Complaint Investigation Report
Allegation: Staff does not meet training requirements
Based on interview with W1, S2 is administering medications to residents and attaching a post it note on Medication Administration Record (MAR) for S1 to initial. Facility was unable to provide proof of training for S2.
On 10/15/2021 during LPAs tour of facility, LPAs observed a room was added in the living room. LPAs observed 1 of 3 residents is occupying the added bedroom. However, there is no building permit or approved fire inspection on file.
Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.
An immediate $500 Civil Penalty is being assessed.
Exit interview conducted. Appeal Rights and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction