Complaint Investigation Report

On 07/18/23, LPA reviewed MARS log for May of 2023 for R1 and observed numerous medication errors. On 5/3/23, 05/09/23, 05/14/23, 05/15/23, 05/16/23 and 05/20/23 the MARS log shows R1 missed medications with no explanation. See attached documentation.

Based on record review, interviews, observation and photos the preponderance of evidence standard has been met; therefore, the above allegations are found to be Substantiated. Per Health and Safety and California Code of Regulations, Title 22, deficiencies are being cited on the attached 9099-D. Civil Penalties were issued for repeat violations.

An exit interview was conducted with Administrator Administrator Griselda "Gracie" Ramirez and a copy of this report along with appeal rights and plans of correction were provided.