Complaint Investigation Report

Resident's MAR was not being followed while in care. - Based on interviews with staff and record review. Fieldale Facility’s Medication Transfer Sheet/Release of Responsibility dated 6/21/2022 for Client (C1). C1’s Medication Transfer Sheet did not have the pass times on the Medication Transfer Sheet to C1’s new facility.

Based on record review, and interviews, which were conducted along with a file review, the preponderance of evidence has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6 & Chapter number 8) is being cited on the attached LIC 9099D. An exit interview was conducted with Administrator Michael Oliva. A copy of this report was left, and appeal rights were given.