Complaint Investigation Report

However, LPA’s supplementary record review of communication with NLARC supervisor revealed the facility’s Medication Policy and Procedure to state, “Only direct support professionals who received training in the dispensing of medications and who are DSP certified will administer medication to residents” (page 89). Additionally, LPA observed an additional staff member (S5) to have been dispensing medications in the months of May 2026, June 2026 and July 2026. When LPA questioned S1, if S5 had DSP certification, S1 stated, “No”.

Based on interviews and record review, there is enough information to verify the allegation. Therefore, the allegation is SUBSTANTIATED at this time.

Citations issued, please refer to LIC 9099-D.

A civil penalty for $100 per day for a maximum of 5 days in the amount of $500 for criminal record clearance violation is being assessed on the attached LIC 421BG.

The Administrator was informed that additional citations may be issued at a later date.

No other immediate health and safety issues observed during the day of the visit. Exit interview was conducted, appeal rights given and a copy of this report was provided to the Administrator.