Complaint Investigation Report

On 11/30/2022, LPA Michael Hood arrived at the facility and conducted a medication count. LPA observed a loose pill belonging to resident (R1) fall from an open bubble pack that was already administered. The pill was observed to be an 8:00 AM 10mg Loratadine.

A Facility Action Report (FAR) was generated by Alta California Regional Center (ACRC) on 12/20/2022 to address violations per Title 17 regulations. Information on the FAR is as follows:

On 12/12/2022, ACRC Liaison Support Coordinator (LSC) conducted an unannounced visit at People’s Care Winfin. Upon review of resident (R2’s) medications and Medication Administration Record (MAR) dated 11/18/2022 to 12/15/2022, ACRC observed missing staff initials/signatures for two different medications.

Based on records reviewed, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Due to facility receiving a citation regarding the same violation in a separate inspection conducted on 12/28/2022, no additional citations will be issued regarding allegation.

Exit interview was conducted with House Lead. A copy of this report was provided. The House Lead’s signature on these forms acknowledges receipt of these documents.