Complaint·May 18, 2022

Staff interviews revealed that medication was ordered by the facility on 02/22/22 and ready for pick on 02/25/22, however, R1 did not pick it up timely. Staff interviews also revealed the medication not given on 02/27/22 & 02/28/22 were due to R1 not picking up the medication refill, once it was ready for pick up. Facility staff was unable to state why the medications were not obtained for R1 once it was discovered the medications were ready for pick up and R1 was missing doses. Facility’s Medication Administration Record for March 2022 reflected R1 was not given one (1) medication for a period of five (5) days. R1’s medication was not received timely in March 2022 due to miscommunication of refill. Staff interviews revealed in March 2022, R1 decided to use Kaiser Pharmacy delivery service, which is by mail and takes 3-5 days for mail delivery. Therefore, due to R1 calling in the refill on their own and not alerting facility staff caused a delay of R1 receiving their medication through the delivery service. R1 confirmed ordering refill through the mail delivery service causing the delay of that medication. Once the facility had knowledge R1 was not given their medication but aware the refill was ready, no assistance was provided to R1 to obtain the refill timely. In addition, R1 did not receive medications as prescribed for a total of nine days between the three different medications in February and March 2022. The licensee did not ensure R1 received their medications timely, as prescribed. Based on record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated due to the Resident not receiving medications timely as prescribed. California code of Regulations, Title 22, Division 6 & Chapter 8 is being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 01/16) were provided to Administrator, Rocio Granda whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Resident #1] It was also alleged staff were interfering with resident having reasonable access to telephone. It was reported R1 was told by a staff member to hurry up and get off the phone because others have to use the phone. The facility has a designated phone area with a land line telephone, table and chair for resident use. The facility also has a cordless telephone that the residents can use for more privacy. Resident interviews revealed there is no time frame to use the telephone and staff do not tell residents to get off the phone. Further resident interviews revealed R1 uses the land line for hours at a time and there was one occasion R1 was asked to allow other residents to have a turn. However, it was nicely stated by staff. Resident interviews revealed denial of staff asking them to hurry up and get off but stated other residents will make those statements to other residents on the phone. Staff interviews revealed the residents are allowed to use the phone whenever they like and there are no time frames. Staff interviews also revealed denial of telling R1 to hurry up and get off the phone. Administrator’s interview revealed the facility has a land line and cordless phone for resident use. Administrator stated the residents are able to access the phone whenever they like and for as long as they like. Administrator stated she has never heard a staff member tell a resident to get off the phone but has heard other residents make comments to one another about phone use. Based on interviews and observations, the investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegations. Therefore, the allegations were determined as unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 01/16) were provided to Administrator, Rocio Granda whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Resident #1 and Resident #2]