Complaint·February 15, 2023

Administrator MIchelle Ligon reported once the fax was received, she attempted to pick up the medication, but it was not at the pharmacy which they call “Ming”. LPA Williams observed notes in Kaiser Permanente documents regarding Witness 1 requesting medication to be transferred to “Ming” Pharmacy from an unknown pharmacy. The medication was started on 9/1/2022. The Administrator reported a urine sample could not be collected for Resident 1 due to medical issues. The Administrator reported speaking to Witness 2 via phone requesting alternative means to collect a sample. LPA Williams attempted to contact Witness 1 and Witness 2 to clarify statements and documents. LPA Williams left voicemail's requesting return calls and at the time of this report, none have been returned from Witness 1 or Witness 2. 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. An exit interview was conducted, and a copy of this report will be provided via e-mail.