complaint·September 7, 2021

While reviewing medications for current residents at the facility, residents #1, 10 and 11, LPA's discovered no Medication Administration Record (MAR) logs for the month of September 2021 were available. Per Licensee, she had not created the logs but was still dispensing medications to all residents. Upon reviewing their logs for August, LPA's notice a patterned of medication not being dispensed on certain days, in particular Tuesday's and Saturday's. No medication was dispensed on August 14th, 17th, 21st, 24th, 28th, and the 31st according to August's MAR log. Resident #1 was missing medication (LATANOPROST 0.005%) eye drops. Resident #1 had a multi-vitamin and Stool softener (DOCUSATE SODIUM 100mg) in the residents medication with out a physicians order. Per Licensee, they have been giving both to the resident without the order. Resident #10 had several discrepancies of the following medication (LISNOPRIL 40MG, SIMVASTATIN 20MG, NIFEDIPINE 30MG, FUROSEMIDE 20MG, FINASTERIDE 5MG, and CLOPIDOGREL 75MG), all these medications had excessive amount of pills left indicating it was not given as directed. Resident #11 was not given their medication (MELATONIN 3MG) as directed by physicians order. Per August MAR log, the resident was not given the melatonin everyday and the facility had a duplicate prescription that appeared was given to the resident twice a day instead of once a day. Based on records reviewed and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Deficiencies cited under California Code of Regulations Title 22. Please see LIC 9099D An exit interview was conducted with Margarita Stark and copy of this report was provided. Appeal Rights provided. All resident interviewed stated they are changed in a timely manner and have no issues with the time it takes for the staff to change them. Interviews with staff also indicated there is no staffing issues and residents are changed promptly. Per interviews with staff, residents are checked on every 2 hours. Based on interviews conducted there was not enough supportive evidence to concur with the reported allegation. Although the allegation 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 with Margarita Stark and copy of this report was provided.