Complaint Investigation Report

(Continue from LIC9099) From 1:04 p.m. to 1:45 p.m. LPAs conducted a telephone interview with the administrator. LPAs also interviewed the House Manager present at the facility. LPA Rios conducted telephone interviews with R1 on 06/05/2025 and Resident #2 (R2) on 08/14/2025. LPA Rios conducted a telephone interview with Staff #2 (S2) on 08/11/2025.

Allegation: Staff did not properly manage a client’s medication. It was reported that Resident #1 (R1) missed their evening medication on 5/12/2025 and morning medication on 5/13/2025. LPA’s interviews with administrator and R1 revealed on the evening of 5/12/2025, an incident occurred between the Administrator and R1, prompting R1 to contact 911. Emergency services and law enforcement responded, and R1 was transported to the hospital. As R1 was not present at the facility, evening medication could not be administered.

Upon returning, the Administrator stated they attempted to provide R1’s medication, but R1 did not take it. R1 denied this, stating they were rushed while gathering belongings and did not receive medication. LPA’s interview with R2 could not recall the events of that day and was unable to corroborate either account. R1 also stated they left the facility with no intention of returning, making it unlikely for R1 to receive medication on 5/13/2025. LPA’s interview with S2, indicated R1 was already gone when they arrived for their night shift. Staff corroborate, R1’s medication and other personal belongings were picked up on behalf of R1.

Based on the available evidence and conflicting accounts, LPA was unable to find corroborating evidence that the licensee didn’t properly manage the client’s medication therefore the allegation is deemed Unsubstantiated at this time.

No deficiency cited. Exit interview conducted. Copy of report provided.