Complaint Investigation Report

Second allegation: Staff are not adequately supervising resident while in care. Regarding the allegation stated above, LPA conducted a review of records pertaining to Resident #1 upon the review of records LPA discovered that on 8/28/2025 Resident #1 arrived at the Adult Day Health Care Center visually upset and crying, informing staff that five days ago Resident #1 had sustained a fall at home and was having pain on their right (R) rib. Based on the report LPA observed that the Care Center offered Resident #1 pain medication however, Resident #1 had pulled out a small bag with medication. In addition, records show that Resident #1 had slurred speech and could not communicate with staff. Based on the evidence gathered during the investigation, staff were not competent to observe Resident #1 condition and still allow resident to attend the Care Center while having medication in their possession. This determines that the above allegations are Substantiated. A finding that the complaint is Substantiated means that the findings are valid because the preponderance of the evidence standard has been met. Title 22 regulations Incidental Medical and Dental Care (h)(2), Personnel Requirements-General 87411 (a), from division 6, chapter, article 6, is cited on the attached LIC 9099 D.

An exit interview was conducted where this report, appeal rights, and LIC9099-D was discussed, and a copy of the report was provided to Facility Caregiver Edralene Jane Frijas at the of the visit.