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Inspection visit

complaint

SERENITY GARDENSLicense 4550025501 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Staff did not provide related incident documents to a resident's representative. The department investigated the allegation of Staff did not provide related incident documents to a resident's representative. The department conducted interviews and reviewed records concerning the allegation. Through interviews it was determined that staff did contact responsible party (RP) after hours on a Saturday 6/11/22, then Monday 6/13/22 the RP called back to confirm that RP did receive the incident report as well as requested more documents. On 06/14/22 RP received all requested documents. Based on information gathered, LPA finds the allegations to be UNFOUNDED- A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted. and copy of report provided to facility. Exit Interview conducted . Staff dispensed the wrong medication to a resident in care The department investigated the allegation Staff dispensed the wrong medication to a resident in care . During interviews with Administrator (Admin), two (2) staff, and records reviewed, it was determined that, staff dispensed the wrong medication to a resident in care to be substantiated . LPA Valencia had initially received an incident report on a LIC624 on June 10, 2022 regarding the medication error involving resident R1. Through documentation reviewed, it was determined that staff distributed mediation to R1 in error. The facility documented the medication error and did seek medical observation and treatment for R1 following the error. Based on information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted, appeal rights printed and all documents emailed to Administrator.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87465(a)(5)Type A

    Incidental Medical and Dental Care Services. The licensee shall assist residents with self administered medications when needed.This requirement is not met as evidenced by: based on the fact that staff gave R1 the wrong medication, which poses a This poses an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 16, 2022 inspection of SERENITY GARDENS?

This was a complaint inspection of SERENITY GARDENS on June 16, 2022. 1 citation were issued: 1 Type A (serious).

Were any citations issued to SERENITY GARDENS on June 16, 2022?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Incidental Medical and Dental Care Services. The licensee shall assist residents with self administered medications whe..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.