Incident investigation·September 26, 2023

This unannounced Case Management – Incident inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of following on a self-reported incident report received in the Orange County Regional Office (OCRO) on 09/12/23 regarding a medication error involving Resident #1 (R1) that took place on 09/07/23. LPA met with Staff #1 (S1) Filomena Barela and discussed the purpose of the inspection. Administrator (AD) Mark Cruz arrived during the inspection. The incident report states the following: On 09/07/23, R1 was given the wrong medication, had an adverse reaction which subsided, was seen by a doctor via telehealth, and did not need additional medical treatment. During today’s inspection, LPA conducted health and safety checks on R1 and the other residents and observed no health and safety issues. LPA interviewed AD, R1, and requested and reviewed copies of the resident roster, staff roster, and Medication Administration Records. 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.