complaint·August 29, 2024

Records review of R1’s MAR revealed a note entered by Staff Two (S2) for R1’s medication with instructions “TAKE 1 CAPSULE BY MOUTH TWICE DAILY **NEED TO CLARIFY ORDER – IS WRITTEN AS 200MG” with a Start Date set at 09/08/2023 with an End Date 09/08/2023. Records review of R1’s Medication Administrator Record (MAR) revealed on 10/13/2023 staff stopped administering the medication with a 500mg dosage to R1 with a written in note “Change of Order”. Records review of R1’s MAR after 10/13/2023 did not have R1’s prescribed medication with a dosage of 200 mg with orders to take twice daily. Interview with Staff Three (S3) revealed staff will only give mediation that is listed on the MAR and the prescribed medication was not given to R1. Based on LPA’s observations, interviews conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation(s) is/are found to be substantiated. California Code of Regulations (Title 22, Division 12, Chapter 1), are being cited on the attached LIC 9099 D. An exit interview was conducted, and a copy of this report was provided to Garcia,