Complaint Investigation Report

306004839-12-11-2023-22-AS-SSAS-CYG3JN-20231212171750

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 770 THE CITY DR., SUITE 7100

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

09/23/2020 and conducted by Evaluator Joseph Alejandre

COMPLAINT CONTROL NUMBER: 22-AS-20200923110812

Staff not giving resident PRN medication.

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to continue the investigation into the allegation listed above. LPA met with Administrator Darlene Lindley. LPA explained the reason for the visit. LPA reviewed facility records for Resident 1 (R1). LPA and Administrator toured the facility. The investigation revealed the following. Facility records for R1 show R1 was prescribed Hydrocodone-Acetamin 5-325 MG as needed (for pain) and Lorazepam .5 MG as needed (PRN medications). It was reported that on 9/22/2020 the facility did not provide R1 with their PRN Hydrocodone-Acetamin when requested by R1. Facility records show that R1's health care provider sent the facility orders on 9/22/2020 and 9/24/2020 to hold their PRN Hydrocodone-Acetamin till further orders are provided. The Administrator reported that R1 was made aware of the orders by their healthcare provider and by facility staff. R1 no longer resides at the facility and their where abouts are unknown. There is no current contact information for R1. R1 could not be reached for interview. Based on the evidence gathered the allegation is deemed unfounded, meaning the allegation is false could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy of the report provided.