Incident investigation·August 16, 2022

On this day Licensing Program Analyst (LPA) Jenifer Tirre made an unannounced case management visit to follow up on incident reports in conjunction with complaint 22-AS-20220711084817. LPA was granted entry by staff. LPA discussed purpose of the visit with Administrator Yaninee Asawadilokchai. On 8/3/2022 department received LIC 624 from facility regarding two incidents involving Resident's medications (R1). On 7/21/2022 Administrator stated that R1's Responsible Party told caregiver they wanted to look at R1's meds to discuss meds with Nurse Practitioner that had scheduled visit at Facility. According to Administrator Caregiver (CG1) opened medication closet and took out R1's box of meds and R1's Responsible Party took five bubble packs from box and went to R1's room. Upon leaving R1's room CG1 asked R1's Responsible party for bubble packs back. Administrator stated that Responsible party told CG1 "no", at this point Administrator arrived at facility and claims they explained to R1's Responsible party they cant take meds. Administrator stated that Responsible party left the facility with medications in bubble packs. Administrator called police to make a theft report. On 7/26/2022 another incident happened where R1 came back to facility from an outing with Responsible party. Upon arrival Caregiver (CG2) popped out night meds from bubble pack and placed in med cup to give to R1. Administrator stated that R1's Responsible party took a capsuled medication which was bent and requested for a new capsule, CG2 popped out another medication and gave to R1. CG2 asked for bent capsule back and R1's responsible party refused to give back medication. CG2 and responsible party got into a verbal disagreement about medications and left facility. Based on the information provided during today's visit, the following violations are being cited per California Code of Regulations Title 22. CONTINUED ON 809C LPA Tirre discussed with Administrator/Licensee Yaninee Asawadillo department will be calling Licensee in for a Informal meeting to discuss being out of compliance. An exit interview was conducted and a copy of this report along with appeal rights were left at the facility.