Complaint·July 26, 2025

Investigation Revealed the Following: Allegation: Staff did not administer resident’s medication as prescribed. The details of the complaint alleged that facility staff is not administering to (R#1) their medication as prescribed. On July 26, 2025, at approximately 9:00 a.m., during a records review, LPA Iniguez examined (R#1)’s Medication Administration Records (MARs) from June 2024 to October 2024. LPA Iniguez noted that (R#1) received their pain medications as prescribed by the physician. On July 26, 2025, at approximately 11:00 a.m. LPA Iniguez conducted an interview with the Business Office Manager (A#1). During the interview, (A#1) stated that the Medtech’s are responsible for dispensing medications. They receive training from the pharmacy, supervisors, and through Relias, as well as one-on-one instruction. In addition, (A#1) also confirmed that (R#1) and the other residents in care received their medications as prescribed by their physician. On July 25, 2025, at approximately 9:30 AM, LPA Iniguez contacted (R#1) by telephone, but (R#1) did not answer. LPA Iniguez left a voice message. At around 10:30 AM on the same day, LPA Iniguez attempted to reach (R#1) again, but once more, (R#1) did not pick up, and a voice message was left. For a third time, at approximately 11:30 AM, LPA Iniguez called (R#1), who again did not answer, prompting another voice message to be left. On July 26, 2025, at approximately 1:00 PM, during interviews with residents (R#2-R#10), (9) out of (9) stated that they take medication and they have never missed a dose of their prescribed medications. Evaluation Report continues LIC 9099-C On July 26, 2025, at approximately 11:00 AM, during interviews with facility staff (S#1-S#5), (5) out of (5) stated that the person who administers medication to the residents is the MedTech, and they believe the MedTech’s are trained on how to do their job. Additionally, (5) out of (5) facility staff stated that (R#1) and the other residents in care got their medications as prescribed by their physician. Allegation: Staff did not provide a safe environment for residents. The details of the complaint alleged that facility is not providing a safe environment for (R#1) and the rest of the residents in care. n July 26, 2025, at approximately 4:00 PM, LPA Iniguez conducted a Health and Safety check of the facility, touring the premises with (A#1). During the inspection, LPA Iniguez did not observe any immediate dangers to the residents in care in either the first or second floor common areas. On July 26, 2025, at approximately 11:00 a.m., during an Interview with the Business Officer Manager (A#1), she stated that the facility staff, including herself, provides a safe environment for (R#1) and the rest of the residents in care. On July 25, 2025, at approximately 9:30 AM, LPA Iniguez contacted (R#1) by telephone, but (R#1) did not answer. LPA Iniguez left a voice message. At around 10:30 AM on the same day, LPA Iniguez attempted to reach (R#1) again, but once more, (R#1) did not pick up, and a voice message was left. For a third time, at approximately 11:30 AM, LPA Iniguez called (R#1), who again did not answer, prompting another voice message to be left. On July 26, 2025, at approximately 1:00 PM, during interviews with residents (R#2-R#9), (9) out of (9) stated that they agree the facility staff provides a safe environment for them and the rest of the residents, and they feel safe living here. Evaluation Report continues LIC 9099-C On July 26, 2025, at approximately 11:00 AM, during interviews with facility staff (S#1-S#5), (5) out of (5) stated that they do provide a safe environment for (R#1) and the rest of the residents in care. Allegation: Staff did not ensure that the facility was in good repair. The details of the complaint alleged that two facility elevators were in disrepair. On July 12, 2025, at approximately 4:00 PM, during a health and safety check of the facility, LPA Iniguez observed that the elevators were functioning properly at the time of his visit. On July 26, 2025, at approximately 11:00 AM, during an Interview with the Business Officer Manager (A#1), she stated that the facility has two elevators. When one of the elevators is in disrepair, they contact the technician right away. Additionally, (A#1) stated that the elevators have never been out of disrepair for more than a week. On July 25, 2025, at approximately 9:30 AM, LPA Iniguez contacted (R#1) by telephone, but (R#1) did not answer. LPA Iniguez left a voice message. At around 10:30 AM on the same day, LPA Iniguez attempted to reach (R#1) again, but once more, (R#1) did not pick up, and a voice message was left. For a third time, at approximately 11:30 AM, LPA Iniguez called (R#1), who again did not answer, prompting another voice message to be left. On July 26, 2025, at approximately 1:00 PM, during interviews with residents (R#2-R#9), (9) out of (9) stated that the elevators have never been in disrepair for more than one week. On July 26, 2025, at approximately 11:00 AM, during interviews with facility staff (S#1-S#5), (5) out of (5) stated that there are two elevators at the facility and there are never in disrepair more than one week. Evaluation Report continues LIC 9099-C During this investigation, LPA did not find sufficient evidence to support the above-mentioned allegation(s). Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation(s) are found to be UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted, and a copy of the Complaint Report was given to Crystal Ruelas/Business Office Manager.