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13 | On 7/15/22 at 12:10 p.m., Licensing Program Analysts (LPAs) Melissa Ruiz and Shira Stamps arrived at the facility above for an initial complaint visit. Entrance interview conducted with the Licensee. It is alleged that staff refused to give client #1 (C1) their insulin when it was requested by the client. LPAs interviewed four (4) staff members. Staff interviews and document review such as an incident report revealed that there was an incident that occurred on July 11, 22. An interview with the night shift staff (S1) who witnessed the incident confirmed that C1 requested the insulin late at night at approximately 10:48pm. S1 indicated they reviewed the medication instructions and told C1 that C1 could not take the medication without eat twenty minutes prior. Additionally, S1 stated that later that night, S1 offered to check C1’s levels with the blood glucose monitoring system and if needed, to provide food and medication if C1 had elevated sugar levels, but C1 refused for staff to check C1’s levels. Interview with C1 indicated that C1 feels that they can take their insulin medication based on their judgement. However, LPAs conducted medication review, and found that the instructions on the insulin medication state, “To take 30 units subcutaneous before breakfast and 20 units before diner.” Therefore, based on interviews and record reviews this allegation, “Facility staff did not allow resident to receive medical treatment while in care”, is deemed unsubstantiated. An exit interview was conducted. A copy of report was signed and delivered to Licensee.
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