Complaint Investigation Report

The investigation revealed the following:

Allegation - Staff overmedicate client. It was alleged that C1 is being given Ativian to calm C1 down to the point that he is groggy, and sleeping a lot. Because of C1’s disability C1 screams for long periods of time. To investigate this allegation, LPA interviewed three (3) staff, and the Assistant Administrator. It was alleged that staff are overmedicating C1 with Ativian to calm C1 down to the point that he is groggy and sleeping a lot. Based on document review, LPA observed that C1 does have a prescription for Ativian to be taken as needed. Ativian is the generic for Lorazepam and prescribed by the doctor. LPA reviewed medication log and did not observe any discrepancies regarding the Ativian / Lorazepam medication. All interviewed staff and Assistant Administrator denied the allegation. They stated no one overmedicating C1 or other clients to calm them down to the point to sleeping a lot. Staff understand that clients can have different behaviors because of their disabilities and they trained to handle the situation when clients have a behavior issues. Based on the interviews and record reviews LPA observed that facility is following Title 22 Regulations regarding PRN medications. Medication is given according to the physician's directions.

Allegation - Licensee is not providing medical information to client’s authorized representative

It was alleged that RP requested C1's doctor's name, list of current prescriptions and insurance information

but Licensee not provided any information.

Interviewed Assistant Administrator denied the allegation. Assistant Administrator. stated none of the family members requested medical information for C1. He stated that information will be provided to family / conservator immediately by their request. Assistant . Administrator stated that sometimes family members taking clients to the doctors appointments and Facility staff always provide them information that they needed (doctor's name, address, insurance information). Interviewed staff stated they didn't hear any complains from family members about not getting requested documents or information.