Complaint Investigation Report

***This report serves as an amendment and supersedes the original complaint investigation report created on 05/23/2022. The purpose of this amended Licensing report is to clarify staff interview from the original complaint. The findings changed to substantiated. ***

LPAs obtained copies of the staff and resident rosters; and resident#1 files with relevant information.

The investigation revealed the following:

In regard to allegation: “Staff did not assist resident," it was alleged that resident#1 did not get PRN medication from staff after hours. Eight (8) residents were interviewed. Interview with resident #1 revealed that staff did not bring resident any medication after hours. Seven (7) out of eight (8) residents could not corroborate the allegation. Interviewed with Staff#2 and Staff #3 revealed staff did not assist resident#1 with medication after hours. Therefore, interviews revealed staff did not provide medication assistance to resident.

In regard to allegation: “untrained staff giving residents medication," it was alleged that staff#2 did not get medication training as staff#2 handled and dispensed medication to residents. Interviews with staff #1 and staff#2 revealed that staff#2 did not receive training on handling medication as staff#2 dispensed and assisted residents with medication. Staff#2 stated staff had experience dispensing medication prior to 5/15/22. LPA reviewed staff#2 files and did not find medication training records.

Based on review of documents and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . Deficiencies are being cited according to California Code of Regulations, Title 22, Division 6.

An exit interview was conducted with administrator. A hard copy of this report and appeal rights were provided to administrator.