complaint·December 21, 2023

The investigation revealed of the following: Allegation " Staff did not provide resident with medications as prescribed. " LPA interviewed seven residents, seven out of seven denied the allegation and reported staff take good care of their medication and staff administrated their medication daily. LPA interviewed staff and stated R1's sister dropped off the medication after R1 was discharged from the hospital but without any doctor's order and it's an injected medication which the facility cannot administer (Fulphia). The staff told R1's sister that they cannot administer as they are not a medical facility. LPA also inspected seven (7) residents' medication and all the medication are centrally stored and all resident medication are following with the doctor's order and seemed accurate and updated. Based on the interviews conducted, observation and documents reviewed, 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. Exit interview held and a copy of the report was provided The investigation revealed of the following: Allegation " Staff did not ensure resident had oxygen." It's alleged that R1's oxygen tanks were not filled and R1 had no oxygen. LPA interviewed staff and stated R1 was discharged from the hospital along with the oxygen tank. Staff reported R1 has been in and out from the hospital recently. LPA asked staff if R1's oxygen tank were empty while R1 was sent out to the hospital and staff stated they do not know anything about it. According to the hospital staff, a witness was observed R1's oxygen tank were not filled and R1 had no oxygen. Based on the observation and interviews conducted with staff, the preponderance of evidence standard has been met, therefore the above allegation(s) 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 Interview conducted and a copy of the report and appeal right was provided.