Complaint Investigation Report

not return without payment for the time R1 has resided at the facility and a 30- day notice would not be given. W2 stated during interview that R1 was not sick R1 was dropped off with a note and left at the hospital. S3 stated during interview that R1 was taken to the hospital by S2 and S3 for medication. S3 had no further information regarding R1. During interview with S2 on 2/18/2026, S2 stated that R1 was not allowed to return to the facility with a contract from Kaiser.

Allegation: Staff do not ensure that resident's medication is refilled in a timely manner

During the initial interview W1 was informed on 10/15/2025 that R1 was out of medication. W1 reported R1 had an appointment on 10/23/2025, however, staff did not pick up R1’s medication until 10/29/2025. S1 stated during interview that R1 was out of two medications. Staff tried to contact CCHP (Contra Costa Health Plan) but did not receive a response. During interview S1, S2, and S3 stated R1 did not have any medication and there was an insurance issue. S2 stated R1 was taken to emergency due to not having any medications. LPA also reviewed a copy of the note that was given to R1 that stated R1 did not have any medication for three weeks.

Based on interviews which were conducted, record review, 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.

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