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32 | The other report dated 2/21/20 details that 2/14/20, 2/15/20, 2/16/20 and 2/17/20, resident (R2) was not given Senna 8.6 mg tab. This report was given to CCL on 3/10/20 and on page 2 of this report there is no investigation recorded in the portion of the report intended by Health Services Director or Executive Director.
Director of Health and Wellness (DHW) Doug Kelly as well as Administrator Ricky David stated a staff member (S1) was released due to making medications errors. S1 admitted to this department that she provided Resident (R3) with incorrect medication.
During the course of interviews with staff, this department learned it wasn’t the practice of all med techs to document medications that weren’t given to residents on the MAR.
Based on evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation(s) are found to be substantiated. California code of Regulations, (Title 22), is being cited on the attached LIC 9099D. Appeal rights were provided and exit interview conducted.
An exit interview was conducted with Rachel David, Administrator via telephone and a copy of this report will be provided to the facility via email. Two copies will be sent to the facility, 1 is to be signed and returned to CCL and the other copy is to be retained by the facility. |