Complaint Investigation Report

Based on interviews conducted and records reviewed, resident, R2, did not receive physician ordered medication for 3 consecutive days. The medication was documented as out of stock, but medication was present. LPA reviewed centrally stored medication records and verified medication was present at the time of the error. LPA reviewed staff training records and found Medication Technician responsible was not fully trained and was not aware of where the additional medication was located. LPA toured the building and observed areas in the main hallways and several resident rooms, where the carpets were in need of cleaning. The ceiling near the front desk has paint flaking and hanging down.

Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

This report was reviewed with Charmin Bailey and Appeal rights were given.