Incident investigation·September 24, 2024

On September 24, 2024 at approximately 11:45 AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Sierra Oaks of Redding for the purpose of conducting a Case Management-Incident Inspection. LPA was greeted at the door by Administrator, Kristine Boban, and was granted access into the facility. On September 16, 2024, an incident report was forwarded to the California Department of Social Services-Community Care Licensing Division reflecting a Medication Error that occurred. Administrator reported that the Caregiver gave the wrong medication to a resident. Administrator reported no adverse reactions. Responsible Party and the Physician were notified (See LIC 9102-Technical Violation). LPA educated the Administrator on the importance of ensuring that ALL residents are being given the correct medications and dosages. As of right now, the Caregiver is no longer passing medication and is in training. LPA toured the facility with the Administrator and made observations. No deficiencies were cited during today's Case Management-Incident Inspection . Exit interview was conducted and a copy of this report was signed and given to the Administrator.