complaint·October 2, 2024

The allegations revealed the following: Allegation: Staff did not give resident medication On 10/02/24 the Department audited the facilities Medication Administration Records (MAR) dated September 2024. Documents were reviewed for 5 residents, and 5 out of 5 MAR’s showed residents did not receive medication several days in September 2024. All MAR’s reviewed show blanks spaces and no notation that medication was refused, or resident was out of the community for several different dates and times. On 10/02/24 LPA Watson interviewed staff #1-#6 (S1-S6), of those interviewed 2 out of 6 stated they believed residents had not received medications. On 10/02/24 LPA Watson interviewed residents #1-#5 (R1-R5). Of those interviewed, 5 out of 6 stated they believed they had not received medications. Based on evidence gathered, interviews conducted, records reviewed, the preponderance of evidence standard has been met; therefore, the allegation of " Staff did not give resident medication " is found to be found to be SUBSTANTIATED. Allegation: Staff are not documenting medications properly On 10/02/24 the Department audited the facilities Medication Administration Records (MAR) dated September 2024. Documents were reviewed for 5 residents, and 5 out of 5 MAR’s showed blank spaces throughout the record. Per the charting codes given on the eMar, there is a code for each action, so there should be no blanks spaces for daily medications. Continued on 9099-C On 10/02/24 LPA Watson interviewed staff #1-#6 (S1-S6) and of those interviewed 1 out of 6 stated the MAR had not been documented properly. LPA Watson asked the additional question of what blank spaces meant on the MAR, and of those interviewed, 4 out of 6 stated blank spaces meant the medications were not properly documented. On 10/02/24 LPA Watson interviewed residents #1-#5 (R1-R5). Of those interviewed, 3 out of 6 stated they believed there medications had not been properly documented. Based on evidence gathered, interviews conducted, records reviewed, the preponderance of evidence standard has been met; therefore, the allegation of " Staff are not documenting medications properly " is found to be found to be SUBSTANTIATED. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), the following deficiencies have been observed and a citation issued (ref. LIC 9099D). An exit interview has been conducted and a copy of the Complaint Report and Appeal Rights was provided to the Executive Director Fabiola Mariano.