complaint·February 8, 2024

Continued from LIC9099 Review of Facility’s Program Plan for Medication Management stated the following “written physician orders for all medications are maintained in the resident’s chart…” Staff interviews conducted stated that a physician order is to be received by the facility and faxed to the appropriate pharmacy for the medication to be filled. Based on review of documents, interviews conducted, and observations made, this allegation is Substantiated . A finding that the complaint allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiencies, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Facility conducted an in-service training covering Medication Management which reviewed Medication Orders and Changes on 01/25/2024. LPA was provided with a copy of training documentation and cleared the deficiency cited today, 02/08/2024, during visit. Exit interview conducted. Plan of Corrections reviewed and developed with Regional Health and Wellness Director and Regional Operations Specialist. Copy of report, LIC9099D, Plan of Corrections, and Appeal Rights discussed and provided to Regional Health and Wellness Director and Regional Operations Specialist. Signature on form confirms receipt of documents. Continued from LIC9099 Review of Facility’s policy “Transferring Medication for Home Visits and Outings” stated the following “When a resident leaves the community for a short period of time during which only one dose of medication is needed, the Designated staff person gives the medications to a responsible party in an envelope (or similar container) labeled with the resident’s name, name of medication(s), and instructions for administering the dose…the person entrusted with the medications agrees in writing as to the amount of medication received on behalf of the resident and the appropriate dosing amount and schedule.” Review of R1’s file indicated that R1’s eyedrops and medication instructions were provided to R1’s Responsible Party so it could be administered to R1 while out of the community. Based on review of documents and observations made, this allegation is Unsubstantiated. A finding that the complaint is Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Exit Interview conducted. Copy of Report discussed and provided to Administrator. Signature on form confirms receipt of documents.