Complaint Investigation Report

LPA observed the facility’s locked medication cabinet which was well organized. All five (5) clients in care were alert, and activel; none appeared drowsy or sedated. The clients’ MARs contained timely and consistent staff initials and documentation.

Interviews of clients, staff, and outside sources corroborated that there were no known recent medication errors at the facility, nor a pattern of medication errors when looking further back in time. Per LPA’s review of CCLD’s Incident Report database, Licensee had no self-reported medication errors over the last year.

All direct care staff that LPA interviewed attested that they underwent formal academic and hands-on training on medication assistance. They were also able to correctly recite the “Seven Rights of Medication Administration,” from memory.

Based on records and interviews, a preponderance of evidence is not met to show that Licensee did not give clients medication as prescribed and there being medication errors. These allegations are therefore Unsubstantiated, and no deficiencies cited.

An exit interview was conducted with House Manager Kevin Jones , to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.