Complaint Investigation Report

306005901-12-24-2024-22-AS-MSTC-DG98MU-20250430223856

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

ORANGE COUNTY RO , 770 THE CITY DR., SUITE 7100

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

12/05/2024 and conducted by Evaluator Jerome Haley

COMPLAINT CONTROL NUMBER: 22-AS-20241205102328

BEACH TERRACE ASSISTED LIVING AND MEMORY CARE

Medication was not administered as prescribed.

Regarding the complaint allegation: Staff not administering medication as prescribed.

During the investigation, 5 of 6 facility staff members confirmed the allegation above, and document review revealed information to support the allegation. A review of Resident 1’s (R1) charting notes reveal on November 23, 2024 and December 7, 2024 R1’s family was contacted about refilling R1’s medication. R1’s family was upset because specific instructions were given regarding refilling R1’s medications upon R1’s admission. Staff 4 confirmed R1 has missed medications, and confirmed R1’s family gave specific instructions regarding refilling the residents medications.

Based on the evidence gathered through interviews, and document review the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. Violations are being cited per California Code of Regulations Title 22.

An exit interview was conducted and a copy of this report and appeal rights were provided.