Complaint Investigation Report

Allegation #1: Staff does not ensure resident health care needs are being met.

It is alleged that the facility does not ensure resident health care needs are being met. Resident #1(R1)'s healthcare needs are not being met, according to the complainant. The complainant did not provide further details on the matter and was not available for further statements.

On 01/10/24 from 11:15 am to 12:13 pm, the Department interviewed (3) out of (4) residents #1-#3 all verified their healthcare needs were being met. (R1-R3) all verified to have received adequate care and supervision to maintain physical, mental, or emotional well-being. (R1-R3) verified medication administration by staff is received daily and timely.

On 01/10/24 from 10:31 am - 3:02 pm, the Department conducted a review of all resident service files including Medication Administration Records (MAR). Records revealed the facility failed to maintain an accurate (MAR) for January 2024. (R1-R4) all had prescribed medication and "pro re nata" (PRN). (R1) had two (2) PRN, (R2) had (1) PRN, (R3) had (2) and (R4) had (2) PRN, and (3) non-prescribed medications that were not documented in medication record. The non-prescribed medications not issued by a primary care physician were Fluticasone and Synthroid for (R4).

At 10:31 am - 10:41, staff #2 (S2) was interviewed. (S2) admitted to have failed to keep accurate records of resident's medications. (S1-S2) recognized that by not maintaining accurate records endangers residents' health and the needs are not being met. (R4) was present at the facility but was not available for an interview during this investigation visit. According to the information gathered and the acknowledgment declaration from staff, there is sufficient evidence to support the allegation mentioned above.

Based on interviews, observation, and record reviews the licensee violated the California Code Regulations (CCR) of Title 22, Division 6, Chapter 8,

Deficiencies are issued and an exit interview is conducted with Rey Melit. A copy of this report and appeal rights were provided.

Note: *Citations not cleared by the due date will be a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) is cleared. *