Complaint Investigation Report

Despite this, records and interviews confirmed that staff permitted R1 to self-administer both medications.LPA interviewed two staff members, both of whom corroborated the allegation, including one who witnessed R1 self-administering both insulins. LPA also interviewed three residents. Due to cognitive limitations, residents were unable to provide relevant information regarding the allegation.Based on record review and staff interviews, the allegation that the facility mismanaged R1’s medication was substantiated. The preponderance of evidence standard has been met. One deficiency is cited in accordance with California Code of Regulations, Title 22, Division 6. A copy of this report and appeal rights were provided to the facility.