Complaint Investigation Report

Record reviews of the medication administration record (MAR) reveal that a doctor's order had been placed for the medication in question (M1) on September 5th, 2024 (09/05/2024). Though M1 is to be provided once per week (1x/week), M1 had been marked as having been administered to a resident nineteen (19) times during the month of September (09/2024). The MAR, following M1, indicates that a resident's Dr.'s order had been followed between the dates of 10/25/2024 through 11/07/2024. M1 was provided to the resident on November the eighth, 2024 (11/08/2024) and November the fifteenth, 2024 (11/15/2024), again following a resident's Dr. order, yet no more administration marks had been placed on the MAR during the month of November (11/2024). Based on record reviews and interviews conducted, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated . California Code of Regulations, Title twenty-two (22), Division six (6) is being cited on the attached LIC9099-D.

One deficiency has been cited during today's visit, please see LIC9099-D.

An exit interview was held with Suzette Johnson, Executive Director, and a copy of appeal rights, this deficiency and this report have been provided.