Complaint Investigation Report

Allegation: Staff are not properly managing the resident's medications and records.

LPAs reviewed Medication Administration Record (MAR) and observed C1, C2, and C3 MAR have missing signatures. LPAs observed C1's MAR missing signature on 4/8 PM, C2 MAR missing signature on 4/9 AM, and C3 MAR missing signature on 4/18, 4/11 AM/PM.

Allegation: Staff are not properly storing refrigerated and frozen foods.

During the visit, LPAs observed uncooked hotdogs left inside the microwave.

Based on LPAs observations, record reviews and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, and listed on LIC 9099D. Failure to submit Proof of Corrections (POC's) by Plan of Correction date may result in civil penalties.

Exit interview conducted with Katelyn Salvador who was authorized by the Administrator to sign the report.

A copy of this report and Appeal Rights were provided to Salvador.