Follow-up on corrections·April 10, 2023

On 4/10/2023, Licensing Program Analyst (LPA) Murial Han and Licensing Program Analyst (LPA) Grace Donato conducted a case management visit concerning an incident that was reported by the facility. LPAs explained the purpose of today's visit. On 4/3/2023, facility submitted an incident report concerning resident #1 (R1) was sitting at the dining table and caregiver noted an empty bottle of medication in the sink that did not belong to R1. During today's visit, LPAs observed medications to be locked and inaccessible to residents; there was medication stored in the refrigerator placed in a locked container. In addition, LPA observed R1 sitting in the living room, and watching TV. In regards to the incident, caregiver stated that on the day when it occurred, staff #1 (S1) was preparing medication for resident #2 (R2) in the dining room area while R1 was present, and sitting in the dining room table. The caregiver needed to use the bathroom so caregiver placed R2's medication in the refrigerator that was not locked and upon returned, caregiver noticed an empty bottle of medication of R2 in the sink and appeared to be ingested by R1. Caregiver called the paramedics and was transferred to poison control. Subsequently, the administrator instructed staff to take R1 to the hospital for further evaluation. R1 returned on the same day. Deficient is cited today as the facility did not ensure centrally stored medicines in a safe and locked place that is not accessible to person(s) in care. Deficient is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with caregiver, Krisanta Mercado and administrator Imeda Prado. A copy of this report and the Appeal Rights are provided.