Complaint Investigation Report

347003611-9-1-2022-27-AS-KHOS-CHZN3W-20220906100701

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 2525 NATOMAS PARK DR. STE.270

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

07/21/2022 and conducted by Evaluator Christina Valerio

COMPLAINT CONTROL NUMBER: 27-AS-20220721132854

Staff are not documenting medication administration appropriately

Licensing Program Analyst (LPA) Christina Valerio arrived at the facility unannounced to conduct a complaint investigation. LPA met with facility staff, and explained the purpose of the visit. The department has concluded the following as it relates to the following allegation: Staff are not documenting medication administration appropriately. Administrator/Licensee gave facility staff permission to sign on their behalf.

LPA Valerio reviewed the facility's form of medication tracking. LPA learned the facility utilizes the Centrally Stored Log, Destruction Logs, and physician's orders. Licensee stated staff know if a resident took or refused their medications for the shift based on daily notes. The facility does not use Medication Administrator Records (MAR), which is not a requirement of Title 22 regulations. LPA Valerio checked the centrally stored log for residents and observed the orders on the LIC 622 to match the prescription bottle and doctors orders.

Based on the above information, the allegation is UNFOUNDED. Per California Code of Regulations, no deficiencies were observed. Exit interview held, and a copy of the report was provided to facility staff.