Complaint Investigation Report

On 07/07/2022, the department received an incident report from the facility stating it was discovered on 06/30/2022 that narcotic medication (entire bottle) were found to be missing from the facility. After an internal investigation, facility records reveal that narcotic medication sheet was deleted from the facility excel system. This document would be able to show the narcotic count for the pill bottle.

The facility admitted that the medications and medication document were not found. Since the incident, the facility implemented a triple check system for narcotic medications and had medication staff undergo additional training through Relias.

Based on interviews and observation, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8) are being cited on the attached LIC-9099D. Failure to correct the deficiency may result in civil penalties. Appeal rights were provided. An exit interview was conducted, and a copy of the report was left at the facility.