Incident investigation·February 13, 2025

Licensing Program Analyst (LPA) Alvisoa conducted a case management inspection and met with Robert Alvarado, Administrator. The purpose of today's case management was to follow up on a facility self reported resident incidents regarding medication errors. In review of records, R1 and R2 both had medication error incidents occur. Per review of records, the medication staff had in-service training on medication policies in regards to medication assistance to residents in care. Information obtained support that a violation had occurred regarding both resident incidents. This deficiency will be cited, 87465(a)(4) Incidental Medical and Dental Care- A plan for incidental medical and dental care shall be developed by each facility. The licensee shall assist residents with self-administered medications as needed, see LIC809D. Deficiencies cited from the California Code of Regulations, Title 22 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator Robert Alvarado. Appeal rights provided.