Complaint Investigation Report

Jackson House IV, San Leandro04/03/2023Licence 015600532

Census6
Date signed04/21/2023 02:37:13 PM
The inspector’s account

At 2:00 p.m., LPA reviewed the Medication Administration Records (MARs) and observed that there were no medications initialed as administered for April 1, 2 or 3, 2023.

This agency has investigated the allegations above. We have found that the allegations are substantiated. Based on LPA's observations the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . Deficiencies are being cited per California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.CCLD1515

Exit interview conducted, a copy of this report and appeal rights provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction