Complaint·July 19, 2023

Page 2 of 2 On 07/19/2023, LPA Rai conducted a random review of 2021 medication records of 3 residents (R1 to R3). Based on medication record review, 3 out of 3 residents records did not show that medication technician did not administer medications as prescribed. On 07/19/23, the Department interviewed 3 staff (S1 to S3), staff denied allegation of not administering medication per doctor's order. They stated the only time when residents' medications were not given is when a resident or residents refuse(d), nor observed staff provided incorrect medication to a resident. The Department has investigated the complaint allegation. Based on observation, interview, and record review the Department found the complaint allegation is UNFOUNDED, meaning the allegation is false, could not have happened and/or without a reasonable basis. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Matthew Zahodne, Administrator and a copy of the report was provided.