Complaint Investigation Report

During review of medications and medication records for residents R1-R9, LPA Marrufo made the following observations. R2 had 3 unopened boxes of medications with the seal left unbroken on the box lid. R8 had a medication in a bubble pack with pills for days 1 through 12 still in the bubble pack, while R8's Medication Administration Record (MAR) had initials on every day of the month of April for days 1-27. R9 had a bedtime medication in a bubble pack with the pills for days 1-5 still in the bubble pack. The bubble pack for the morning version of the medication had pills in the bubbles for days 1-4 and 11-30. The fill date for both medications was 03/06/2023 and the March MAR stated that the medications were given for days 1-31 of March. R9 also had a bubble pack for a medication with a quantity of 15 that is supposed to be given every other day. The fill date for the medication was 03/13/2023. The bubble pack still had pills for days 25, 27, and 29. The March MAR had initials for 15 days of the medication.

Residents R3, R6, and R7 did not have a current Centrally Stored Medication Log (CSML). R9 had a medication that was not entered into R9's CSML.

During visit, LPA Marrufo provided a copy of the Medications Guide for Adult Residential Facilities to facility staff.

Based on records review, interviews and observations there is preponderance of evidence to prove the alleged violations did occur. Therefore, the allegations are substantiated.

See 9099-D for deficiencies cited per the California Code of Regulations, Title 22.

This report was reviewed with staff Winnie Rodriguez and a copy of this report and appeal rights were provided.