Complaint Investigation Report

It was also learned that on 4/29/2022, resident (R1) was given insulin at approximately two hours late by staff (S3). LPA Truong was unable to contact S3 for a statement. According to staff (S1) and (S4), doctor’s order to give insulin at mealtime of 8am, 12pm, and 5pm. Staff (S1, S2 and S4) stated that R1 received his insulin two hours late on 4/29/22. Due to the above noted information, staff S3 did not provide insulin to R1 at the prescribed time by physician’s order.

As a result of this investigation, the Department finds this allegation to be Substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiency cited on the LIC 9099-D, per Title 22 Regulations.

An exit interview was conducted, a copy of the report, LIC 9099-D and appeal rights were provided.