Complaint Investigation Report

LPA reviewed the centrally stored medication for all clients present, including quantity, doses, physician orders, administration records and destruction records. A full review of medication on hand is conducted every three months, with the latest documented review dated July 2023. All medication is bubble-wrapped and marked with the planned day of administration. The quantities observed are consistent with the doses prescribed and no inconsistencies are observed within the central storage as well as within the documentation provided.

Additional interviews were conducted or attempted with the four clients admitted at this time.

Regarding the allegation that Facility staff is stealing client's medication, the following was concluded: Based on observation, interviews and a review of facility records, all medications prescribed are accounted for and/or documented as administered to clients. Client interviews confirmed that clients are receiving their treatment as prescribed. Therefore the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or may be valid; there is not a preponderance of evidence to prove that the alleged violation occurred.

An exit interview was conducted with Administrator Karry Vellejo and a copy of this report was provided to a facility representative.