Complaint Investigation Report

the medications from the original packaging, and staff initialed the facility’s medication administration record (MAR) at the time the medications were removed from the packaging, even though the medications were not administered to clients at the time.

Based upon the foregoing, the above listed allegations are substantiated. This finding means that the preponderance of the evidence standard has been met and the allegations are valid. Deficiencies are cited in accordance with California Code of Regulations, Title 22, Division 6, Chapter 8 and are noted on the attached LIC 9099-D.

An exit interview was conducted, and a copy of this report was provided to Lelani Sams at the conclusion of the visit. She was provided a copy of Licensee Appeal Rights (LIC 9058), and her signature on this report acknowledges receipt of copies of the rights and the report.