complaint·September 2, 2025

Allegation: "Facility is not keeping accurate records of resident medication." It is alleged that during an unannounced visit by the Regional Center, they observed that staff members failed to sign the Medication Administration Record (MAR) on the correct date, and there were omissions in signing the MAR altogether. Administrator was interviewed and corroborated the allegation. Administrator stated that in June 25, 2025, Regional Center conducted an unannounced visit and discovered several medication errors for R1-R2, including staff failing to sign the Medication Administration Record (MAR) on the correct date and failing to sign the MAR at all. Regional Center then instructed them to submit an incident report to CCL and Regional Center, which the Administrator submitted on the same day. The Regional Center made an unannounced follow-up visit in July 2025 after reviewing discrepancies in the SIR's submitted for R1-R2. Administrator explained the reasons behind the identified medication issues to the Regional Center. Administrator agreed with the Regional Center’s findings, as stated in the Corrective Action Plan (CAP) dated 08/07/2025, has signed and stated they would comply with it, supporting the allegation. Based on LPA’s interviews and document reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . Deficiency cited on the attached LIC9099-D. Exit interview was conducted and a copy of this report was provided to Jesse Quezada, Administrator along with the Appeals Rights.