Complaint Investigation Report

Allegation: Staff did not give resident medication as prescribed

It is alleged that S1 was unsure if C1’s medication (Levetiracetam and Lamotrigine) was given as prescribed. According to the Administrator S1 could not remember where the medication went. S1 corroborated with the Administrator adding that they were extremely sick. LPA reviewed the MAR for C1 and observed on 7/17/2024 and 7/18/2024 the MAR was not initial but had an X. On 7/17/2024 San Gabriel Pomona Regional center issued a CAP regarding the medication error. The facility took the following steps of contacting the doctor and getting blood work done for C1. This ensured the client was safe. Since the error occurred the allegation is Substantiated.

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 conducted , a copy of this report and Appeal Rights were provided to Mary Anne Nacua.