Complaint Investigation Report

Record reviews revealed, through the Medication Admission Record, that on 12/04/23 and 12/06/23 all residents were not provided any of their medications. Furthermore, there were no other marking in the Vital Signs - 2023 book marking any record of dosages of medications, which are centrally stored, maintained by the facility.

Based on record reviews and interviews conducted, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated . California Code of Regulations, Title twenty-two (22), Division six (6) is being cited on the attached LIC 9099D.

Regarding the allegation: "Facility failed to maintain complete and accurate staff records.". LPA interviewed two (2) staff (S1, S3). One staff member was unaware of the allegation while one disagreed with the allegation.

Record reviews revealed that one (1) staff member's CPR certificate was not present, nor on file, at the above-mentioned facility. The CPR certificate was later provided, renewed on 12/12/2023.

Based on record reviews and interviews conducted, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated . California Code of Regulations, Title twenty-two (22), Division six (6) is being cited on the attached LIC 9099D.

There have been two (2) citations provided, please see LIC9099D.

An exit interview was held with S3, Bennie Ballon, and a copy of this report and appeal rights have been provided.