Complaint Investigation Report

LPA observed resident's rooms have strong urine smell during visits on 11/14/2025 and 1/14/2026.

Staff do not administer medication as prescribed.

LPA observed R2 has a doctor's order for Senna with instructions to take 2 tablets at bedtime from Hospice Care agency. However, LPA observed R2's Medication Administration Records (MAR) for October 2025 indicated that R2's Senna was given 1 tablet a day.

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

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