This incident was self-reported by the facility on 8/19/2020, in which the Department conducted a case management on 8/19/2020. The Department was able to obtain a copy of the video footage that was posted on Staff 2 (S2) personal social media and observed that Staff 1 (S1) and Staff 2 (S2) recorded Resident 1 (R1). Based on interviews obtained from the facility, S1 and S2 admitted that they recorded R1 and that it was posted on S2’s social media. Former Administrator Brandy Strahl, stated that this was against facility policy. Brandy stated that S1 and S2 were on administrative leave and were terminated. Brandy confirmed that S1 and S2 were no longer employed at the facility. Based on LPAs observations and interviews and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited today from CCR §87468.1(a)(1) and H&S §1569.58(a)(2) listed on the attached LIC9099D. Violation resulting in conduct inimical is under review by the Department and additional administrative actions may occur. Appeal rights were discussed and provided along with a copy of this report.

Exit interview conducted and a copy of this report was sent to Audre Smith, Administrator, via e-mail. ONE copy to be signed to keep at the facility and ONE copy to signed and returned to LPA.

Based on interviews with staff, Staff 3 (S3), Staff 4 (S4), and Staff 5 (S5) stated in interviews that they have never given residents their medications all at once during their shift. S3, S4, and S5 stated that the facility uses an E-MAR (Electronic-Medication Administration Records) Program that prompt the staff an hour before a medication is scheduled to be given. Staff stated that they are not able to administer any medications before it pops up on the computer screen. LPA reviewed the facility’s medication policy and it also states in the policy that the facility uses an E-MAR and that staff must verified that the E-MAR and medication information matches before administering. S5 stated in interviews that S5 have never gave R1 all R1’s medications during S5’s shift. Residents stated in interviews that staff manages their medications properly. Resident 2 (R2) and Resident 3 (R3) stated in interviews that staff gives them their medications at their scheduled times and never administer all their medications all at once during a shift. LPA interviewed the Health Service Director (HSD) and Expression Director, who oversee the care staff and medication technician. HSD and Expression Director stated in interviews that the facility utilizes an E-MAR to record that medications were administered. HSD and Expression Director stated that staff are trained to only give medications as prescribed at the scheduled time. HSD and Expression Director stated that they are not aware of an incident when a resident was given all their medication during a shift. Administrator Audre Smith also confirms this in interviews. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No citations were observed for this allegation. Exit interview conducted. A copy of this report was sent to Audre Smith, Administrator, via e-mail. ONE copy to be signed to keep at the facility and ONE copy to signed and returned to LPA.