complaint·January 12, 2023

During the visit today, LPA reviewed medication for 4 residents. There were discrepancies found on all 4 residents’ medications. LPA observed that 3 of the medications listed on Resident #1’s MAR log were missing. Residents #2, #3, and #4 all had an extra bottle of medication that was not listed on the MAR log. Staff could not provide the physician’s order for the extra medications found. Staff stated that residents are medication compliant. LPA interviewed 3 residents and all 3 stated they take their medications daily. In addition, LPA observed a clear container with 3-4 pills on a chair inside Resident #1's room at approximately 11am. When LPA inquired about the container of pills, staff replied the resident wanted to take the morning pills later. Resident #1's physician's report indicated that resident is not able to store own medication. Based on LPA observation, 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 Corrections were reviewed and developed with Staff Elizah Arganosa. A copy of this report and appeal rights were provided. The residents interviewed stated they get 3 meals a day and snacks. Some stated they offer snacks but sometimes decline it. They have no concerns in regard to not getting fed enough. LPA observed sufficient amount of food for 4 residents. Regarding allegation, Staff failed to treat resident with dignity and respect. Administrator and staff stated they treat all residents with dignity and respect. The Administrator stated if he observes or hears a staff member mistreating a resident, he will terminate the staff immediately. Staff denied making inappropriate comments toward a resident or disrespecting them. They stated they receive training on personal rights and are aware of how they interact with residents. 2 out of the 3 residents interviewed feel that the staff are always helpful and respectful. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Staff Elizah Arganosa and a copy of this report was provided.