complaint·February 12, 2025

LPA obtained copies of LIC9020 Register of Facility Residents for 10/14/24, 12/31/24 and 2/07/25. LPA reviewed and compared the 3 LIC9020s and observed 4 residents (R1, R2, R3, R4) listed on 10/14/24 LIC9020 were no longer on the 2/07/25 LIC9020. LPA reviewed these residents' records and obtained copies of including but not limited to the following: Admission Agreement; LIC601 Identification and Emergency Contact Information; LIC602A Physician's Report; Pre-placement Appraisal; LIC625 Appraisal/Needs and Services Plan; facility notes; doctor's orders of medications; Medication Administration Records (MARs); LIC622 Centrally Stored Medication and Destruction Records. Out of these 4 residents, only R1 has seizure medications. The other 3 did not have seizure disorder diagnosis nor seizure medications. LPA interviewed S1, S2 and BUA. S1 and S2 denied receiving calls for R1, R2, R3 and R4 pertaining to medications. BUA stated when Jonabelle Tolentino (administrator) went on vacation, S3 took over the administration of medications from around 12/28/24 through 1/08/25, 1/09/25. BUA also stated that S1 took over the administration of medications when S3 went on vacation up until this day, 2/12/25, which LPA confirmed with S1. LPA reviewed the doctor's order of medications and compared with LIC622 and MAR. Review of records showed S1 has medication training and R1's MAR were properly filled-up. Based on records review and interviews, the allegation of 'Staff are not distributing a resident's medication as prescribed' is closed as unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation occurred. No deficiency cited. Exit interview conducted and copy of this report provided.