Complaint Investigation Report

On 12/1/23, AGPA obtained a printed Electronic Medication Administration Record (MAR) for R1 from November of 2022 to January of 2023. AGPA observed the following dates were not initialed by staff: 11/16/22, 12/15/22 and 12/27/22. S6 stated that if the MAR is blank, there may have been an internet issue and so staff will hand initial it on a Medication Administration Record. However, facility was not able to produce to AGPA a copy of the Medication Administration Record.

Based on AGPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is 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. Appeal Rights and a copy of this report is provided to Executive Director.