Complaint Investigation Report

The licensee was informed of her responsibility to ensure that a record is always kept to confirm that medications are dispensed as prescribed by physicians. She was also advised that daily activity schedule should be arranged for the clients in care. The absence of both the MARS schedule and organized daily activities presents a potential health and safety risk for those in care.

A citation has been issued for not having a MARS available for review and for not having a schedule for planned activities. The licensee has agreed to provide training of regulations 87465(c)(3) and 87219(a)-(i)(1) and provide training by the POC date.

Based on the evidence gathered during the investigation, the above allegation is found 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.

An exit interview was conducted where this report was discussed and provided to Nelfa Reeder- Administrator at the conclusion of the visit with appeal rights.