Complaint Investigation Report

LPA interviewed C1 who stated they were doing well and asked if C1 recalled not being given antibiotic medications. C1 did not answer LPA and could not recall what medications were being taken. LPA interviewed five of five staff members regarding medication errors on April 15-16, 2025. Five of five staff members denied the allegation. LPA interviewed one witness who confirmed the allegation.

Based on LPA's observations, record review and interviews, the allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore the allegation that Facility staff did not administer medications as prescribed is Unsubstantiated.

An exit interview was conducted with AD Leo Castaneda and a copy of this report and LIC 811, was given to the facility.