Senior Care Records.

Complaint Investigation Report

Serenity Senior Care Home, Lake Forest02/12/2024Licence 306004685

Census6
Date signed02/12/2024 02:30:49 PM
The inspector’s account

Per documentation review and review of medication tablets, LPA De Perio verified that R1 is receiving the zyprexa has needed, and the depakote is only being given once during bedtime. 1 out of 1 interview conducted with witness (W1) stated that W1 wanted to increase the medication dosages for R1, however was informed that R1 would need a doctor's order before moving forward with any medication changes.

It was alleged that staff are not following admissions agreement. 6 out of 6 resident interviews conducted, did not corroborate with the allegation. 2 out of 2 staff interviews conducted did not corroborate with the allegation by stating that prior to admission, the facility will review the admission agreement with the resident and family, and will also discuss about the criteria for eviction if necessary (such as if a resident needs a higher level or care, non-compliance, violation of laws and house rules). LPA De Perio observed that all 6 residents residing at the facility had signed admission agreements by their responsible parties.

Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED.

An exit interview was conducted with S1 Manuel.

A copy of this report was explained and provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction