complaint·August 19, 2021

The investigation revealed the following: Allegation: Facility staff mismanage medications. It is alleged Facility staff mismanage medications. On 05/25/2021 LPA Jose Calderon interviewed Administrator (S1) who stated S1 staff did not mismanage medications for R1. On 5/25/2021 LPA Calderon requested copies of the following: Needs and Service plan, Physician Report, medical reports for past 3 months, Medication list, SIR reports for 3 months records for R1. LPA Calderon reviewed MAR and did not observe medication discrepancy at this time of visit. On 6/07/2021 LPA Calderon interviewed S2-S6 who stated that the Med-Techs keep records of what they give to residents daily. On 05/31/2022 LPA Calderon interviewed R2 - R9 and residents did not state that staff was mismanaging their medication and they were happy with the service given. Allegation: Facility does not have adequate staffing. It is alleged Facility does not have adequate staffing. On 05/25/2021 LPA Jose Calderon interviewed Administrator (S1) who stated there are enough employees, but some staff take vacation, but this does not effect service of the residents. On 5/25/2021 LPA Calderon requested copies of the following: Staff personal records, time sheets. Record received did not note any staffing issue or a mismanagement of staff. On 6/07/2021 LPA Calderon interviewed S2-S6 who stated that they were not short staffed. On 05/26/2021 LPA Calderon interviewed R1 who stated there were no staffing issues.. On 05/31/2022 LPA Calderon interviewed R2 - R9 all residents states there is enough staff to provide services to all residents in their care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted with Administrator Peggy Clark, and a hard copy was provided via email for records.