Complaint Investigation Report

On 09/18/24, R1’s physician prescribed the application of Neosporin to R1’s left ear twice daily until healed. R1’s ear appeared to be red in color and chaffed from the photo W1 presented. On 10/30/24, W1 provided the prescription, additional photos and a medication discharge list dated 10/22/24 for R1. R1’s CSMDR and Medication Discharge list did not include Neosporin; furthermore, R1’s LIC602 additional notes states to notify MD if R1 experiences the above symptoms. Interviews and records reviewed revealed that R2’s medication discharge list dated 12/20/24 did not include R2’s remaining Oxycodone. R2 stated that he/she should have had about 20-25 pills remaining. R2 stated that S1 said the medication had to be thrown away, was wet or something like that. S1 submitted an LIC624 to CCLD on 12/19/24 stating the pills fell on the floor and had been documented for destruction. S1 did not indicate the number of pills destroyed on the LIC624. S1 documented what appeared to be 22 pills were disposed on 12/19/24. R2 stated that she was not provided with any remaining pills or the prescription bottle, not even the wet prescription bottle and top.

Based on LPA’s observations, interviews and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED . Deficiencies are cited from Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction by plan of correction due date, and any repeat violations within a 12-month period may result in civil penalties.

Exit interview conducted, appeal rights and a copy of this report provided to Jeremey Tatum, Care Staff