|Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced 10 day complaint visit to gather information regarding the above allegation. LPA met with Executive Directors Colleen Papp and Rosa Ayala and explained the reason for the visit.
During the course of the visit, LPA interviewed staff and resident, observed medication administration procedures as well as reviewed and obtained pertinent information such as staff training and medication orders. Regarding the allegation that staff dispensed the incorrect medication to resident, the investigation revealed the following: On 05/26/2021, Staff 1 (S1) dispensed the incorrect medication to Resident 1(R1). R1 was given R2's medication. Both R1 and R2 were sitting together at the time of the incident. The error was noted immediately and R1 was assessed and sent out to Kaiser Irvine for observation. R1 returned to the community same day without any adverse affects. S1 indicates verifying the name of R1 but inadvertently administered R2's medication. Facility indicates providing re-training in medication management S1 on 05/26/2021. S1 has a current LVN license expiring on 09/30/2022. The preponderance of evidence standard has been met, CONTINUED ON LIC 9099C DATED 06/07/2021.