Complaint Investigation Report

During the visit conducted on 12/23/24, LPA toured the facility’s nursing station on the first and second floor. LPA observed a full box of medications for various residents on the floor in the nurses’ station to be unlocked and accessible to residents in care. LPA observed the second-floor nurses’ station and observed a prescribed bottle of Gavilyte in an unlocked cabinet. According to the General Manager, the pharmacy delivered medication either early in the morning or during NOC shift. The General Manager indicated he/she came in around 6am, however was busy and was unable to lock the medication.

Based on observations, record review and interviews conducted, the preponderance of evidence standard has been met. Therefore, the above allegation are determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with Licensee, Juliet Pacaldo and a copy is provided with appeal rights.