Complaint Investigation Report

S1 and S2 were also interviewed and S1 stated that there was a shift that was covered a couple of times because a staff went on vacation. S1 has never passed out medications. The evening medications are passed out at 7pm. S2 admitted to passing medications. In S2s statement, it was stated that he/she passes out pills, answer phone calls, make sure there is peace and quiet. S2 doesn’t do any paperwork like logging of medications. S2 also shared that he/she does know how to pass out meds and have clients sign and initial.

For the allegation of facility staff do not supervise volunteers, RP stated that the management schedules unqualified personnel to be inside the medication rooms and distribute and assist residents with medications during the evening work shifts.

On 05/06/2022, LPA Marrufo interviewed former Administrator (ADM), who confirmed S2 was indeed a volunteer and not a paid staff at the facility.

During the interview of S2, it was also mentioned that S2 have worked in the facility medication room on an emergency basis when a staff was not available to work in the medication room. S2 stated that no one else is in the med room with S2 when S2 is covering for emergencies.

Based on interviews and records review and information collected, the above allegations 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 is reviewed and a copy of this report and appeal rights are provided.