complaint·January 10, 2025

Allegation: Facility staff did not dispense medications to resident as prescribed On 1/10/25, LPA Felisa Shirley conducted a review of resident’s service file including Medication Administration Records (MAR). Records revealed that there three medications with dates with no entries by made by Med Techs and there are three prescribed medications that were not dispensed and still in the bubble pack. LPA Shirley interviewed staff-1 thru staff-7 (S-1 thru S-7). LPA asked, does staff dispense medications to residents as prescribed? Of those interviewed, 7 out of 7 answered yes. LPA interviewed Resident-1 thru Resident-7 (R-1 thru R-7). LPA asked, do you receive your medications as prescribed by your doctor?” Of those interviewed, 6 out of 7 answered yes and 1 answered no. According to the information gathered there is sufficient evidence to support the allegation mentioned above. Based on interview and record review the licensee violated the California Code Regulations (CCR) of Title 22, Division 6, Chapter 8. Deficiencies are issued and an exit interview is conducted with Melissa Flores. A copy of this report and appeal rights were provided. Allegation: Facility staff spoke inappropriately to resident It is being reported that R-1 was spoken to inappropriately by management. On 1/10/25, LPA spoke with R-1 and resident stated that they were told that they had to make an appointment to speak to management, that this is not a medical facility and maybe did not belong in this facility. LPA Shirley interviewed staff-1 thru staff-7 (S-1 thru S-7). LPA asked, do you speak inappropriately to residents? Of those interviewed, 7 out of 7 answered no. LPA interviewed Resident-1 thru Resident-7 (R-1 thru R-7). LPA asked, has staff or management spoken to you inappropriately?” Of those interviewed, 6 out of 7 answered no, and 1 answered yes. Based on information gathered, LPA did not find sufficient evidence to support the allegation “Facility staff spoke inappropriately to resident,” therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of the LIC 9099 report was provided to Melissa Flores, Executive Director.