complaint·March 4, 2026

Interviews Conducted revealed: Staff (1-6) confirmed the facility’s medication scanner was functioning properly from January 2026 to present date. R1 stated that routine medications are often not administered on time. Staff (S1–S6) confirmed that MAR entries include the medication name, dosage, administration time, and staff initials, stamped at the time of administration. Observations: LPA observed a demonstration by five staff members (S1–S5) of the medication scanner scanning a sample resident medication. The printed timestamp accurately reflected the time, date, and medication description at the time the sample was conducted. Records Review: MARs for R1 from December 2025 and January 2026 indicate multiple routine medications were administered 1–2 hours after the prescribed time. The scanner demonstration confirmed equipment is operational, eliminating equipment malfunction as a justification for late administration as previously stated. Based on the evidence gathered, interviews conducted, observations, and records reviewed, the preponderance of evidence standard has been met; therefore, the allegation is SUBSTANTIATED. This is a violation of California Code of Regulations, Title 22, §87465, Incidental Medical and Dental Care. A citation is being issued on the attached LIC-9099D. An exit interview, a copy of this report, and appeal rights were provided to the Administrator.