complaint·April 12, 2022

Regarding Allegation #1 : this investigation revealed that the facility provides ongoing continuing education hours of medication training to facility staff who administer medications to the residents. LPA/RA Ceniceros reviewed documentation for medication training topics: “ Assisting with Self-Administration of Medications: Guidelines ” on 07/01/21; “ Common Medications and Their Side Effects ” on 07/01/21; “Psychotropic Medications: Anti-psychotics and Beyond” on 07/01/21; “ Safely Monitoring the Medication ” on 03/06/21; “ California RCFE Medication Policies and Procedures ” on 03/05/21 and 03/11/21; “ Medication Documentation and Safety ” on 03/05/21 and 07/01/21; “ Introduction to Medication Management ” on 03/05/21; “ Providing Medication Assistance – California ” on 03/05/21. Administrator Peggy Clark stated that the medication training also includes a medication aide training final exam entitled, “ Assisted Living Med Aide Training Final Exam ” (dated 08/15/21 and 11/30/21). LPA/RA Ceniceros interviewed eight (8) facility staff members (S1-S8) who administer medications; and, the majority indicated that they have received medication training including completing a final exam. LPA/RA Ceniceros interviewed eight (8) residents (R1-R8) who replied that they have not had an issue with facility staff not trained to administer their medication or meeting their daily needs. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation of OTHER: Facility staff member is not adequately trained is found to be UNSUBSTANTIATED. Regarding Allegation #2 : this investigation revealed that facility staff communicate with the residents. The Administrator, Asst. Administrator, Marketing Director practice an "open-door" policy with the residents. LPA/RA Ceniceros interviewed eight (8) facility staff members (S1-S8); and, the majority indicated that staff communicate with residents and no resident has informed them about a communication problem between them. LPA/RA Ceniceros interviewed eight (8) residents (R1-R8); and, the majority agreed that they are able to communicate with facility staff and are aware of an “open-door” policy with Administration. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation of PERSONAL RIGHTS: Facility staff are not adequately communicating with residents is found to be UNSUBSTANTIATED. An exit interview was conducted and copy of the Complaint Report was provided to Administrator (Peggy Clark).