complaint·June 18, 2025

(Continued from LIC 9099) get mixed on occasion and are audited by the facility Memory Care Director (MCD) for accuracy. Per facility surveillance camera footage obtained, facility Executive Director Dyan Summerell found narcotics from a deceased resident (R6) in facility Memory Care Director's desk. Per facility records, R6 passed away on March 24, 2025. Narcotics were discovered by ED Summerell on May 07, 2025. Per facility medication destruction protocol, medications are to be destroyed or returned to dispensing pharmacy upon a resident passing. An interview with interim Health and Wellness Director (HWD) stated the medications are destroyed immediately, upon a resident's passing, with a designated staff member and another adult witness who is not a resident. HWD and ED Summerell destroyed medications upon discovery in MCD's office on May 12, 2025. Facility Memory Care Director was placed on leave effective May 05, 2025, unrelated to the undestroyed medications incident. Following discovery of the undestroyed medications, facility Memory Care Director was terminated from the facility. Based on LPAs' observations, interviews and record reviews, the preponderance of evidence standard has been met, therefore the allegation that Staff are mismanaging resident medications is found to be Substantiated California Code of Regulations (Title 22, Division 6 Chapter 8) are being cited on the attached LIC 9099-D. An exit interview was conducted with ED Figueroa and a copy of this report, the LIC 9099-D, LIC 811 Confidential Names and Appeal Rights were given at time of visit. ****This is an amended report.**** (Continued from LIC 90990-C) ****THIS IS AN AMENDED REPORT**** This page was incorrectly placed under the Substantiated LIC 9099)