Complaint Investigation Report

Based on the LPA's investigation, the investigation revealed the following.

For Allegation 1 – Staff refused to administrate glucose testing per doctors orders. Interviews with Administrator, Area Director, Regional Director, RN, and S#4 all stated that they did not refuse, they were not sure that CCLD regulations would allow the staff to perform that task. When the Facility received the doctor's orders on 03/22/22,They were awaiting for the glucose machine to be sent by the pharmacy, but it did not arrive. On 03/23/22 the Area Director purchased one for C#1 on 03/23/22. The RN began to take the glucose reading for C#1 on 03/23/22 based on having machine and glucose log for C#1. The Administrator, Area Director, and Regional Director did their due diligence to research and clarify, if it was in the regulations, that staff could perform the glucose drawings. When they knew the staff could perform that task as long the staff was trained by a medical professional, the RN began to perform training for all the staff. The training began from 03/25/22 - 03/28/22, based on the training logs. Interviews with C#1 & C#2, were not possible because of clients mental condition they could communicate with LPA. The interviews and records reviewed did not concur with the above allegation.

Allegation 2 - Facility staff is not ensuring that the resident is receiving timely medication administration. Interviews with Administrator, Area Director, Regional Director, S#4, and RN, all stated that the medications are being given in a timely manner. There was an error before, but It was already investigated and resolved in February 2022. LPA Soto reviewed the Mar's for February and March 2022, R#1 medication are being administered and prescribed by Doctor's orders. Interviews with C#1 and C#2, were not possible because of their mental condition they could not communicate with LPA. the interviews and records reviewed did not concur with the above allegation.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated

An exit interview was conducted with Claudio Rosas, Administrator, and a hard copy of report was provided.