Complaint Investigation Report
On November 01 and December 5, 2023, LPA Monter interviewed AA. AA stated staff would offer R1 his/her evening medication before he/she left for the day, but R1 would refuse and state he/she would take the medication when he/she returns to the facility. AA stated R1 would not tell staff when he/she would return to the facility. AA stated the PM medications are given after the resident’s dinner.
AA stated on May 14, 2023, S1 worked the whole day and on June 19, 2023, AA worked the morning shift, and S1 worked the evening shift. AA stated the residents should be home between 9:00pm - 10:00pm. AA stated there is no set bed time.
On October 21 & November 14, 2023, LPA Monter interviewed 5 Out of 5 residents. 4 Out of 5 residents denied the allegation and stated the facility staff provide their medications. 1 Out of 5 residents stated staff told him/her that his/her medications won’t be administered because he/she arrived home late.
On October 21, 2023, LPA randomly audited 2 resident medication records for the month of October. The medication audit was completed by cross-referencing the residents’ medications containers with the Centrally Stored Medication log and the Medication Administration Record. As a result, LPA did not find any discrepancies on medications.
LPA also reviewed R1’s Medication Administration Record (MAR), for the month of May 2023 showing all medications were administered, including May 14, 2023, and signed off by staff S1. A Review of R1’s MAR for the month of June 2023 shows staff initialed by AA and S1 on the MAR that on June 19, 2023, the medication was given. Further review of R1’s June 2023 MAR shows several dates were not initialed from June 21-27, 2023, which includes 5 days of PM medication.
On December 27, 2023, LPA interviewed AA & S2. S2 stated the medications are administered to the residents and staff do not refuse to administer residents medications. S2 stated if a resident comes home late, staff will provide residents their medications. AA stated regarding the instances where the MAR wasn't signed, the staff must of forgotten to sign. AA stated the staff administer the residents medications, even if the residents arrive home late.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction