Complaint Investigation Report

Allegation: Staff do not administer client's medications as prescribed. Per Corrective Action Plan (CAP) and confirmation from Anahi Murillo/Assistant Administrator, On 07/27/23 at 1:30AM, a medication error was discovered and reported for C-1. C-1 was not provided with Atorvastatin (20mg at 8PM) and Hydralazine (25mg at 10PM) on 07/26/23. Per CAP, the medications "were still visible in the bubble packs". "It was also seen that the MAR [Medication Administration Record] reflected that Atorvastatin had been administered as ordered". CAP, reviewed documentation and Assistant Facility Administrator interview corroborates this allegation.

Based on LPA’s observations, interviews and records review, the preponderance of evidence standard has been met; therefore, the allegation noted above is found to be SUBSTANTIATED.

Deficiency was observed and cited per California Code of Regulation Title 22 Division 6. Refer to LIC9099D.

Exit interview held, copy of report and Appeal Rights provided to Anahi Murillo/Assistant Administrator

Note: LPA was experiencing technical difficulties during this visit.