Complaint·May 5, 2026

Allegation: Facility staff did not dispense medications as prescribed It is alleged that on 4/26/26 there were no personnel on-site to administer the daily morning medications to residents. During staff interviews, multiple staff reported that scheduled medication technicians (med techs) were not present at the start of the morning shift due to no-call/no-shows. Staff stated that residents inquired about their medications and that medication administration was delayed until additional staff arrived to provide coverage, resulting in a delay in the morning medication administration window. During resident interviews, residents reported that medication technicians (med techs) were not available and that the Administrator and Assistant Administrator provided coverage and administered medications. Residents stated that medications were administered late. A review of the Medication Administration Records (eMARs) indicated that medications were administered outside of the morning medication window of 7:00 a.m. to 9:00 a.m. Documentation reflected that medications were administered between approximately 9:30 a.m. and 12:30 p.m. A medication review was conducted, and medications were observed to be on hand at the facility. Based on LPA's observations and interviews which were 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 1 are being cited on the attached LIC 9099D.