complaint·January 15, 2026

LPA reviewed all six (6) of the residents’ medications and discrepancies were observed for three (3) out of the six (6). Resident #2’s medication (Quetiapine Fumarate 50MG) and Resident #3’s medications (Docusate Sodium100MG and Senna 8.6MG) are not given as indicated on the MAR log. Per staff, they were instructed not to give them either by the family member or nurse. However, there were no physician’s order for the instruction. In addition, Resident #4’s medication (Acetaminophen 500MG) was not given at noon time consistently. Based on LPA observations, interviews conducted, and record review, 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. An exit interview was conducted. The Plan of Correction was reviewed and developed with the administrator via telephone. A copy of this report and appeal rights were provided. LPA interviewed the administrator and staff regarding this allegation. The administrator stated that no doctors have contacted her to inquire or obtain documents for any of the residents. Administrator also stated that staff are aware that they should not be providing any information without notifying her or receiving an approval. LPA interviewed two (2) staff who stated that no doctors or family members have requested any records or ask for specific information of a resident. One of the Staff recalled a nurse contacting the facility last week to inquired if someone called about Resident #1. Staff responded no and there was no other information requested. Staff interviewed denied falsifying any residents’ records. LPA interviewed family members who stated they have not requested any of the residents’ documents and have not encountered staff providing inaccurate information. LPA reviewed three (3) residents’ files. The files appear complete, and LPA did not observe any information crossed out or appeared altered. Based on the information gathered, there is insufficient evidence to prove that staff are falsifying residents’ records. 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 Staff W. Del Rio. A copy of this report, along with the appeal rights, was provided.