Complaint Investigation Report

306006073-6-1-2023-22-AS-AORZ-CV8NJG-20230831103016

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

05/17/2023 and conducted by Evaluator Joseph Alejandre

COMPLAINT CONTROL NUMBER: 22-AS-20230517155107

Facility failed to administer client's medication.

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to deliver the findings of the complaint investigation into the allegation listed above. LPA met with the Operations Manager Adrian Diaz and explained the reason for the visit. The investigation into the allegation revealed the following. Client 1 (C1) was admitted to the facility on 5/9/23 and left the facility (discharged) at their request on 5/12/23. It was alleged that the facility failed to administer C1's medication. A review of records shows C1 was prescribed 5 medications upon being admitted to the facility. The medication administration record (MAR) shows C1 was not administered Duloxetine Hcl 60mg on 5/11/23. C1 received the rest of their medications that day. Staff interviewed could not explain or provide verification as to why the medication was not administered or why there was no record of it being refused. Based on information gathered through record review and interviews the preponderance of evidence standard has been met, therefore, the allegation, facility failed to administer client's medication, is found to be SUBSTANTIATED. Violations are being cited per California Code of Regulations, Title 22, Division 6, Chapter 2. An exit interview was conducted and a copy of this report along with citation and Appeal Rights (LIC 9058 3/22) was provided.