complaint·December 9, 2024

Investigation Revealed the Following: Allegation: Allegations: Staff are not safeguarding resident's belongings. The details of the complaint alleged that facility staff are not safeguarding residents’ belongings. During the record review, LPA Iniguez reviewed the (R#1-R#4) inventory. LPA observed that the facility did not document residents’ personal belongings on the list and does not have them sign the form upon admission. During an interview with (R#1-R#4), (4) out of (4) stated that the facility did not make an inventory list of their personal belongings upon admission. Allegation: Staff mismanaged resident's medication On April 9, 2025, at approximately 10:30 AM, during a records review conducted on February 11, 2025, the department received new information indicating that (S#2) reported (R#1) is not taking Metoprolol and Xarelto. (S#2) also stated they are unable to refill these medications, which is why (R#1) does not have them and is not taking them. Additionally, LPA Iniguez reviewed the facility’s Plan of Operation regarding medication policies and procedures. It states, "This facility will assist residents with their medications, provide them with their prescribed medications, and reorder them when necessary." During this investigation, LPA found sufficient evidence to support the above-mentioned allegations. Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), the above-mentioned deficiencies were observed, and citation issued (ref. LIC 9099D). An exit interview was conducted, and a copy of the Complaint Report was given to Muriel Cabacungan/ Assistant Administrator Amended document: allegation of staff mismanage resident's medications findings changed from unsubstantiated to substantiated . See amended LIC 9099 for more details. Allegation: Allegations: Licensee does not ensure that staff have required medication training. The details of the complaint alleged that facility staff is not trained on how to manage residents’ medications. During the records review, LPA Iniguez reviewed facility staff medication training; a pharmacy provides the training, and it is 8 hours long. The training includes roles and responsibilities, terminology, types of medication, basic rules and precautions of medication assistance, medication forms, procedures for assisting with self-administration, medication documentation, storage, security and documentation, ordering, and the receipt of medications and side effects. The training is provided every year to most of the facility staff. During an interview with the administrator (A#1), she stated that most of the staff members are trained on how to manage and dispense medications and are trained every year. During interviews with residents (R#1-R#4), (3) out of (4) stated that they feel the facility is well-trained regarding medication administration. During interviews with staff (S#1-S#3), (3) out of (3) stated that they are trained regarding medication administration and get trained every year. Evaluation Report continues LIC 9099-C Allegation: Allegations: Staff do not ensure that facility is clean and sanitary. The details of the complaint alleged that facility staff do not ensure facility is clean and sanitary. During a Health and Safety check of the facility, LPA Iniguez randomly inspected three residents’ rooms, kitchens, and common areas; LPA observed that the facility was clean and sanitary. During an Interview with the Administrator (A#1), she stated that the facility is clean and sanitary. During interviews with residents (R#1-R#4), (4) out of (4) stated that the facility is clean and sanitary. During interviews with staff (S#1-S#3), (3) out (3) stated that the facility is clean and sanitary. During this investigation, LPA found did not find sufficient evident to support the above-mentioned allegations. Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation(s) are found to be UNSUBSTANTIATED. 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. An exit interview was conducted, and a copy of the Complaint Report was given to Muriel Cabacungan/ Assistant Administrator