complaint·August 8, 2022

Regarding Allegation #1 : Facility staff mismanaged residents’ medications. On 08/08/2022 LPA Calderon interviewed W1 who states that staff have many times run out of W1 insulin and many times W1 has witness staff use W1 insulin for another resident or take medication from another resident and give that medication to W1. W1 states that this is the first time W1 filed a complaint as staff does this all the time. On 08/08/2022 LPA Calderon interviewed S1-S5, S1, S3, S4 have no information regarding the mismanagement of W1 medications. S2, S3 state that W1 type 75 insulin had run out and W1 went 3 days without taking type 75 insulin shot. S2-S3 state that no staff ever shares medication from one resident supply with another resident and has never used needles from another resident supply for use by another resident living in the facility. On 08/08/2022 LPA Calderon interviewed R2-R10 all state to be happy with services provided by staff and staff have never run out of their medication and have never used another medication supply for other residents use. On 08/08/2022 LPA Calderon reviewed Physician Report, Needs and Service plan and MAR for July and August for W1, reports state that W1 has diabetes and take type 75 insulin. Reviewed MAR for R2-R4, no issues or concerns noted. Based on LPA Calderon observations and interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 are being cited on the attached LIC 9099D. An exit interview was conducted and copy of the Complaint Report and Appeal Rights were provided to the Administrator (S1).