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13 | On 3/26/26, Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced and met with Administrator, Emanuel Dirar to do complaint investigation into allegations listed above. LPA explained the purpose of the visit upon arrival.
Throughout the course of the investigation, LPA interviewed staff and reviewed records. Additionally, LPA reviewed R1-R5 medications administration records (MARs), medications orders and staff notes. ALL MARs records were reviewed and found to be complete. MARs matched with current physician orders. Additionally, residents notes detailed communication with primary physicians regarding medications orders and administration. Facility was following Department’s guidelines regarding medications disposal and there were no issues identified.
Based on LPA interviews and review of documentation, the preponderance of evidence standards was not met, therefore, the above allegation is found to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis.
Exit interview conducted. A copy of this report was left at the facility.
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