Complaint Investigation Report

Incident report documentation indicates that R1 remained under observation for potential side effects related to receiving the incorrect medication.

Facility documentation further reflects that the medication technician involved in the incident was removed from medication duties pending review. The facility reported that medication technicians were scheduled to receive retraining conducted by the Regional Medication Specialist on 10/20/24.

Based on the information obtained through interviews and documents, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED.

Pursuant to Title 22, California Code of Regulations, the following deficiencies are cited (refer to LIC9099-D).

Copy of report will be mailed to the last known email / mailing address for the licensee.