Follow-up·October 10, 2023

Licensing Program Analyst (LPA) arrived unannounced on 10/10/23 at 1:30p to obtain additional information regarding an SIR received 2/2/23. LPA met with Yesenia Jones, Administrator and stated the purpose of the visit. LPA reviewed with administrator the contents of the SIR. The administrator conducted an internal investigation where as the care staff was providing medication administration timely and resident was not refusing to take medication. Resident #1, was not experiencing adverse reaction, however, it was noted that R1 was actually not swallowing the medication and was discarding them once staff was not present (cheeking). The responsible parties found the medications in R1's clothing. Based on the information provided, this has not occurred before and precautions have been put into place to assist staff in ensuring medications are taken by residents or document any refusals. The facility conducted in-service to medication technicians to try to ensure residents are swallowing medications before leaving the area. The facility was deemed to not be at fault for medication error at this time. Per California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed and cited. Exit interview held, A Copy of report given.