Complaint Investigation Report

Interview with R1 indicated that staff took R1’s hygiene products from their room that includes prescription items. Interviews with R2, R3, and R4 revealed that staff took belongings such as medications and supplies to place in a locked cabinet in their rooms. R1 confirmed that they received an item back, but not their prescribed item. Interview with Administrator (ADM) on 06/04/2025 revealed there is a facility policy to have a written physician’s order that explains that residents are allowed to have medications stored their room. A review of the facility policy on Medication Storage and Bedside Authorization on 06/04/2025 stated that residents can keep medications at their bedside if there is a written physician’s order that states that the residents need to for their care. However, a review of R1’s physician’s report dated 03/25/2025 showed that R1 is able to store prescription and PRN medications.

Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D.

Exit interview conducted with Administrator. A copy of this report and appeal rights provided.