Complaint Investigation Report

Allegation: Resident not assisted with medications as prescribed.

The details of the complaint alleged that facility staff is not giving (R#1) medication as prescribed by their physician.

On June 18, 2025, at approximately 2:00 PM, during a records review, LPA Iniguez observed (R#1) 's prescription order for Seroquel (Quetiapine Fumarate 50 MG Tab), dated 1/20/25. The order specifies a time of 8:00 PM to administer this medication at nighttime. Additionally, LPA Iniguez observed (R#1)'s Medication Administration Record (MAR) for June 2025. LPA Iniguez observed that on 6/8/25, facility staff marked down the medication given to (R#1) at 8:00 PM. Also, the (MARs) extra notes for 6/8/25 do not show (R#1) refused the medication. However, LPA Iniguez observed a video recording obtained by the department with a time stamp of 2025/6/8 at approximately 10:32 PM. The video shows (S#2) waking up (R#1) and administering the medication that was supposed to be given at 8:00 PM, as per the doctor's order. In addition, LPA Iniguez reviewed (R#1) 's Physician's Report for Residential Care Facilities for the Elderly (RCFE) or LIC 602A, dated 2/12/25. It was confirmed that (R#1) is unable to administer or store their own medications.

On June 18, 2025, at approximately 02:00 PM, during interviews with facility staff (S#1), she stated that on 6/8/25 at approximately 10:32 PM, (S#2) forgot to give (R#1) medication at 8:00 PM. (S#1) instructed (S#2) to administer the medication to (R#1) at that time.