complaint·September 29, 2023

Allegation: Facility staff dispensed medications not prescribed to resident On 9/11/2023 LPA Shirley reviewed facility files. During file review, LPA reviewed resident’s medication records and actual medication and did not find any discrepancies. All required medications on the list are accounted for as given as prescribed. On 9/11/23 LPA Shirley interviewed residents 1 – resident 8 (R1-R8). LPA asked have you ever been given the wrong medication and all eight clients interviewed stated that they have not to their knowledge. On 9/11/23 LPA Shirley interviewed staff 1 - staff 8 (S1-S8). LPA asked staff if any resident reported that they received the wrong medication and all staff interviewed stated that no resident had reported to them that they received the wrong medication. Based on interviews and records review there is insufficient evidence to support the allegation: Facility staff dispensed medications not prescribed to resident. 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 allegations are Unsubstantiated . Allegation: Facility staff did not allow resident to have private visits with family On 9/11/23 LPA reviewed facility visitors list. During review, LPA noted that between the periods of 10/11/22 and 9/11/23, resident’s daughters visited over 30 times. This number does not include the number of visits from, “family” written on visitors list. On 9/4/23, Labor Day, S1 stated that the facility had an outbreak of covid-19 and visitors were given a choice to visit or not but must wear PPE. Cont'd On 9/11/23 LPA interviewed residents 1- resident 8 (R1 – R8). LPA asked residents has any of your visits been refused and all eight residents interviewed stated that their visits have not been refused. On 9/11/23 LPA Shirley interviewed staff 1 – staff 8 (S1 – S8). LPA asked staff if any one’s visits were being refused and all staff interviewed stated that no resident has had any visits denied. Based on interviews and records review there is insufficient evidence to support the allegation: Facility staff did not allow resident to have private visits with family. 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 allegations are Unsubstantiated . Allegation: Facility staff did not allow resident to keep their own personal possessions On 9/11/23 LPA interviewed the Director asking them if any personal possessions are being locked up in their office. The Director stated that the police called and said to take the residents personal phone because resident was making numerous calls to the police department. On 9/4/23, a family member called the police from the facility, police came out to investigate and gave the phone to the family member and verified that resident’s landline was in their room just unplugged. The Director gave the phone to the policeman. This facility has no knowledge regarding any missing items/possessions for this resident. Based on interviews and records review there is insufficient evidence to support the allegation: Facility staff did not allow resident to keep their own personal possessions. 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 the LIC 9099 and appeal rights forms were provided to the Director, Susie Fuentes. Page left blank as document was amended.