Complaint Investigation Report

On 10/25/2024 LPA interviewed S1 who stated that they have given Liquid morphine to residents before including R1. S1 is not a medical professional. On 12/27/2024 LPA interviewed the Licensee who stated that they have given Liquid morphine to residents before including R1. Licensee is not a medical professional. On 12/27/2024 LPA also had a discussion with the Licensee regarding refunds and they admitted that they did not give the complete refund as required to R1s POA because they were unaware of the amount they were supposed to give. Based on interviews and record reviews the allegations “Licensee did not issue resident’s authorized representative a timely refund for the correct amount.” and “Staff did not dispense medication to resident as prescribed.” Are substantiated.

Based on LPAs observations and interviews which were conducted and record reviews, 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

Exit interview conducted and a copy of report provided.