Complaint Investigation Report

374603339-11-18-2022-18-AS-DMUN-CN6V44-20230117150544

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1650 SPRUCE ST STE 200 MS29-27

This is an official report of an unannounced visit/investigation of a complaint received in our office on

08/09/2022 and conducted by Evaluator Chinwe Nwogene

COMPLAINT CONTROL NUMBER: 18-AS-20220809162428

Theresa Robert, Resident Services Director

Resident was not given medication as prescribed.

Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to conclude the complaint investigation into the allegation listed above. LPA met with Theresa Robert who was informed of the purpose of the visit. During the investigation, LPA interviewed Resident, interviewed staff and reviewed resident file.

Regarding the allegation “Resident was not given medication as prescribed”. It was alleged facility did not administer resident’s pain medication as prescribed by the doctor. LPA interviewed staff who stated resident had dental procedure and returned to the facility with three #3 PRN pain medications. Staff stated the medications are administered upon resident’s request. LPA interview with resident revealed, Resident receives the pain medication upon resident request. LPA reviewed resident’s Medication Administration Record (MAR), MAR revealed the three #3 prescribed pain medications are PRN, administered “as needed”.

Based on LPA’s interviews with staff, residents and review of resident file, there is not enough evidence to support the allegation “Resident was not given medication as prescribed”. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to Theresa Robert.