It was alleged that the facility staff are mismanaging resident medication. During the course of this investigation, the department conducted a review of facility records including but not limited to Medication Administration Records and Resident Prescription orders and conducted facility interviews. Based on interviews conducted it was denied that the facility staff are mismanaging resident medication. It was stated that medication is reviewed on a weekly basis to ensure that medication administered as prescribed. A review of the facility records show no indication that medication is being mismanaged. Based on the information gathered, there is not a preponderance of evidence to prove that the facility staff are mismanaging resident medication.

Allegation: Facility did not report incidents to CCL

It was alleged that the facility did not report incidents to CCL. During the course of this investigation, the department reviewed facility records and conducted interviews. Based on interviews conducted, it was denied by facility staff that facility did not report incidents to CCL. A review of the facility records show that the facility has been sending facility incident reports within Title 22 regulations. Based on the information gathered, there is not a preponderance of evidence to prove that the facility did not report incidents to CCL.

Allegation: Facility staff did not seek medical attention in a timely manner

It was alleged that facility staff did not seek medication attention in a timely manner. During the course of the investigation the department reviewed facility records and conducted interviews. Interviews revealed that the facility sent a resident out for further care due to the resident not feeling well. Three staff members stated that medical attention was sought in accordance with facility protocol. Additionally, both the resident and their family denied any delay in receiving medical attention. Based on the information gathered, there is not preponderance of evidence to show that the facility staff did not seek medication attention in a timely manner.

It was alleged that the facility is not following infection control practices. During the course of the investigation the department reviewed facility records and conducted interviews. It was learned that during in May 2025, it was reported that a resident was sent out of the facility due to feeling unwell. Shortly after being admitted, the resident developed a communicable disease. Interviews revealed that the resident had initially complained of symptoms related to chronic cellulitis. At the time, the facility did not observe any signs or symptoms indicative of a communicable disease.

Additionally, the facility was informed of the resident’s diagnosis three days after admission. Upon reviewing the facility’s records, LPA Pascua found no evidence indicating that infection control protocols were not followed. LPA Pascua reviewed facility records and do not find any indication that the facility did not follow any infection control practices. Based on the information gathered, there is not preponderance of evidence to show that the facility is not following infection control practices.

As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred.

There were no deficiencies observed or cited at this time. An exit interview was conducted, a copy of the 9099 and 9099-C was provided to the facility at the end of this visit.