Follow-up on corrections·August 5, 2024

During complaint investigation, LPA Jeung observed a deficiency of the California Code of Regulations, Title 22. Deficiency is cited on a following page. According to Section 3.1.3.1. of facility's Continuing Care Residence Agreement, medication management is an assisted living service, and the provision of such service by facility is subject to a determination by the facility of the appropriateness or need for the service upon consultation with the resident or legal representative and his/her physician. In addition, the facility will determine "the extent of any services to be provided, and the proper setting." In at least 4 cases, the facility failed to adhere to Section 3.1.3.1., and implemented the storage and administration of residents' medications without first consulting the residents AND their physicians. Staff managed medications for client #5 for 4 weeks, for client #2 for 4 weeks, for client #3 for 10 weeks, for client #7 for over 25 weeks. Only when written MD authorizations were obtained did facility relinquish medications and management services to respective spouses.