Complaint Investigation Report

In addition, the complaint alleges that staff left residents in soiled clothing. LPA reviewed photos of R1 in only a diaper, which R1 was pulling apart. Based upon photos, records reviewed and statements taken from witnesses, the preponderance of evidence standard has been met. Therefore, the allegation that staff left residents in soiled clothing is SUBSTANTIATED.

The complaint also alleges that staff do not administer resident's medications as prescribed. LPA's review of resident R1's MAR lacks documentation and shows that medications were not given as ordered by the Physician. Based on LPA interviews, and review of information obtained, the investigation has revealed that the allegation staff failed to administer resident's medication as prescribed is SUBSTANTIATED.

The following deficiencies were observed (see LIC 9099D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. 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.