Incident investigation·August 25, 2022

An unannounced case management visit was made to the facility by Licensing Program Analyst (LPA) Amy Strother to investigate an incident reported anonymously to Community Care Licensing (CCL) stating that on 08/16/22, staff administered nonprescription medication to a child (C1) in care and did not inform the child’s authorized representative that the medication had been given. The reporting party stated that staff, S1 was informed that C1 had been given medication at home prior to arrival to the facility, and at pick up time C1 appeared “drunk”, struggling to put their shoes on. The reporting party further stated that C1 was given a dose of the 12 hour medication while in care and was experiencing signs of an overdose of the medication. CCL did not receive notification from the facility regarding the incident. During today’s visit, LPA met with the Licensee, Jeanette Boehm to discuss the incident. At 11:03am LPA reviewed storage of medication and reviewed children’s records. At 11:22am, LPA interviewed L1 and staff S1-S2 beginning at 11:44am. According to the statements provided by L1, L1 was not present when the medication was given to C1 and L1 was unaware that C1 had non-prescription medication at the facility. L1 stated that she believes the medication that was given to C1 was stored in her backpack. Staff interviewed stated that the medication given to C1 on 08/16/22 was provided to the facility by C1's mother and no paperwork was completed. One staff reported that she administered the medication to C1 following the directions on the label and verbally reported to C1's father that the medication had been given to C1 before nap time because C1 was having allergy symptoms and reported that they did not feel well. Staff reported that all staff present at the time were verbally told that C1 was given medication. Based on information reported to CCL and interview statements provided by L1, S1 and S2 it has been determined that C1 was given a second dose of a 12 hour medication while in care. Based on review of stored medication and review of children’s files the licensee did not obtain, in writing, approval and instructions from the child’s authorized representative for the administration of medication to the child, the administration of medication was not recorded and the facility did not report the incident to the Department (CCL). Continue on LIC809-C The following violation of the California Code of Regulations, Title 22; Division 12, were observed: see LIC809D. This report was read and reviewed with Licensee, Jeanette Boehm. Notice of site visit shall be posted for 30 days. Appeal rights provided.