Incident investigation·October 1, 2021

Licensing Program Analyst (LPA) Dina Alviso conducted a Case Management-Incident inspection and met with Derrick Whitacre, Administrator; The inspection is being conducted to obtain more information and review some incident reports submitted as required to the Department. LPA reviewed seven (7) resident incident reports, and obtained more information as needed. The LPA found that 5 of the residents had medication errors of staff not providing the medication to the residents as ordered: The individual dates of the residents, R1, R2, R3, R4, and R5, not having been given their medications as required and prescribed, happened in and between the months of March 2021 through September 2021. Most of these medication errors had been followed up with medication training provided to all staff handling medication assistance to the residents in care. The trainings, Medication Assistance Procedures By Med Techs, were in-serviced on 7/4/2021, 7/10/2021, 7/19-7/22, 2021, and 10/1/2021. Resident incidents, two (2) , Medication errors by staff not providing medications as prescribed on 8/4/21 and 9/25/21, will also need follow-up medication training by the Nurse of the facility. The deficiency for all medication errors will be cited today, regulation 87465 Incidental Medical and Dental Care, see LIC809D. The following deficiency will be cited from the California Code of Regulations, Title 22, Division 6 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 Derrick Whitacre. Appeal Rights Given.