Complaint Investigation Report

transferred into a small container, which was observed by LPA to be locked and secured in C1’s separate, labeled drawer. Staff indicated that C1 is the only client for whom medications are pre-prepared.

Record review revealed that C1 is independent and capable of self-administering medication with staff supervision. Although Title 22 regulations do not permit medications to be transferred between containers, staff reported that the pre-preparation of C1’s medication was done solely to accommodate C1’s request. LPA observed that the medication was transferred safely and stored in a secure manner.

Based on interviews, observations, and record review, it was determined that although staff pre-prepared C1’s medication prior to administration, there was insufficient evidence to conclude that the medication was mismanaged. Therefore, the allegation is determined to be Unsubstantiated at this time.

An exit interview was conducted, and a copy of the report was provided.