complaint·July 27, 2021

Interviews revealed Resident #1 has a history of UTI and had recently developed a strong urine smell. Per interviews conducted, the doctor was contacted on 7/15/21 in regards to the urine smell. Facility provided a urine sample to the POA on 7/19/21 and the resident was diagnosed with a UTI on 7/25/21. Order for medication was placed with pharmacy and the medication was received today 7/27/21. Based on LPA's interviews conducted and records reviewed, investigation revealed: Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated. No Deficiencies cited under California Code of Regulations Title 22. An exit Interview was conducted with the Administrator and a hardcopy was provided. Upon reviewing Medication Administration Log (MAR log), LPA observed the 20mg Furosemide for today 7/27/21 not administered and still packaged. The MAR log was signed off as administered but the medication was still packaged and not dispensed for 7/27/21. Records indicated the medication was supposed to be administered at 8AM. LPA's also noted the following discrepancies, Potassium and Setraline was administered at 8AM and not signed off. The State of California, Department of Social Services, Community Care Licensing Division investigated the allegation " Staff failed to provide residents medications as prescribed" , based on records reviewed and observation the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiencies cited under California Code of Regulations Title 22. Exit interview was conducted with the Administration and a hard copy of the report and Appeal Rights were provided.