Complaint Investigation Report

331880690-9-13-2021-18-AS-JESL-C79SMR-20210927140023

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1650 SPRUCE ST STE 200 MS29-27

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

09/07/2021 and conducted by Evaluator David Cuevas

COMPLAINT CONTROL NUMBER: 18-AS-20210907164147

Staff are mismanaging resident's medication

Licensing Program Analyst (LPA) David Cuevas arrived at the facility unannounced for the purpose of initiating an investigation for a complaint with the above allegation. LPA Cuevas was granted entrance and met with Licensee/Administrator, Chyke Ehimere.

Regarding this investigation LPA Cuevas conducted interviews, review resident files, and collected pertinent documents.

During today’s complaint visit, LPA reviewed MAR log for resident # 1 R1 along with staff # 1 S1 and identified medication input errors in MAR. Per S1 the input errors were identified, and an action plan will be developed to correct future errors. Additionally, review of medication identified a medication that is no longer prescribed to R1. S1 disposed of discontinued medication while LPA was on visit.

Based on the evidence reviewed today and statements provided the allegation of, staff are mismanaging resident's medication is SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted with Licensee/Administrator, Chyke Ehimere. and a copy of this report, LIC9099D, and appeal rights was provided.