complaint·August 27, 2024

In regard to the allegation” Staff did not provide a safe and comfortable environment for residents” it is alleged medication is being left unattended within the facility and that med techs are providing residents with medications and not ensuring that the medications have been taken. The investigation consisted of tour of the facility dinning room and a random sample of resident rooms. LPA Reyes examined the dresser and trash cans of Resident #1 (R1) R1-R4, R6-R10, and R12's room. (5) of (8) staff confirmed the allegation. Staff indicated that they have witnessed pills inside the hallways, in resident's rooms, in the dinning room, and on the property outside the facility. (10) of (12) residents could not corroborate the allegation. LPA Reyes toured the dinning room and observed at 12:09 PM Staff #8 (S8) had left the med cart unattended and unlocked for few minutes while outside in the court yard administering resident's medication.When S8 returned from outside S8 apologized and stated they have forgot to lock the cart. LPA Reyes informed S8 it is important the cart remains locked when unattended. Therefore, 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. Exit interviewed conducted with Francine Reyes Wellness Director and a copy of this report was provided with appeal rights. In regard to the allegation “Staff mismanaged residents' medication” it is alleged residents are not receiving their medication. It is alleged that some residents medications are being left on their dressers, in the dining room tables, or in their trash cans in their rooms. (8) of (8) staff interviewed denied the allegation. Staff indicated the following that they ensure all residents take their medication before assisting another resident with medication. Staff assist residents by providing water and notifying residents when it is time to take medication.(9) of (12) residents denied the allegation. Residents interviewed indicated that staff are efficient in administering medication. Residents state they receive their daily dose of medication. LPA Reyes conducted record review (6) or (6) residents' August 2024 "Physicians Current Orders of Routine Medication" and medication is being given as prescribed by a physician. LPA Reyes observed in dinning room at 12:09 PM staff #8 (S8) member assisting with administering medication to residents. Based on the interviews conducted, files reviewed, and observations conducted there was not enough supportive evidence to concur with the reported allegation; although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Exit Interviewed conducted and a copy of this report was provided.