Complaint·March 27, 2025

On March 27, 2025 Licensing Program Analyst (LPA) Rachel Bruce met with Administrative Assistant (AA) to deliver the finding on the above allegation During the course of this complaint investigation LPA interviewed staff and obtained and/or reviewed facility records. It was determined based on the interviews and records review that the above allegation is SUBSTANTIATED. Facility records substantiate the resident in question did receive two doses of medication as prescribed despite the Medication Administration Record only documenting the morning dose. Facility was made aware of the documentation issue and remedied the oversight immediately. The prescribing doctor was notified and was confident the error had been corrected and was confident the staff at Garden Manor would be diligent in ensuring signatures document the provision of medication to the client. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, is being cited on the attached LIC 9099D.