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25 | Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Abdullah Kaykha, Administrator (ADM), and Shana Kaykha.
The purpose of the visit was to follow up on an Unusual Incident/Injury Report (IR) that the facility submitted to the department on 01/21/2025. The IR stated that on 01/20/2025 at about 10:30 AM, resident R1 snatched a basket containing R1's medications from a staff while the staff was reviewing medications. R1 then ran into R1's bedroom. The staff was able to retrieve the medications, but the staff observed that R1 had taken a tablet from one of the blister packs. On the same day, at around 2:30 PM, another staff observed that R1 became aggressive and forced the locked medication cabinet open and took R1's medications back into R1's bedroom again. Staff immediately forced himself/herself into R1's bedroom and observed that R1 had consumed one of the medications. Staff called 911. Local law enforcement arrived at the facility and took R1 to an emergency psychiatric service facility.
During visit, LPA observed the locked staff bedroom and cabinet within the locked staff bedroom where the resident medications are now stored. ADM stated that staff are aware of where the medications are being stored and have the keys to access the medications.
ADM stated he will work with R1's care team to update R1's Appraisal/Needs and Services Plan to reflect the change in R1's behavior, including R1 taking medications into his/her bedroom and consuming medications outside of prescribed times. LPA Marrufo requests a copy of R1's updated Appraisal/Needs and Services Plan by 02/19/2025
No deficiencies were cited at this time as per California Code of Regulations Title 22.
This report was reviewed with ADM Abdullah Kaykha and a copy of this report was provided. |