Complaint Investigation Report
079200855-8-6-2025-15-AS-HHUL-DLDLZR-20250910091222
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
06/11/2025 and conducted by Evaluator Jill Clancy-Czuleger
COMPLAINT CONTROL NUMBER: 15-AS-20250611163220
TODOS SANTOS ASSISTED LIVING AND MEMORY CARE
On 08/06/2025 at 09:55 AM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to deliver findings for the above allegations. LPA explained the purpose of the visit with Administrator David Clawson.
On the allegation:Staff mishandled a resident's medication;Based on records review of the the Centrally Stored Medication Destructions Records; Medication Administration Records and care notes, R1's medication refills were not ordered prior to R1 running out of medication.
Based on LPAs interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), is being cited on the attached LIC 9099D.
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