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32 | Witness #1. LPA/RA Ceniceros did not interview (former) Resident #1 due to the resident passed away. LPA/RA requested pertinent documents (Admissions Agreement, Emergency I.D. & Information, Court Documents: Power of Attorney & Restraining Order; Physician's Report, Plan of Care, Resident Appraisal, Hospice Care Notes, Appraisal/ Needs & Services Plan, Medication Administration Records) for Resident #1.
Regarding Allegation #1: this investigation revealed that Resident #1 (R1) received Hospice & Pallative Care, effective 03/24/20 at the facility - approved by R1's physician. [LPA/RA reviewed R1's hospice and pallative care records that documented R1's medication administration noted on a "Current Treatment/Medication List" (from 04/18/20 to 10/01/20) and monitored by hospice registered nurse]. Prior to R1 moving into the facility, Resident #1 was receiving home-based Hospice Care (from 01/11/20 to 04/09/20) through the resident's medical health insurance. [LPA/RA reviewed the home-based hospice care records that documented R1's medication administration noted on a "Frequency and Duration Tracking Sheet" (from 01/11/20 to 04/18/20)]; and, it was monitored by hospice registered nurse. Interviews that were conducted corroborated that the Med Techs were administering Resident #1's medications according to the physician's orders. Documentation was noted on the hospice and pallative care medication list (dated 04/18/20 to 10/01/20). Whenever Resident #1 needed a refill of medications, the Med Techs would contact the hospice agency who would place the order through the pharmacy; and, the medications would be delivered to the facility for Resident #1. A review of the Med Techs training log on the topic: "Eight-Hour Medication Training" was presented on 09/25/20 by a LVN.
Based on the evidence gathered and interviews conducted and records reviewed, although the allegation 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 of MEDICATIONS: Staff is administering unauthorized medication to resident is found to be UNSUBSTANTIATED.
Regarding Allegation #2: this investigation revealed based on interviews that were conducted, the majority corroborated that Resident #1 had a landline in the room and a personal cell phone; therefore, the resident would make telephone calls and/or receive personal calls. Resident #1 had a restraining order in place through the Superior Court of California, County of Los Angeles (dated 03/11/20) against two (2) individuals; therefore, the facility could not allow the two (2) family members into the facility or transfer their incoming call to Resident #1 due to the court order and resident's personal rights. A review of Resident #1's records, documented that the resident had an appointed Power of Attorney, effective 02/04/17.
Based on the evidence gathered and interviews conducted and records reviewed, although the allegation
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