374604171-3-26-2024-08-AS-SJAB-D3SPBA-20240328111002

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604171
Report Date: 03/26/2024
Date Signed: 03/26/2024 10:04:39 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/07/2024 and conducted by Evaluator Iby Strong

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20240307152027

FACILITY NAME:	LO-HAR SENIOR LIVING		FACILITY NUMBER:	374604171
ADMINISTRATOR:	DUCHARME-FRANKLIN, KANDY		FACILITY TYPE:	740
ADDRESS:	768 DOROTHY ST		TELEPHONE:	(619) 444-8270
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92019
CAPACITY:	68	CENSUS: 65	DATE:	03/26/2024
		UNANNOUNCED	TIME BEGAN:	07:55 AM
MET WITH:	Business Office Manager Amanda Pepin		TIME COMPLETED:	09:15 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff falsified medication records
Medication is not being issued as prescribed

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to deliver findings on the above-mentioned complaint allegations. LPA identified herself and discussed the purpose of the visit with Business Office Manager Amanda Pepin.

On March 7, 2024, Community Care Licensing (CCL) received a complaint that staff did not issue Resident 1 (R1) R1 medications as prescribed staff and falsified (R1) medication records. During the investigation, LPA Strong collected pertinent resident records as well as facility documentation and conducted interviews.

According to allegation, On February 29, 2024, R1 was admitted to the hospital, and it was observed that R1 did not have traces of prescribed medication in their blood work. According to an interview with staff, R1 takes medication regularly, has not declined medication and R1 has not been observed spitting medication out. Interview with Executive Director did not reveal any information to corroborate R1 was declining medication.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Iby Strong	TELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 08-AS-20240307152027

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: LO-HAR SENIOR LIVING	FACILITY NUMBER: 374604171
	VISIT DATE: 03/26/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Interview with an outside source confirmed R1 does not have a history of declining medication. Records collected did not corroborate that resident did not take medication.

It was also alleged that staff entered R1’s medication into the medication administration records as administered when R1 was not at the facility. Interview with staff revealed that computer has a special code that identifies when medication is issued with a number 0 and not issued with a number 8. Records reviewed verified R1 was not at the facility starting February 29, 2024, and a number 8 was entered into those records. LPA Strong also observed two medication administrations had been edited by staff.

Based on LPA's interviews, and record reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Business Office Manager to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Iby Strong	TELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 2