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32 | Continued from LIC9099...
Review of Incident Report (IR) submitted to Community Care Licensing (CCL) by the facility on 9/29/2025 indicated that the facility called emergency services to have C1 taken to the Emergency Room upon being informed by C1 that they were suffering from pain. Review of Appraisal/Needs and Service Plan indicated that the facility is assisting C1 maintain sobriety, maintain a healthy diet, develop tools for success, and socialize with their peers.
Medications Not Properly Administered – RP alleges that they do not believe medications for R1 were correctly given. Review of C1 LIC602 – Physician Report indicated that per physician’s orders C1 is able to administer and store their own medications, however, medications would be stored by the facility. Review of C1 Preplacement Appraisal Information indicated that C1 did not require assistance with medication. Review of C1 PRN Authorization Letter indicated physician order that C1 “can determine and clearly communicate his/her need for prescription and nonprescription medications on a PRN basis”. Review of C1 Medication Administration Record (MAR) for September 2025 and October 2025 indicated seventy-five (75) instances of C1 refusing medication, as is their right per regulation 80075(b)(2). Further review of C1 MAR indicated various instances of an X in place of a medication administration code; a symbol not defined in MAR Chart Codes. Interview with Clinic Nurse (CN) indicated that X is for medication that has been discontinued or not started yet.
Based upon observations, interviews, and record review the department has found that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations/complaint are UNSUBSTANTIATED.
No deficiencies cited. Exit interview conducted with Clinic Nurse, whose signature on form confirms receipt.
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