Complaint Investigation Report

The medication remained in the bubble pack as also verified by the regional center specialist and the Regional Center Corrective Action Plan was issued. During the visit today, LPA reviewed four (4) clients’ medications and there were no discrepancies found. Two (2) out of the three (3) care staff stated they are administering the medications as prescribed. The other staff is currently not passing out medications. Based on information gathered, the allegation is deemed substantiated.

Allegation - Staff have inadequate record keeping for the clients. It is alleged that the staff signed off on the Medication Administration Record (MAR) as given when the client was in day program. The administrator confirmed that Client #1 (C1) medication (Deep Sea Nasal Spray) was not taken with C1 to the day program on 1/14/26. During a visit from the regional center specialist, it was discovered that the MAR log for the nasal spray was marked as given for the 12pm dose. However, the client was not present at the facility and therefore, the medication could not have been administered. Two (2) out of the three (3) care staff stated they initial as they are administering the medications. This allegation is deemed substantiated.

Based on interviews conducted, and record review, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 1), are being cited on the attached LIC 9099D.

An exit interview was conducted. The Plan of Corrections were reviewed and developed with the administrator. A copy of this report and appeal rights were provided.