Complaint Investigation Report

Allegation: Staff left unlocked medications stored in plastic container with lid on the dining table

During investigation, LPA interviewed staff (ADM, S1), clients (C1, C2, C3) and reviewed clients’ medication records. On 02/19/25, reporting party (RP) stated that he observed clients’ medications stored in small Tupperware containers inside a plastic bin with lid left unlocked/unattended on the dining table with two clients eating cereal in the same area. On 02/26/25 at 1PM, LPAs observed clients’ medications taken out of their original prescribed containers and re-stored in small Tupperware containers locked inside drawers. Review of facility records dated 04/10/24 showed the same deficiency was cited by LPA G Luk where clients’ medications were prepared by staff a week in advance and kept in a plastic container with lid. Based on observations and interviews which were conducted and record review(s), the department has substantiated the allegation that staff left unlocked medications stored in plastic container with lid on the dining table. The preponderance of evidence standard has been met. Therefore, the above allegation was found to be substantiated.

Immediate civil penalty of $250 assessed during visit for repeat violation of staff failing to ensure each clients’ medication is stored in its originally received container and inaccessible to clients in care.