Complaint Investigation Report

216804022-1-11-2024-21-AS-VBEI-CZK2KX-20240116162841

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

11/20/2023 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20231120081148

Staff did not administer resident's medications as prescribed.

Staff did not ensure resident's medication is filled.

Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. Facility ran out of a medication for Resident (R1) resulting in missed administration of the medication on 10/29/2023 and 10/30/2023. Through statements and review of documents it has been determined that: Facility requested the medication refill 6 or 7 days before needed from the Medical Clinic; Facility Health Services Director states that the Medical Clinic delayed the refilling of the medication due to an internal communications issue and apologized for the delay but refused to put a statement in writing; Staff were unable to administer the medication on 10/29 and 10/30 due to the delay in obtaining the refill; Based upon statements and review of documents, it appears the facility made a reasonable attempt to obtain the medication before it was depleted; Although the allegations may be true or valid, there is not a preponderance of evidence to prove or disprove the allegations. Therefore, the allegations are UNSUBSTANTIATED.