Complaint Investigation Report

Allegation: Staff did not dispense resident’s medication as prescribed.

The details of the complaint alleged that facility staff is not dispensing residents’ medications as prescribed by their physician.

During the records review, LPA Iniguez reviewed (R#1-R#5) Medication Administration Records (MARs) from October through November 2024; LPA Iniguez observed discrepancies During the records review, LPA Iniguez examined the Medication Administration Records (MARs) for residents (R#1-R#5) from October to November 2024. LPA Iniguez identified discrepancies in the medication documentation for all five residents.in all (5) residents' medication documentation. In addition, LPA reviewed (R#1-R#5) Physicians assessment or LIC 602A, LPA noted that all (5) residents are not able to administer their own medications.

During this investigation, LPA found sufficient evidence to support the above-mentioned allegation.

Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation is found to be SUBSTANTIATED.

California Code of Regulations (Title 22, Division 6, Chapter 8), the above-mentioned deficiency was observed, and citation issued (ref. LIC 9099D. )

An exit interview was conducted, and a copy of the Complaint Report was given to Mandy Taylor/Executive Director.