Complaint Investigation Report

Resident R1.. Both staff confirmed that the inhaler was in Resident R1's room and that a doctor's order was needed and Resident R1 did not have a doctor's order.

Interview with VA Representative stated that inhaler was found in Resident R1's room and that there was not a doctor's order allowing it to be in the room.

Physician's Report for Resident R1 dated 08/19/24 listed under Medication Management, ls able to administer own Prescription Medications it states no.

Also listed for Resident R1 under able to administer own PRN medications it states no.

Interviews were conducted with Resident's R2, R3, and R6 who all stated taht they use the inhaler and they take on their own and have had no issues. All 3 had a doctor's note for the inhaler to be in their room.

Resident R5 also had a doctor's note for Tylenol and stated it has gone smoothly.

Resident R1 and R4 are both hospitalized. There was a doctor's order for Resident R4 to have an inhaler in their bedroom.

Based on LPAs observations and interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations,

Title 22, Division 6 and Chapter 8 is being cited on the attached LIC 9099D.