The complaint alleges that Staff do not provide timely meals to resident. The complainant states that on multiple occasions, R1 requested food and received none for hours, LPA reviewed R1’s care plan which states that R1 is independent and able to come to the dining room for meals and is able to order meals for room service. LPA reviewed records from food services and found meals delivered to R1's room when R1 did not attend the dining room. Based on LPA’s review of records and interviews conducted the allegation that Staff do not provide timely meals to resident is Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

The complaint alleges that Staff did not administer medication according to physician’s orders and unqualified staff administering resident’s medication. The complainant states on April 9, 2026, R1 was given medication that is prescribed to be given at night. R1 also reported that staff administering medications do not appear to know what medications they are giving, raising concerns about competency and verification processes. LPA reviewed the Medication Administration Records (MAR) for the date in question. According to the MAR the medication in question was administered in the evening by Staff. In addition, reporting party stated that R1 reported that staff administering medications do not appear to know what medications they are giving. LPA reviewed the training records for staff members administering medications and all had received the required training as per regulation. Based on the MAR, the centrally stored medication record of prescriptions ordered by R1’s physicians and the training records of medication technicians the allegations that Staff did not administer medication according to physicians’ orders and Unqualified staff are administering residents’ medication are Unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated.

The complaint alleges that Staff did not ensure there was a skilled professional to meet residents’ diabetes needs resulting in hospitalization. The complainant states that R1 was transported to the hospital due to in increased blood glucose level after not receiving medication per physician’s order. LPA reviewed facility records and found that R1 did receive testing and medications as prescribed. Based on interviews and a review of medication records, the allegation that Staff did not ensure a skilled professional to meet residents’ diabetes needs resulting in hospitalization is Unsubstantiated.

Deficiencies cited from the California Code of Regulations, Title 22 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.

(Continued on 9099-A)