complaint·June 20, 2023

"AMENDED" This is an amended version of the original report created on June 20, 2023-SEE BELOW. complaint on June 2, 2023, LPA observed that 2 out of 3 resident records were not complete and had a missing LIC 602 and Resident Reappraisals paperwork from their respective records (See LIC 9099D). Furthermore, LPA observed that Resident #1 did not get Reappraised in the year of 2022 (See LIC 809-Case Mangement-Other dated for July 6, 2023). Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview was conducted, and a copy of this report was signed and given to the Interim Administrator. Complaint alleges that resident in care had access to centrally stored medications. Based on interviews that were conducted throughout the investigation, LPA could not prove or disprove the allegation due to inconsistent statements made throughout the course of the investigation. LPA conducted additional interviews residents and witnesses which could not corroborate the allegation. LPA toured the facility on June 2, 2023 which included the Medication Room where Centrally Stored Medications are located and observed the Medication Room to be locked and secured. In addition, on said date, LPA toured Resident #1's room and observed no medication accessible to the resident in care. A finding that the complaint allegation of Staff did not provide proper medication assistance to resident in care and Resident in care had access to centrally stored medications are unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed and given to the Interim Administrator.