Complaint Investigation Report

Allegation: Staff are not reporting medication errors

It is being reported that there are many errors on reports and the staff are being told not to document the errors and not to write incident reports to CCLD. RP stated that staff has pictures as proof of mistake but refused to name staff. On 1/22/24 at LPA Shirley reviewed residents MAR’s. LPA observed there to be no mistakes or entries on the log. LPA reviewed training records for staff which are current. All staff interviewed deny that there are pictures of any mistakes.

On 1/22/24 LPA Shirley interviewed resident 1 (R-1). LPA asked, do you believe that staff are making errors with your medications. Resident answered no. R-2, R-3, and R-4 were not available for interview as they are non-verbal. On 1/22/24 LPA Shirley interviewed staff 1-staff 4 (S-1 - S-4). LPA asked staff, in regards to medication, if there is an error, are you reporting the medication error. Of those interviewed, 3 out 4 staff answered yes. S-3 does not dispense medication. S-5 was not available for interview.

Based on information gathered, the department did not find sufficient evidence to support allegations "Staff are not reporting medication errors” Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated .

An exit interview was conducted, and a copy of the LIC 9099 report was provided to Mariel Ventura, Administrator.