complaint·January 27, 2025

Furthermore, Investigator Belman reviewed a Hospice Care Note dated for July 16, 2024 in which it states, “Great care all needs well met.” LPA could not corroborate the allegation. A finding that the complaint allegation of Questionable Death is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed and given to the Assistant Administrator. Furthermore, LPA reviewed the Care Notes and learned that a staff member made a medication error which is documented on the Care Notes and signed by the Administrator on August 12, 2024 (See LIC 9099D). LPA educated the Assistant Administrator on the importance of ensuring that all residents are given proper dosages of medication as outlined in Title 22 Regulations and Physician Orders. Deficiencies cited from the Health and Safety Code. Appeal rights were provided. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in Civil Penalties. Exit interview was conducted, and a copy of this report was signed and given to the Resident Services Director along with Appeal Rights.