complaint·November 18, 2024

The investigation revealed the following: Allegation: Staff did not administer medication to residents as prescribed. On 11/18/2024 between the hours of 11:44am – 12:07 pm, LPA interviewed Administrator (A1) and Staff # 1 – Staff #4 regarding the allegation. 2 out of the 4 staff interviews, confirmed the allegation and 2 of the 4 staff interviewed denied the allegation. On 11/18/2024 between the hours 11:05am – 11:26 am interviewed residents #1 - #6, 3 out of the 6 residents confirmed the allegation and 3 out of 6 residents denied being aware of the allegations. On 11/18/2024 at 1:15pm, LPA conducted 8 medication administration record review whihc revealed the following: for 1 out 8 residents medication review, revealed the facility does not have the residents prescribed medication for trazadone, senna and setraline. 7 out 8 resident medication review revealed, the medication administration record is not signed that resident was administrated the medication for various dates. Substantiated: Based on LPAs observations and interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D. Civil penalty is assessed in the account of $250 for repeat violation with 12 month period. Exit interview conducted with Fabiola Mariano (Administrator) and copy of the report and appeal rights were provided.