Complaint Investigation Report

Allegation: Staff mismanaged residents medication.

On 01/17/2024 LPA spoke with RP that stated that a "pink pill' was pushed on R1. Interview with R1 revealed that on this particular day "a pink" pill was being administered to them and they asked S2 what was the pill. R1 stated that S2 said the pill was the same pill but there was a "different manufacturer". R1 stated that they did not refuse to take the pill. RP stated later R1 found out the "pink pill" was a thyroid medication. On 08/07/2024 LPA interviewed S4 that stated R1 was not on any type of thyroid pill and that R1 was on many different kinds of medications.

LPA reviewed MAR for Sept 2023 and observed R1 was not given insulin Lispro injection for multiple days. There was no documentation explaining those dates R1 missed insulin Lispro injections.

Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED . California Code of Regulations, Title 22, are being cited on the attached LIC9099D.

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