Incident investigation·December 15, 2023

This unannounced Case Management – Incident inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of following up on a self-reported incident report received in the Orange County Regional Office (OCRO) on 12/08/23 regarding Resident #1 (R1). LPA met with Staff #1 (S1) Jannette Cervantes and discussed the purpose of the inspection. Administrator (AD) Heather Younan appeared via telephone. The incident report states that on 12/04/23, R1 was given 2 tabs of Tramadol in the evening instead of 1 tab, the error was noticed immediately, R1’s doctor and family were notified, and R1 was observed for any reactions. During today’s inspection, LPA toured the facility with S1, inspected the medication room, conducted a health and safety check on R1, confirmed R1 was doing well, and observed no health and safety issues. LPA interviewed AD who provided the following information. R1’s doctor advised the facility to monitor R1 closely for 2 hours and that if there was no reaction then no medical treatment would be necessary. R1 was monitored and did not have a reaction and is doing fine. Based on the information obtained during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.