complaint·July 31, 2023

9099C-1... The Department received an incident report (LIC624) by email on 7/21/23 from the Interim Administrator reporting that a bottle of Norco was missing for resident (R1) from the medication room. The Log Book finder notes the bottle of Norco was logged on 7/14/23 (8:53 pm), by staff (S1), as received; however, there is no record of the medication on the Centrally Stored Medication and Destruction Record (LIC622). LPA reviewed the Medication Administration Record (MAR) for R1 for July 2023 and observed the medication to have been last initialed as administered, twice daily, as ordered, on 7/17/23. LIC624 reports that R1 missed one day of Norco medication on 7/20/23; however, there were no staff initials entered for days 7/18/23, 7/19/23, 7/20/23, noting the medication was either administered to or refused by the resident. Med-Tech staff stated a PRN prescription for Norco replaced the scheduled prescription effective 7/21/23. LPA observed notes on the MAR that scheduled Norco was discontinued on 7/22/23. Based on information obtained and reviewed, LPA finds the allegation to be SUBSTANTIATED- A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Per California Code of Regulations, Title 22, Division 6, Chapter 8, the following (1) citation is issued on the 9099-D page. Exit interview. Copy of report and appeal rights provided.