Complaint Investigation Report

275202407-6-23-2023-24-AS-BCHN-CTQ26L-20230713170719

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

03/16/2023 and conducted by Evaluator Brianna Miranda

COMPLAINT CONTROL NUMBER: 24-AS-20230316145640

Staff are not clearly noting dispensed medication in MAR's

On 6/23/23 at 4:00 p.m. Licensing Program Analyst (LPA) B. Miranda arrived to the facility unannounced to deliver the finding of the allegations listed above. LPA was greeted by staff and allowed entry into the facility. LPA requested Administrator (AD) be contacted, AD authorized caregiver Larry Rimas to sign.

1. The Department investigated the allegation: Staff are not clearly noting dispensed medication in MAR's LPA interviewed 3 residents and 2 staff members. LPA originally arrived on 3/23/23 at 12:08 p.m. and obtained a copy of the MARs for March. LPA observed 2 resident's MARs which did not indicate the 7:00 a.m. or 8:00 a.m. medications were distributed. LPA asked S1 if medication had been given this morning and S1 stated medication had been given already.

Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 & Chapter 1, are being cited on the attached LIC 9099D

Exit interview was completed and a copy of LIC9099 report was provided to AD.