Complaint Investigation Report

The medication for those days was still in the bubble pack for both clients. Review of C1 and C3 medication record for May 2022 showed that there were multiple days, especially in the evening, that staff failed to sign the medication record, but the medication was given. LPA also observed discontinued medication for C2 and C3 dating back to January 2022 in the locked medication cabinet. In that same locked medication cabinet the facility keeps discontinued and old medication for a former client who no longer resides here. This client moved out on 03/18/2022. LPA did not observed any expired medication.

Regarding the allegation " facility is unkempt ", it is alleged that the facility is cluttered, and they leave trash by the side of the facility’s garage. During the facility tour, the LPA observed on the side of the facility near the garage a cluttered of old chairs, old lawn mower, bunch of boxes with trash, clothes, binders and other stuff, and old vacuums. Interviews conducted with staff revealed that these items have been out there for about a week because the garage was cleaned and these things were removed from the garage.

Regarding the allegation " staff failed to provide a safe environment for residents ", it is alleged that cleaning supplies at the facility are not being locked and the clients have access to it. During the tour, the LPA observed a gallon of Sun Triple Clean laundry detergent in the backyard porch near the exit door. Interviews conducted with staff revealed that they usually keep it locked but it was placed there because it did not fit in the cabinets where they lock all other chemicals and cleaning supplies.

Based on LPA's observation, records review and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are 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 and copy of appeal rights and this report were provided.