Incident investigation·February 21, 2024

On 02/21/2024, Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced to conduct a Case Management- Incident to obtain information regarding an incident that occurred at the facility on 02/13/2024. LPA met with Executive Director (ED), Jessica Sanders, and explained the purpose of the visit. The Case Management visit is in response to an incident report that was submitted to CCLD. Incident report indicates, the facility were advised on 02/13/2024 from the pharmacy that a bubble pack of 30 oxycodone was delivered to the community on 02/07/2024. It was discovered that staff (S1) on the night shift signed off on the medication. The facility conducted an internal investigation of missing bubble pack. The facility notified Roseville Police Department. Resident's primary care physician was notified and responsible party. The facility conducted an in-service on receiving, logging, and storing narcotics on 02/17/2024 and 02/18/2024. LPA requested for in-service training for review. At this time, deficiencies are not being cited. An exit interview conducted with Memory Care Director, Jami Koopman, and report provided.