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Board staff says four‑year inspection goal met; education and ‘duty to consult’ top findings

California State Board of Pharmacy — Enforcement & Compounding Committee · June 10, 2026
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Summary

Board staff reported the California State Board of Pharmacy completed more inspections in the past year and has substantially advanced toward the goal of routine inspections of every licensed pharmacy once every four years. Top findings included operational standards, inventory reconciliation, and gaps in patient consultation.

The California State Board of Pharmacy’s Enforcement and Compounding Committee on June 10 heard that the board has made significant progress toward its goal of inspecting every licensed pharmacy once every four years.

Julie Ansel, the board’s deputy executive officer, told the committee that inspectors completed 3,358 inspections as of May 31 — about 15% more than five years earlier — and that the board completed roughly 1,846 routine inspections this fiscal year (representing about 32% of licensed pharmacies for the reporting period). “Why do we inspect? It’s really all about consumer protection,” Ansel said.

Ansel walked members through what inspectors examine during a visit — staffing ratios, visible protected‑health information in will‑call areas, signage, expiration dates and compounding renewal checks — and described the board’s educational resources, including a video, brochure and a board self‑assessment tool intended to prepare licensees for inspections.

Outcomes for routine inspections varied: Ansel said about 55% had no violations, roughly 42% received corrections, and a smaller share received written notices; some inspections resulted in multiple outcomes. The top correction categories were operational standards (cleanliness and organization), inventory reconciliation and failures in the duty to consult, the presentation showed.

The committee heard specific data on consultation deficiencies: inspectors observed consultation issues in 135 inspections this fiscal year. In 23 of those cases inspectors witnessed no consultation occurring; in 48 cases delivery or mail‑order prescriptions lacked required written notices; and in 64 cases required elements such as a phone number or hours of operation were missing from notices.

Committee members praised staff for increased inspection coverage without added headcount. Chair Maria Serpa thanked inspectors and staff for meeting the four‑year goal “without any increase in staff,” and members discussed ways to help pharmacies view inspections as educational rather than punitive, including public‑education campaigns and making inspection resources more visible to licensees.

Public commenters who participated by WebEx urged inspectors to consider staff break‑space and working conditions when assessing safety and to pay attention to curbside pickup and delivery practices so patients receive required consultation materials.

The committee did not take regulatory action during the presentation; staff were thanked for the report and the committee moved on to other agenda items.