Complaint Investigation Report

Allegation: Staff are not assisting resident with medications

During investigation, LPAs P Manalo and D Panlilio conducted interviews with reporting party (RP), resident (R1) and facility staff (ED, S1, S2) and reviewed resident (R1) documents. On 03/03/26, LPA P Manalo interviewed RP who stated that staff were not assisting R1 with his Lovenox injections. RP stated that the injection requires two working hands, one to pinch subcutaneous fat and the other to inject the medication. RP stated R1 can only use one hand due to a weakness in his left hand. RP stated that he spoke with S1 who assured him that staff would assist R1 with the injection. However, when RP spoke with R1 again, R1 told him that he had to inject the medication himself and that staff just handed him the injection. S2 confirmed with LPA that staff only handed R1 the injection and let him administer the injection himself. Based on LPA’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) that staff are not assisting resident with medications was found to be substantiated.

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted. Appeal Rights and a copy of this report provided.