complaint·August 21, 2025

9 out of the 9 staff members did not agree with the allegation. Although S1 stated that the facility has a system in place to ensure that medications are given to residents in care, S1-S5 were not able to explain why the medications for S1-S3 were unaccounted for. LPA observations revealed the following: On 07/25/2025, R1-R3 residents bubble pack medications were popped on incorrect days with no document to explain the reasons. R1 and R2’s medication for 07/26/2025 and R3’s medication for 07/31/2025 were unaccounted for without documentation or explanation. Records review revealed the following: The July 2025 medication administration records (MAR) for R1-R2 did not indicate that R1 and R2’s medication for 07/26/2025 and R3’s medication for 07/31/2025 were given. Based on interviews, observation and records reviews the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated. California Code of Regulations, Title twenty-two (22), Division six (6), is being cited, please see attached LIC-9099D. A Civil penalty is being assessed for repeat violation please see LIC421RP. An exit interview was conducted, plans of corrections were developed and appeals rights were provided to Catherine Dacara . Interviews conducted revealed the following: 10 out of the 11 residents did not agree with the allegation, and 1 out of the 11 residents agreed with the allegation. 9 out of the 9 staff members did not agree with the allegation, S1 said that all staff that give medication need to attend a course, pass a test, and shadow other Medtech’s before allowed to give medications to residents. LPA observations revealed the following: On 07/25/2025 and 08/06/2025 LPA observed Medtech’s S1-S4 administering medication to residents. Records review revealed the following: S1-S6 all had certificate of completion of Basic Medication Training Course in staff records. Based on the evidence gathered, interviews conducted, and records reviewed, although the allegation "Unqualified staff operating the facility" 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 is unsubstantiated. Investigation revealed the following: Regarding the allegation "Staff did not treat residents with dignity and respect" it is being alleged that staff are yelling and using profanity when talking to residents. Interviews conducted revealed the following: 10 out of the 11 residents did not agree with the allegation, and 1 out of the 11 residents agreed with the allegation. 9 out of the 9 staff members did not agree with the allegation, S1 said that all residents are treated like family and are respected. LPA observations revealed the following: On 07/25/2025 and 08/06/2025 LPA observed staff treating residents respectfully. Based on interviews conducted and LPA observations, although the allegation "Staff did not treat residents with dignity and respect " 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 is unsubstantiated. An exit interview was conducted, and appeals rights were provided to Catherine Dacara .