Complaint·June 2, 2023

CONTINUED FROM FORM LIC9099-A Regarding the allegations that Staff is not qualified to administer medication and that Staff is not qualified to give doctor's orders, the following has been concluded: The training records for a random sample of Med Tech staff assigned to the Memory Care unit were requested, obtained and reviewed during the initial complaint investigation visit on March 28, 2023. Additional interviews with staff involved in assisting with the self-administration of medications conducted on June 2, 2023 were also held. A majority of the evidence gathered confirms that Med Tech staff at the facility have received the training required by Title 22 regulations in order to participate in medication dispensation according to the physician's orders on file with the facility. The two allegations are therefore deemed to be Unsubstantiated, meaning that although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur. Regarding the allegation that Staff unable to meet resident needs, the following has been concluded: Interviews were conducted with Med Tech staff present in the Memory Care unit on the day of the follow-up visit as well as with the facility staff member in charge of supervising all care and Med Tech staffing. Based on the evidence gathered, staffing levels are confirmed to be adequate to the number of residents in care in the unit. Staffing levels reviewed on both the provisional and effective documents requested and obtained confirm the present of a minimum of two care staff and one Med Tech on each of the two daytime shifts (up to a minimum of three care staff and one Med Tech when Memory Care census reaches 12 residents). Staff interviews confirm the facility's ability to collectively address residents' needs as they occur. As a result, the allegation is deemed to be Unsubstantiated, meaning that although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted and a copy of this report was provided to a facility representative. CONTINUED FROM FORM LIC9099 Regarding the allegation that Toxic chemicals are accessible to residents, the following has been concluded: During the tour of the physical plant conducted by LPA on March 28, 2023, prescribed and/or over-the-counter medication or treatments were found to have been left accessible in two of the eight bathrooms of the Memory Care unit, which is targeted towards residents with a confirmed dementia diagnosis. A type A deficiency to California Code of Regulations Section 87705(f)(2) regarding the Care of Persons with Dementia is therefore being cited at this time. Based on the follow-up observation conducted today, the deficiency is confirmed to have been corrected and cleared at this time. As a result, the allegation is found to be Substantiated, meaning that the preponderance of evidence standard has been met. An exit interview was conducted and a copy of this report along with appeal rights was provided and left at the facility.