Complaint·April 14, 2026

Allegation: Staff yelled at a resident in care. It is alleged that a medication technician (med-tech) staff has a bad attitude because they are rude, argue, and yell at resident (R1). According to information obtained, staff (S1) speaks in an aggressive manner. A total of 15 mentally disabled residents were interviewed. Resident interviews revealed that sometimes S1 responds in an aggressive manner and yells at residents when they ask staff for medications. One resident stated that S1 has called them "crazy". Resident (R1) stated that med-tech/S1, Wellness Director, and Administrative Assistant yell at the resident. A total of 10 staff were interviewed, of which 7 confirmed the allegation. Staff interviews revealed that med-tech/S1 sometimes speaks to residents with an aggressive, strong tone of voice and has been observed being confrontational and scolding residents and resident (R1). Staff (S1) stated they sometimes lose their patience when residents are rude toward them. Per record review, staff (S1) did not have any disciplinary record on file at the time of the initial complaint visit. However, on 3/12/2026, S1 received a written counseling warning regarding the use of abusive language. There is sufficient information to support the allegation. Based on observation and interviews conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Pursuant to Title 22, California Code of Regulations, a deficiency was cited. An exit interview conducted, copy of the report and appeal rights was provided to Executive Director. Allegation: Staff did not administer medications to a resident in care. The complaint alleges that med-tech staff (S1) refuses to administer PRN medications and give them to the resident "when they want, and "not when I need it." It is also alleged that sometimes medications are given 2 hours late. A total of 15 residents were interviewed, of which 14 stated their medications are administered on time and have no issues with medication management. Staff interviews revealed that R1 asked the night shift med-tech staff to give them their morning medications, but the day shift med-techs had already clocked in and had begun passing out AM medications. Staff stated that R1 sometimes refused their psychiatric medications, but requests pain medications and Alprazolam. Resident (R1) has a PRN order for Alprazolam because the doctor wants to ensure the medication is administered in case the facility runs out of the routine Alprazolam medication. Therefore, when R1 asked for the PRN medication they were told they could not administer the medication because it is only to be given if they run out during the cycle change. The cycle begins on the 21st of each month, and there are 2 pharmacies that handle resident medications. Per Medication Administration Record review, no discrepancies were observed in medication administration. There is insufficient information to prove the allegation. 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 conducted with Executive Director. A copy of the report was issued.