Complaint Investigation Report

However, LPA Moleski reviewed additional incident reports regarding medication issues which were not followed up on from that same year.

One such incident report indicated that on 3/12/22, R5 was not given their 1 p.m. dose of neuropathy medication. R5 was taken on an outing at 12 p.m., and staff on duty did not send the medication along with R5 for them to take while on the outing. According to the incident report, staff was "re-trained on the medication administration process and seriousness of missed doses." CCLD did not conduct a case management visit at the time to address this issue.

Another incident report stated that on 2/3/22, a staff member mistak enly gave R5's medication to R1. According to the incident report, the staff member misunderstood whose medication they were passing out. According to the incident report, the staff members involved were re-trained on medication procedures as a result. CCLD did not conduct a case management visit at the time to address this issue.

The department has determined the following as it relates to the allegation that staff mismanaged a resident's medication:

Based on record review, the above allegation is SUBSTANTIATED. A finding that the complaint allegation is substantiated means that the allegation is valid because the prep onder ance of evidence standard has been met. This facility is hereby cited per 22 CCR Section 80075(b). An exit interview was held with facility administrator Hanif Khan. A copy of this report and appeal rights were left with Chaves.