Complaint Investigation Report

015601256-7-1-2022-15-AS-KHOS-CJVKHL-20221004075518

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1515 CLAY STREET, STE. 310

This is an official report of an unannounced visit/investigation of a complaint received in our office on

06/20/2022 and conducted by Evaluator Kelly Nguyen

COMPLAINT CONTROL NUMBER: 15-AS-20220620150026

WILLOW CREEK ALZHEIMER'S & DEMENTIA CARE CENTER

Facility staff lack proper understanding of medication procedures.

On 7/1/2022 at 3:50PM Licensing Program Analysts (LPAs) K. Nguyen, and L. Francisco arrived unannounced to continue the investigation on the above allegations. LPAs met with Resident Coordinator, Rohini Chand and explained the purpose of visit. LPAs spoke to administrator over the phone.

During the course of the investigation, LPAs obtained information, reviewed records, collected documents, and interviewed 3 staff. Based on information obtained, it was alleged facility staff lack proper understanding of medication procedures. However, LPAs reviewed training records for 6 staff and 6 of 6 are current with their medication training. LPAs interviewed 3 staff and 3 of 3 were able to demonstrate the facility's medication procedures. No additional information forthcoming from complainant therefore LPAs were unable to obtain additional information.

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.

Exit interview conducted with Resident Coordinator. A copy of this report provided.