Complaint Investigation Report

Allegation: Facility staff did not dispense medications to resident as prescribed

On 1/10/25, LPA Felisa Shirley conducted a review of resident’s service file including Medication Administration Records (MAR). Records revealed that there three medications with dates with no entries by made by Med Techs and there are three prescribed medications that were not dispensed and still in the bubble pack.

LPA Shirley interviewed staff-1 thru staff-7 (S-1 thru S-7). LPA asked, does staff dispense medications to residents as prescribed? Of those interviewed, 7 out of 7 answered yes. LPA interviewed Resident-1 thru Resident-7 (R-1 thru R-7). LPA asked, do you receive your medications as prescribed by your doctor?” Of those interviewed, 6 out of 7 answered yes and 1 answered no. According to the information gathered there is sufficient evidence to support the allegation mentioned above.

Based on interview and record review the licensee violated the California Code Regulations (CCR) of Title 22, Division 6, Chapter 8.

Deficiencies are issued and an exit interview is conducted with Melissa Flores. A copy of this report and appeal rights were provided.