complaint·January 30, 2023

(Continue from LIC9099) Review of the facility approved plan of operations, position job descriptions and staff training requirements indicated that staff designated to handle medication were required to complete the training required per Title 22 regulations. Review of records indicated the facility had written policies and procedures for the functions of the designated staff. A review of staff training records confirmed that the facility staff who assisted residents with the self-administration of medications met all of the initial training, testing and annual training requirements as specified in Health and Safety Code section 1569.69. Staff statements during interviews confirmed that they had taken all the required training and that as a condition of employment they were required to do annual trainings and testing in medication management. In addition, staff consistently stated they provided assistance to residents in memory care with self-administration as needed following specific orders authorized by the resident’s physician. Staff interviews consistently confirmed that they review and follow the resident’s physician’s orders as documented in the Electronic Medication Administration Record System, (EMARS). Staff indicated that in the EMARS system a resident’s record is highlighted with “crush medication and mix with ( substance of choice based on resident’s preference )". In addition, review of medication administration records during a facility visit conducted on July 30, 2021, confirmed there were no medication inconsistencies or errors during the period when this complaint was filed. Based on the results of the investigation, which consisted of observations, interviews with key staff and outside sources, and review of pertinent resident and facility records there was no evidence found to support this allegation. The Department has found that the complaint allegation was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted with Administrator, Marivel Johnson, to whom a copy of this report, and Licensee Appeal Rights (9058 01/16) were provided at the conclusion of the visit.