Complaint Investigation Report
Allegation: Staff mismanaged resident's medication
On 05/07/2025 LPA interviewed Witness (W) W1, W1 stated that R1 was not being administered prescription medication according to Doctor's orders.
On 05/08/2025 LPA interviewed Staff (S) S1. LPA reviewed R1-R5 medication list and observed discrepancies with R2, R3, R4 and R5's medication lists and what was centrally stored medication. S1 stated that they get information of the medications from the resident's authorized representatives. LPA reviewed R1's medication list which was a new care plan as of 05/07/2025. S1 stated that R1's new medications hadn't delivered yet.
Allegation: Staff threatened resident in care
On 05/07/2025 LPA interviewed Witness (W) W1. W1 stated that caregiver(s) threatened eviction of R1 due to behaviors of overnight insomnia and restless activity.
On 05/08/2025 LPA interviewed S1 that stated it has been discussed because R1's behavior with getting up in the night, wandering and disrupting the other residents.
LPA reviewed R1's physician's report which indicates a diagnosis of dementia. LPA asked S1 was there a change of condition since R1 was admitted and there hasn't been any changes.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction