complaint·January 29, 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.