complaint·May 12, 2023

Continue from LIC9099 Staff did not secure resident's medications as required. Interview and observation revealed that Med Techs (Medical Technicians) pre-pour medication into medication cups with resident’s apartment numbers written on them. S1 stated that when passing morning and bedtime medication that medication is poured into medication cups with room numbers on them, they are placed into a basket and put onto an unlocked pushcart and distributed to residents in their apartments. Allegation is SUBSTANTIATED Based on LPA observations, record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted. Appeal rights and a copy of this report provided. Continue from LIC9099 Staff did not administer medications as prescribed. RP stated that R1 was given a wrong dose of medication, b ased on information obtained from the MAR (medication administration record) shows that R1 received the correct dosage, the MAR was signed by staff or documented R1 was out of facility along with the dates. Allegation is UNSUBSTANTIATED. Staff did not properly document resident's medication as required. LPA conducted record reviewed and interviews with staff, the MAR (medication administration record) shows medication was given as prescribed. During interviews staff stated that there was no wrong documentation during R1’s residency at the facility. Allegation is UNSUBSTANTIATED. Staff are not properly trained. LPA conducted interviews and record review which revealed Med Techs (Medical Technicians) attend an online training that covers administering medications such as Introduction to Medication Management, Medication Order and Working with the Pharmacy Reducing Medication Errors: PRN Medications and then complete and pass Medication Management Final Test, and then take and pass a RCFE Medication Orientation Final Exam and then on to on-the-job training. Allegation is UNSUBSTANTIATED Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview conduct and a copy of report provided to Administrator.