Complaint Investigation Report

Regarding allegation: Medications are accessible to residents in care. During today's visit LPA observed: Unit 940 all cabinets for medications were securely locked and inaccessible to resident in care, only 1 resident resides in this unit. Unit 942 medication cabinet in hallway 2 drawers for 2 residents medications were observed unlocked, pad locks latched on cabinet door but not securely closed. At 9:34am,Unit 944 medication cabinet 2 drawers for 2 residents were observed with padlock left open and not securely closed. At 11:26am LPA found Staff #4 medication bottle containing pills on table stand under living room TV. LPA interviewed Administrator who stated those are a staff medication, Hugh removed medication from facility. LPA interviewed S1 and S2 stated leaving medication cabinet closed with attached padlock but not securely locking padluck shut closed. S1 stated not securely locking of pad locks for knives when continuing to their next task. S2 stated not knowing code for code padlock for medication cabinets therefore leaves it padlock open. LPA attempt to interview all 5 residents in care , there was language barrier and/ or residents had dementia and/or were found sleeping. LPA observed Administrator Hugh telling S2 the passcode for padlocks for medication cabinets. Based on staff interviews and observation allegation is deem to be substantiated.

Regarding allegation: Knives are accessible to residents in care. During today's visit LPA observed: Unit 940 cabinets for knives were securely locked and inaccessible to client(s). At 9:44am Unit 942 knife cabinet in kitchen padlocks were observed unlocked, pad locks latched but not securely shut closed. At 9:15am Unit 944 knife cabinet in kitchen were observed with padlock left open and not securely closed. LPA interviewed staff: S1 stated not securely locking of pad locks for knives when continuing to their next task. S2 stated not knowing where key is for padlock for knife cabinet. LPA observed Administrator Hugh telling S2 where key was located for knife cabinet. LPA attempt to interview all 5 residents in care , there was language barrier and/or residents had dementia and/or were found sleeping. Based on staff interviews and observation allegation is deem to be substantiated.

Deficiencies were issued on 9099-D and Civil Penalties for Repeat Deficiencies were distributed for the two allegations listed above.

Based on LPAs observations and interviews which were conducted record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6.

Exit interview was conducted, a copy of this report and Appeal Rights were provided to Administrator Hugh He.