Complaint Investigation Report

Interviews with clients revealed 1 client state to refuse to take medications often and 1 client has noticed there is a confusion when medications are discontinued but has not cause problems or miss ups on medication for the client. Staff stated medication is provided to the clients and when they refuse or is discontinued the medication is stored in "an envelope" as overflow and does not get disposed through the pharmacy. Upon reviewing box of additional overflow medication LPA observed 5 medications for C3 with expiration dates 6/4/23 and 6/10/23. Based on medication reviewed during today's visit facility did not properly disposed of expired medication.

Based on LPAs observations and interviews which were conducted record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED .

Regarding allegation: Facility has an infestation of roaches. It is alleged facility has had an infestation of roaches for the last 6 months. Interviews with clients revealed 2 out of 2 clients interview have observed roaches at the facility, specially in the kitchen. Staff stated that the home is currently under exterminator treatment. LPA observed a roach crawling in the table during the medication review.

Based on LPAs observations and interviews which were conducted record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED . California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D.

Exit interview was conducted with caregiver and a copy of this report, LIC 9099D, and appeal rights were provided.