Complaint·July 11, 2024

At 12:40pm on 07/11/2024, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to investigate the allegation to this complaint. LPA met with Administrator Edwin Ingan announce who he is and the reason for the visit. LPA conducted interviews. As to the allegation of, "Staff did not properly secure the resident's medication,' It was alleged that on 07/09/2024 at 1:21pm a reliable witness (person with license or credentials indicating expertise training) observed the medication cart in the living room with keys in cart and two residents sitting next to cart with no staff present. It was discovered in LPA Jeffries interviews on 07/11/2024 of Staff 1 (S1) who was working on 07/09/2024 at the time when medication cart was left unattended. S1 stated that they were conducting medication pass when S1 was called to assist another staff and visiting nurse to resident room and left key in medication cart. There were two Residents in the same room as the medication cart with keys and no staff present. Based on admission, and reliable witness there is enough evidence at this time to support the allegation of, "Staff did not properly secure the resident's medications." and is substantiated at this time. Exit interview, report read, appeal rights and report provided.