Incident investigation·May 8, 2024

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced case management visit to the facility for an incident report received on April 24, 2024, that occurred on April 22, 2024. LPA De Perio explained the purpose of today's visit, was greeted by Executive Director (ED) Megan Blacher. During this visit, LPA De Perio conducted interviews, and record review. Per incident report, resident 1 (R1) had received a medication error, and that ED, Health and Wellness Director, R1's physician, and R1's responsible party were immediately notified. R1 was placed on a 48-hour observation and was assessed by the physician. An interview was conducted with R1 who expressed no health and safety concerns at the facility. For this visit, citations were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with ED Blacher. A copy of this report and Appeal Rights were provided and explained.