Complaint Investigation Report

The hospital records reflected an unintentional medication overdose, first dose was given at 6:30am and the second dose was at 7:30am. The hospital report also indicated a consult with poison control reflected they did not feel that any period of observation was necessary in the emergency room. C1 was discharged back to the facility. S1 was terminated on 04/28/23 for overmedicating C1.

Based on interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California code of Regulations, Title 22, Division 6 & Chapter 1 is being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 01/16) were provided to Licensee, Ayad George whose signature below confirms receipt of these rights.