conducted and a copy of this report provided to the facility.