Complaint Investigation Report

Complaint alleges staff do not ensure residents attend medical appointments as necessary. Upon review of facility records and incident reports, LPA found that the facility had reported to Community Care Licensing, that on 1/12/2024, client C1 had not received prescribed medication of Clozapine 100mg from 1/4/2024 - 1/12/2024. The report indicates that the medication order was not delivered due to C1 requiring lab work prior correlating to medication exhaustion. A lab was scheduled for 1/12/2024 but did not correlate with the actual exhausted date. Multiple swing staff failed to communicate prescription supply amount and properly adjust lab dates for proper refill of medication. In addition, upon review of C1's MAR, the report is inconsistent by one day with records showing Clozapine 100mg missed starting on 1/3/2024.

Allegations, staff do not report incidents involving residents as required regarding client and staff do not ensure residents attend medical appointments as necessary are found to be SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided.