complaint·August 28, 2024

Interview also revealed that R1 is a two person assist requiring additional staff per call, ALD explained R1 would need to wait for two staff to be available for assistance. It was also alleged that on January 12, 2023, at around noon, R1 requested medication for pain, which is prescribed as needed, but it was not provided to R1. Interview with Licensed Vocation Nurse (LVN) present on the date of incident revealed that they could not confirm that the medication was in fact given. Interview with Medication Aid (MA) present on the date of the incident revealed that they also did not issue the medication. Medication administration record revealed that R1 was not issued medication on January 12, 2023, until 9:30pm, when it was requested from another staff present. Medication prescription reviewed shows such pain medication may be administered as needed up to four doses per 24 hour period, there were no additional doses issued on this date. Based on interviews, and records reviewed, a preponderance of evidence exists to support the allegations. Deficiencies are being cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). An exit interview was conducted with Executive Director Kimberly Garcia, to whom a copy of this report, LIC 9099-C, LIC 9099-D, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided