complaint·May 30, 2025

LPA Marrufo obtained a copy of R1’s Physician’s Report, dated 07/12/2022. R1’s Physician’s Report states R1 is not able to administer own prescription medications, not able to administer own PRN medications, and not able to store own medications. LPA Marrufo obtained a copy of R2’s Physician’s Report, dated 07/05/2022. R2’s Physician’s Report states R2 is not able to administer own prescription medications and is able to administer own PRN medications. R2’s Physician’s Report states R2 is not able to store own medications. There is a handwritten note stating, “please manage prescription medication. PRN medications – OK with patient.” During interview on 04/19/2023, R1 stated to have given R2 a tablet of M1. R1 stated that R2 visited R1 in R1’s living unit and gave R2 a tablet of M1 from a bottle that R1 had stored in one of R1’s cabinets. R1 stated to have had the bottle of M1 since August but does not remember how he/she got the bottle. During interview on 04/19/2023, staff S1 stated to have observed a pill of M1 in R2’s sink. S1 stated R2 stated to S1 that R1 gave R2 two pills of M1, and R2 had already consumed one of the pills of M1 and was waiting 8 hours to consume the other pill of M1. S1 stated to have visited R1 to see if R1 had any more medications. S1 stated R1 gave S1 the bottle of M1 and more medications in a zip lock bag. S1 stated the bottle of M1 did not have a prescription label. S1 stated that M1 is listed as a PRN in R1’s Medication Administration Record (MAR). LPA Marrufo obtained a copy of R1’s MAR, which lists M1 as a PRN. This agency has investigated the complaint allegation listed. Based on interviews, and review of records, the CCLD has found that the complaint allegation is unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. This report was reviewed with Life Guidance DIrector Beth Jennings and a copy of this report was provided. Page 2 of 2. END REPORT S1 stated R1 gave S1 the bottle of M1 and more medications in a zip lock bag. S1 stated the bottle of M1 did not have a prescription label. S1 stated that M1 is listed as a PRN in R1’s Medication Administration Record (MAR). Based on records review and interviews, there is preponderance of evidence to prove the alleged violations did occur. Therefore, the allegation is substantiated. See 9099-D for a deficiency cited per the California Code of Regulations, Title 22. This report was reviewed with Life Guidance Director Beth Jennings and a copy of this report and appeal rights were provided. Page 2 of 2. END REPORT During visit, ADM stated that the licensee does not have any facilities in Puerto Rico. Based on information from interviews conducted with staff, and records reviewed, although the allegation listed above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated. No Deficiencies were cited under California Code of Regulations Title 22. This report was reviewed with Life Guidance Director Beth Jennings and a copy of this report was provided. Page 2 of 2. END REPORT