Follow-up·July 19, 2022

Licensing Program Analyst (LPA), Araceli Canela arrived unannounced at The Lodge at Glen Cove for the purpose of following-up on an incident report that was forwarded to the Regional Office (RO). LPA was screened upon entrance and met Administrator, Grace Sandoval. During today's visit LPA is following up on a self reported incident report received at CCL on 3/11/2022 involving residents (R1), (R2) and staff (S1) and a report of a medication error. The error occurred on 03/10/2022 while previous Care Coordinator (S1) was dispensing medication at 8:40 am and accidentally provided the wrong medication to R1. S1 provided the wrong medication for R1, when they gave them medication that belong to R2, both residents with the same first name. Medication error was reported to Residents Primary Care Provider, Kaiser Medical advise line, and residents family. Facility spoke with Kaiser RN along with Poison Control, who concluded that the medications given to R1 were similar and in line with the medications R1 currently takes and they did not deem it necessary that R1 be seen in person by a physician. Facility created resident photo cards to accompany labeled medication cups. Staff training and the use of the medication cart. Deficiencies are cited from the California Code of Regulations (CCRs), Title 22, Division 6, Chapter 8 and the Health and Safety Code. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview was conducted with the Administrator and appeal rights were given.