Complaint Investigation Report

Allegation: Staff are not trained to provide medications to residents.

It is alleged that a staff administered a medication without training. It is also alleged that it was not charted in the Medical Administration Record and was recorded written on a separate medication chart.

Based on record review, R1’s Controlled Drug Administration Record had S1 sign off on August 16, 2025, at 1:32 AM. R1’s Medication Administration Record only has a record of another staff administering the medication on August 16, 2025, at 9:08 PM. While reviewing S1’s training, the staff did not have training to administer medication to residents. Based on interviews conducted four out of five staff confirmed the allegation. One staff out of the five staff could not confirm or deny the allegation. Four out of five staff stated, S1 assisted R1 with their prescribed medication which was self administered.

Based on information gathered through interview and record review, the preponderance of evidence standard has been met, therefore, the allegation Staff are not trained to provide medications to residents was found to be SUBSTANTIATED. Violations are being cited per California Code of Regulations Title 22, Division 6 Chapter 8.

An exit interview was conducted, and a copy of this report including LIC811, and the appeal rights were provided to Adminstrator Austin Morris.