Complaint Investigation Report

LPA then requested, obtained and reviewed the staff records kept at the facility, along with the Medication Administration Records and documentation of staffing hours provided by the facility administrator.

Regarding the allegation that Facility is mismanaging clients' medications, the following has been concluded: All currently employed and scheduled staff members have received and documented the required training for medication administration. Medication Administration Records were requested, obtained and reviewed for all four clients. Records document all doses appropriately and are updated to reflect the latest prescription information applicable for each client. Destruction records are also observed to be accurate and complete. Therefore the allegation that Facility is mismanaging clients' medications is deemed to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

Regarding the allegation that there is Insufficient staffing to meet client needs, the following have been concluded: Based on a review of files provided and interviews conducted, it was confirmed that there are systematically two to three direct care staff present whenever clients are present at the facility, as well as awake overnight staff. Therefore the allegation that there is Insufficient staffing to meet client needs is deemed to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

Additionally, LPA provided a consultation regarding staff association as all staff members besides the licensee are showing active associations to the facility's other location in La Habra, bearing the license #306005938. A Technical Assistance Advisory Note to that extent was issued during the visit.

An exit interview was conducted and a copy of this report was reviewed and provided to facility representative.