Complaint Investigation Report

496804112-8-10-2023-21-AS-VBEI-CYN2SR-20231218163930

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

08/09/2023 and conducted by Evaluator Dina Alviso

COMPLAINT CONTROL NUMBER: 21-AS-20230809142110

Facility staff are not providing medication as prescribed.

Licensing Program Analysts (LPAs), Alviso and Coppo, conducted a complaint inspection, at approximately 11:35am on 8/10/23, and met with Gladys Finch, Resident Care Coordinator(RCC), and Ruby Cuevas Memory Care Director(MCD).

LPAs reviewed resident records, including care plan, medication records, and admission records. The investigation revealed that resident(R1) didn't receive medications as prescribed on 7/29 and 7/30; Per record reviews, and staff(S1,S2) interviews, two medications were not provided to the resident as prescribed, due to the medications having not been refilled in time. LPA obtained the copies of R1's records regarding the medication error.

Based on LPA interviews, review of records, and information LPA obtained, the investigation has revealed that the allegation of "Facility staff are not providing medication as prescribed." has been substantiated.

Due to the substantiation of the allegation, a citation, will be cited today, 87465(a)(4) Incidental Medical and Dental Care, the licensee shall assist residents with self-administered medications as needed. see LIC9099D.

The preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited:

Exit interview conducted with the RCC Gladys Finch.