Complaint·October 16, 2024

continued from 9099... Admin explained that sometimes there are residents that just put their meds in their pocket rather than taking them. We sometimes see meds on the floor because the residents didn't put it properly in their mouth, but we dispose of it properly. Admin explained to LPA that they know the proper procedure for disposal, either take to pharmacy to destroy or put in water solution to dissolve and destroy, but some of the staff might have overlooked a pill on the floor. Admin indicated she has trained staff on how to properly dispose of contaminated medication pills. LPA and Admin discussed that going forward, caregivers and/or Med Techs staying with residents and witnessing them put the pills in their mouth and swallowing them. Based on LPA’s interview with Administrator, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 Chapter 8, are being cited on the attached 9099D. Complaint alleges personal rights. Complainant states that there is a sliding lock present on the bottom of the front door preventing residents and visitors from entering or exiting without assistance from a staff member. LPA asked Admin about the lock present at the bottom of the front door. Admin advised that they are having trouble with a resident R1, several times R1 tried to elope. Admin explained that the addition of the lock is recent. R1 has had several sundowning episodes where they open the front door and want to get out. We try to redirect by giving activities, but redirecting does not always work. LPA advised that facility must be staffed such that there is adequate staff to both redirect and attend to the other residents. Admin understands and acknowledges re-directing is key. Caregiver immediately removed lock from bottom of door in LPA's presence. Based on LPA’s observation and interview with Administrator, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 Chapter 8, are being cited on the attached 9099D. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with caregiver. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with caregiver and a copy of this report was given .