Complaint·August 15, 2025

per Title 22 regulations. Based on records reviewed, interviews conducted, and observations made, the allegation Staff do not ensure resident binders are up to date is Unsubstantiated at this time. On the allegation, “Staff are pre-pouring medications”, LPA Kontilis reviewed Medication Guide, Residential Care Facilities for the Elderly published by California Department of Social Services, Community Care Licensing Division, Advocacy and Technical Support, Resource Guide, TSP 2016-03 (version 8/30/2021) with administrator and staff. The medication guide specifically states, “Medications may be ‘set up’ or ‘poured’ under the following circumstances…Pour medications from the bottle directly into the individual resident’s cup/utensil to avoid touching or contaminating the medication; implement a process to ensure medication is given to the correct resident; implement procedures for situations such as medication spillage, contamination, assisting with liquid medication, interactions of medications, etc. During today’s visit, LPA Kontilis interviewed Staff 1 (S1) wherein S1 demonstrated the steps they take when popping medications prior to administering to residents in care. S1’s demonstration included precautions taken such as wearing gloves to ensure no contamination of the medication occurs. LPA observed the medication cups to have the Resident’s name, picture, and room number on each medication cup. S1 further stated if a resident needs assistance at the time of medication administration, S1 will call for additional assistance from a caregiver and/or other staff to assist. S1 stated they have worked in the facility for over a decade and has followed this procedure consistently with no history of medication errors or contaminations. Based on interviews conducted, records reviewed, and observations made, the allegation that staff are pre-pouring medications is Unsubstantiated at this time. Exit interview conducted. No deficiencies noted. Copy of report issued at the time of the visit.