complaint·November 14, 2025

R4 stated that staff secure the medications properly. Per R5, staff manage her medications and reported that staff safeguard the medications properly. During the course of the interviews with staff, Staff 1 (S1) reported that staff properly safeguard the Medications in the Medication carts and stated that only the MTs have a key to lock the Medication cart. S2 stated that staff properly safeguard the residents' Medications. Per S3, staff always safeguard the Medications in the Medication room. Regarding the allegation that facility staff are not trained in medication administration, the following was revealed: During the course of the investigation LPA reviewed documents including the Medication Technician Training Records dated April 13, 2023, for staff S1-S5. Per Medication Technician Training Record, S1-S5 completed 24 hours of initial training. Per Medication Technician Training Records S1-S5 completed 16 hours of hands-on shadowing training and eight hours of instructions/online training. During the course of the interviews with residents, R1 reported that staff are trained in medication administration. Per R2, staff are properly trained in medication administration. R4 stated that staff have completed all their trainings and reported that he is very happy with all staff. Per R5, staff are trained in Medication administration. During the course of the interviews with staff, S1 reported that the MTs have completed their trainings on administering Medications. Per S3, the MTs are trained in administering Medications and stated that the MTs do monthly Relias trainings and do monthly in-service trainings as needed. During the course of the interviews ED reported that staff are trained on Medication administration and stated that staff complete their trainings online or in-service trainings as needed. Therefore, the allegations are deemed UNFOUNDED, meaning the allegations are false, could not have happened and/or are without a reasonable basis. LPA Ramirez conducted an exit interview with ED and a copy of this report was provided to the facility. Per S2, staff have never performed injections on the residents. S3 stated that staff have never performed injections on the residents. During the course of the interviews ED reported that staff are not allowed to perform injections since this is an Assisted Living. Per ED, the facility does not have the proper staff to perform injections. Regarding the allegation that facility staff falsified documents, the following was revealed: During the course of the interviews with individuals eight of nine individuals interviewed denied the allegations. During the course of the interviews with residents, R1 reported that she doubts that staff have falsified documents and stated that she has no complaints. Per R2, staff do not falsify documents. R3 stated that she does not have knowledge about staff falsifying the residents records. Per R4, he does not know if staff have falsified documents. R5 reported that staff do not falsify documents. During the course of the interviews with staff, S1 reported that staff have never falsified facility records and stated that she has never witness staff being forced to falsify documents. Per S2, she heard that staff sign for missing Medications. S3 stated that staff have never falsified facility or resident records. Per S3, she has never forced staff to falsify the Medications documentation. During the course of the interviews ED reported that if staff falsify documents, staff would be written up or terminated. Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED. For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations. LPA conducted an exit interview with ED Vadnais, and a copy of this report was provided to the facility.