Complaint Investigation Report

LPA also conducted interviews with 5 residents which 4 out of 5 receive insulin injections. 3 out of 4 residents confirmed that Med Techs administer their insulin injections. A review of resident Medication Administration Records (MARs) revealed that all identified residents receiving insulin had documentation indicating insulin administration. The MAR review also identified discrepancies, including medications not initialed as administered.

Based on information obtained through staff and resident interviews, record reviews, and observations, the evidence supports that unqualified staff were performing insulin injections, which is outside their approved scope of practice. Documentation errors were also observed in the Medication Administration Records (MARs). Therefore, the allegations are Substantiated . A finding that a complaint allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiencies, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Exit interview conducted. Copy of report, LIC9099-D (Deficiency Page), Plan of Corrections, and Appeal Rights discussed and provided to Executive Director/Administrator. Signature on form confirms receipt of documents.