Complaint Investigation Report

275202817-1-28-2024-24-AS-BCHN-D5BU2R-20240516151221

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

01/10/2024 and conducted by Evaluator Lisa Salazar

COMPLAINT CONTROL NUMBER: 24-AS-20240110113508

Staff did not follow resident's physician's order regarding medications

On 01/24/24, Licensing Program Analysts (LPAs) L. Salazar and Sarah Hurt arrived to the facility unannounced to deliver findings on the above allegation. LPAs met with Joy Carter via telephone and stated the purpose of the visit.

During the investigation, LPA S. Hurt observed Centrally Stored Medication Destruction (CSMDR) from 04/04/22, which shows the medication in question, was given per the physician's orders. LPA Hurt also observed the active medication list that was faxed from R1's physician on 03/30/22. Facility communication logs show the responsible party (RP) for R1, contacted Staff S1 on 08/17/22 for an update on resident's medication being discontinued. S1 informed RP the facility did not receive any changes for R1's medications to be changed. S1 advised RP to contact R1's physician and request the order of discontinuation be faxed to the facility if medication is discontinued. On 08/18/22, facility received discontinuation order from R1's physician. On 08/18/22, the medication was discontinued on 08/18/22.

Based on the information received, we have found that the complaint is Unfounded, meaning that the allegation is false, could not have happened, and/or is without reasonable basis, therefore, we have dismissed the complaint. Exit interview conducted. A copy of this report was provided at the time of visit. No deficiencies cited.