Incident investigation·August 4, 2022

Licensing Program Analyst (LPA) Mandeep Kaur conducted an unannounced Case Management visit and met with Administrator Maria Erene Bautista and Licensee Serapia Beltran. The purpose of the case management visit was to follow up an an incident report that the facility submitted to the Department on 07/27/2022. The incident report stated that Administrator Maria Erene Bautista admitted to Hospice Nurse on 07/21/2022 that resident R1 was given un-prescribed COVID medication that was prescribed to another resident. The incident report states that Licensee Serapia Beltran (PIA) provided the written and verbal warning to administrator Maria Erene Bautista. LPA Mandeep Kaur spoke with Administrator Maria Erene Bautista and Licensee Serapia Beltran on 08/04/2022 and they stated that R1 has passed away on 07/24/2022 due to health declining reasons for last two weeks. Administrator and Licensee stated that R1 was under hospice care and death was due to declining health conditions, not because of the medication error. Licensee Serapis Beltran stated that training was provided to Administrator and Training log was reviewed. No deficiency was cited as per California Code of Regulations Title 22. Advisory notes issued. LPA reviewed the Medication log, Medication training log for the administrator. This report was reviewed with Administrator Maria Erene Bautista and Licensee Serapia Beltran and a copy of this report and advisory notes are provided.