Complaint Investigation Report

Staff are providing treatments for a client without doctor's order

Staff are administering medications without doctor's order

Staff do not have current physician orders for a client

Based on interviews and record reviews conducted, the facility has been providing treatments such Tei Fu, Peppermint, Aloe vera and over the counter (OTC) medications such as tea tree oil, beeswax, unlabeled cream, etc to C1 without signed doctor’s order since August 18, 2023.

Based on record reviews and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations, Title 22, are being cited on the attached LIC 9099D.

Exit interview was conducted with Esteras and Appeal Rights was provided