Complaint·December 13, 2021

In regards to the allegation: Facility staff did not notify resident's responsible party of change in resident's condition. Based on interviews with Witness, Staff and Resident, there were no apparent change in Resident's condition during the time prescribed medications were not administered. There are no medical records revealing Resident had a change of condition due to not receiving prescribed medications. Based on LPA's record review and interviews, investigation revealed: Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Exit interview conducted with Michele Goodney and a copy of this report provided. In regards to the allegation: Facility staff did not ensure that resident received medication refills. Based on record review and interviews, Resident #1's prescription medications were not refilled in a timely manner causing Resident #1's prescription medications not being administered from Dec. 01, 2021 to Dec. 06, 2021. Based on LPA's record review and interviews, investigation revealed that the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D. Failure to provide proof of corrections may result in civil penalties. Exit interview conducted with Michele Goodney and a copy of this record and appeal rights provided.