Complaint Investigation Report

550307827-9-2-2021-27-AS-KHOS-C6NLHR-20210908084646

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 2525 NATOMAS PARK DR. STE.270

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

08/26/2021 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 27-AS-20210826081744

Facility staff did not ensure client's medication was refilled in a timely manner

Facility staff did not dispense client's medication as prescribed

Licensing Program Analyst (LPA) Sarah Hurt arrived to the facility unannounced to open the above allegation. LPA was greeted by facility Administrator Diana Moreci and explained the purpose for today's visit.

After reviewing the residents Medication Administration Record, and also centrally stored medication logs it is determined the facility did not ensure the residents medication was refilled timely causing R1 to be without medication for 2 days. Residents shall be assisted with medications as needed. Based on this the complaint will be SUBSTANTIATED.

Administrator acknowldedges staff did not inform her of R1 being out of medication until the morning after he had missed a dose. R1 missed another dose that evening of the medication therefore facilty did not dispense medication as prescribed. Based on this the complaint will be SUBSTANTIATED.

The following deficiency was cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with facility staff and a copy of this report along with appeal rights was provided.