complaint·June 6, 2025

On 04/04/2025, the facility was provided R1’s hospital discharge summary which listed multiple changes to R1’s medication regimen. On 05/31/2025, a staff from the facility called R1’s responsible party asking if he/she was okay with the change to R1’s medication (M1) as stated on the updated LIC602. Upon reaching out to R1’s primary care physician (PCP), it was discovered that no changes were made since 04/03/2025. During the investigation, it was found that a staff (S2) had called R1’s responsible party to inform him/her about a change in R1’s medication (M1) per a new physician’s report that was received on 05/30/2025. Based on interview with S2, S2 admitted to misspeaking about the medication change during the call with R1’s responsible party. It was stated that S2 was confused about R1’s PM (M1) medication order because S2 only works AM shifts and was not familiar with R1’s PM medication regimen. Upon further reviewing R1’s medications, S2 then realized that R1 did not have a change in medication order. S2 states that R1 continued to receive his/her medication as normal and no changes to his/her medication regimen was actually made. Based on interview with staff (S1), S1 corroborated S2’s statement. The review of records shows that R1’s medication (M1) order did not change and R1 continued to receive his/her medication as prescribed by the physician. The Department has investigated the above allegation. Based on interview, record review and observation the above allegation is unfounded, meaning the allegation is false, could not have happened, and/or is without a reasonable basis. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Health Services Director, Jocelyne Bailon Saloche and a copy of the report was provided. Page 2 of 2.