Complaint Investigation Report

they asked R1 to sign out when they leave the facility. S2 stated that they gave R1 their morning medications before they left. S2 stated that when they returned to work the next day R1 had not returned to the facility from the prior day. S2 stated that they do not know when R1 returned to the facility. S2 stated that they were not aware that R1 was unable to leave the facility unassisted. A review of random resident medications starting at 1:59 pm revealed that R2 has not been given their medications since 7/26/22 as staff Zanders stated that they spoke with R2 physician over the phone and they were told to hold all R2's medications for 48 hours. Staff Zanders stated that they do not have this information in writing. S1 stated that on 7/27/22 R2 refused all their medications as they were feeling sick. A review of R3's medications revealed that R3 is prescribed Triamcinolone lotion and the prescription label indicates 3 times a day however, the medication record reflects that it is being administered 2 times a day.

Concerns were that Facility staff are not keeping accurate records of residents cash resources as R1's cash resources were not being properly recorded. Interview with staff Zanders starting at 3:24 pm revealed that R1 moved into the facility on 5/31/22 and they did not have documentation of how much money R1 had when they moved into the facility. Staff Zanders stated that they kept receipts in a lock box with R1's cash. Staff Zanders stated that they did not keep a ledger of the accounting for R1's cash resources. Staff Zanders stated that R1 moved out of the facility on 7/23/22.

Based on the information obtained during the course of the investigation the allegations are deemed substantiated at this time.

Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 9099-D):

Exit interview conducted. Today's reports and appeal rights were reviewed and emailed to the Administrator.