Complaint Investigation Report

During a visit conducted on 1/16/2025, LPA conducted a medication count for residents R2 and R4, comparing the residents' Centrally Stored Medication Form (CSM) with medications centrally stored for the residents. LPA observed one (1) medication for R2 that was off count in relation to what was documented. Medication that was off count was under the amount documented. There were no documentation to account for medication that was under the amount documented. LPA observed two (2) medications for R4 that were off count in relation to what was documented. One (1) medication that was off count was over the amount documented and one (1) medication that was off count was under the amount documented, There were no documentation to account for medications that were off count.

Based on medication count, LPA's observation, and records reviewed, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D page.

Exit interview was conducted with Licensee. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.