complaint·February 15, 2024

(continued from page 1) On May 30, 2022, it was also alleged that Resident #2 (R2) was given last antidepressant medication on May 20, 2022. Information from additional witness reported that refill medication was provided to the facility on May 5, 2022, but the medication was unable to be located. Information obtained from staff interviews stated that facility staff has always provided medication as prescribed. It was advised that Med Techs are responsible to distribute the medication to residents. It was also advised that the facility utilizes a program to document the distribution of medication and med techs are responsible to document the medication. Information obtained from additional witness stated that they visited the facility on May 21, 2022 and the facility was still not able to locate R2’s medication. Additional witness stated that they distributed R2’s medication due to having spare medication on their person. Additional witness stated she planned to provide medication to R2 on May 22, 202, but facility staff contacted additional witness and advised that the medication was located. Information obtained from record review of R1 Medication Administration Record, (MAR) revealed that R1 did not received prescribed medication on the following dates: 7/23/2021, 7/25/2021, and 7/26/2021. It was also observed that R2 did not receive prescribed medications on 5/21/2022. Based on interviews and observation, the allegation that the facility did not dispense resident medications as prescribed is SUBSTANTIATED. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The facility will be cited for violation of California Code of Regulations, Title 22, Division 6, Chapter 8, Sections 87465(c)(2). This poses a health and safety risk to clients in care. An exit interview was conducted with Maritza Lujan. A copy of the report, 9099-D, along with Appeal Rights were provided to Maritza Lujan.