1
2
3
4
5
6
7
8
9
10
11
12
13 | Licensing Program Analyst, Kathrina Chin made an unannounced visit to deliver the findings on the above allegations. LPA discussed the purpose of the visit with Andrea Nino, Business Office Director.
During the course of the investigation, LPA toured the facility, interviewed staff, residents and witnesses, as well as reviewed and obtained pertinent documentation. An initial complaint investigation visit was made on June 24, 2022 and on that day, LPA met with Joan Johnson, Interim Executive Director and Chantelle Hudson, Nurse Consultant.
On June 24, 2022, Joan Johnson, Interim Executive Director stated a Medication Technician from a Staffing Agency called out on June 19, 2022. As a result, there were approximately thirty-eight residents who missed their morning medications. Chantelle Hudson, Nurse Consultant provided a copy of the list of the thirty-eight residents who missed their morning medications including the list of medications that were missed. The Executive Director stated that a Medication Technician from a sister community came into the facility on June 19 at 11:30 AM to pass out the afternoon medications. (Continued on LIC 9099C) |
| Substantiated | Estimated Days of Completion: |
|
NARRATIVE |
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32 | Chantelle Hudson, Nurse Consultant for Sunnycrest Senior Living stated that she had called all the resident's doctors and informed them of the missed medications. Joan Johnson, Interim Executive Director stated that there were no negative outcomes.
On June 19, 2022, Joan Johnson, Interim Executive Director explained that she contacted several staffing agencies in order to find a staff who can pass out medications that morning but without any success. She also contacted several facility medication technicians employed by Sunnycrest Senior Living but no one was able to cover the shift.
LPA interviewed the responsible party of Resident 1 and Resident 2. The responsible party stated that the facility does not have sufficient staff. R1's morning medications were missed on June 19, 2022. The responsible party of R2 stated that there is insufficient staff to meet the needs of the residents.
LPA interviewed six residents whose medications were missed on June 19, 2022. Six of six residents stated their medications were missed on June 19, 2022 and that the facility lack staff to meet their needs.
Based on the information gathered during the investigation and review of all documents obtained, the following allegations: The facility does not have sufficient staff. The facility failed to provide assistance with medications as prescribed. are substantiated.
Based on LPA's observations and conducted interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
The following deficiencies are cited today as per Title 22, Division 6, of the California Code of Regulations.
An exit interview was conducted along with appeal rights were provided and a copy of this report was left.
|
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
07/01/2022
Section Cited
CCR
87465(a)(4) | 1
2
3
4
5
6
7 | Incidental Medical and Dental Care-The licensee shall assist residents with self-administered medications as needed. This requirement is not being met as evidenced by: Based on observation, record review, and interviews, Licensee did not assist residents with self-administered medications for thirty-eight residents on June 19, 2022 for morning | 1
2
3
4
5
6
7 | Allison Marty, Vice President of Operations stated that a Plan of Correction will be submitted by Friday, July 1, 2022. Ms. Marty stated that additional staff will be hired and back up staff. |
 | 8
9
10
11
12
13
14 | medications. A Medication Technician called out on June 19, 2022 and the facility did not have a staff to pass out medications. The Administrator reported that thirty-eight residents missed their morning medications. This poses an immediate health & safety risk to residents in care. | 8
9
10
11
12
13
14 | |
Type A
07/01/2022
Section Cited
CCR
87411(a) | 1
2
3
4
5
6
7 | Personnel Requirements-General- Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not being met as evidenced by: Based on observation, record review, and interviews, the licensee did ensure | 1
2
3
4
5
6
7 | Allison Marty, Vice President of Operations stated that a Plan of Correction will be submitted by July 1, 2022. Ms. Marty stated that additional staff will be hired as well as back up staff members. |
| 8
9
10
11
12
13
14 | adequate staff to meet resident's needs.The Administrator stated that the facility do not have sufficient staff to meet the needs of the residents. This poses an immediate health and safety to residents in care. | 8
9
10
11
12
13
14 | |