complaint·June 23, 2022

Regarding Allegation #1 : this investigation revealed that the facility’s LVNs administer Resident #2’s prescribed medication (Insulin). LVN will follow the resident’s chart to administer the medication and observe the resident when taking the medication. LVN will check the resident’s blood sugar (between 7:30 a.m. to 8:00 a.m.). NOC shift LVNs administers the resident’s medication (Insulin) on Fridays and Saturdays. During the weekday, the morning shift LVN administers Resident #2’s medication (Insulin). Resident #2’s blood sugar reading is a daily check and posted in the medication administration record (MAR). The MAR records the blood sugar and determines whether the resident’s medication (Insulin) administration is needed. The unit of medication (Insulin) from the pen is given (based on the MAR) and is a fixed amount per doctor’s orders. After the medication (Insulin) is given to Resident #1, the LVN will check off the medication in the medication computerized system which keeps track of the prescribed medication (Insulin). The medication (Insulin) dosage is determined by the resident's physician; and, it’s a fixed dosage. A review of the Medication Administration Record (MAR) documented Resident #1 received its blood glucose check (from 09/01/21 to 09/30/21) at 7:30 a.m. and at 4:30 p.m. and prescribed medication [Novolin 70-30 VL (10ML)] administered at 8:00 a.m. (from 09/01/21 to 09/30/21). Resident #1 received its blood glucose check (from 10/01/21 to 10/08/21 at 7:30 a.m. and 4:30 p.m. and prescribed medication [Novolin 70-30 VL (10ML)] administered at 8:00 a.m. (from 10/01/21 to 10/08/21). A review of the facility’s in-service training records documented the facility offered training on 08/15/21 to facility LVNs presented by Staff #2 (LVN Director) regarding the topic: “ Insulin Administration ”. Based on the evidence gathered and interviews conducted and records reviewed, 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 of MEDICATION: Staff is not dispensing resident’s medication as prescribed is found to be UNSUBSTANTIATED . Regarding Allegation #2 : this investigation revealed based on interviews conducted of residents, the majority corroborated that the facility’s food service is good and there were no issues with the quality of food service. The majority of interviews conducted with staff, corroborated that they had not received complaints from residents regarding the quality of food service. A virtual tour of the facility’s physical plant included the kitchen, dining area, food supply; and, a review of the facility’s menus are all in compliance. During the subsequent visit, LPA/RA Ceniceros conducted a tour (together with Administrator Parsons) of the commercial kitchen, dining room area, and residents’ bedroom. Based on the evidence gathered and interviews conducted and records reviewed, 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 of FOOD SERVICE: Staff are not serving a good quality of food is found to be UNSUBSTANTIATED . Regarding Allegation #3 : this investigation revealed based on interviews conducted of residents, the majority corroborated that they have not seen ants in his/her bedroom or in his/her food. Interviews conducted of staff members, the majority corroborated that they may have received complaints from residents observing ants in their rooms or in their food. During the initial visit conducted by LPA Bonnie Tao, no ants were observed in the reporting party’s room. LPA/RA Ceniceros conducted a tour of the facility’s commercial kitchen, dining room area, and residents’ bedroom and did not observe ants in the various locations. The facility has a monthly contract with a pest control company that conducts services. Based on the evidence gathered and interviews conducted and records reviewed, 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 of PHYSICAL PLANT: Facility has ants is found to be UNSUBSTANTIATED. An exit interview has been conducted and a copy of the Complaint Report was provided to Administrator (Pamela Parsons).