Complaint Investigation Report

Magnolia Crossing, Clovis02/21/2023Licence 107208838

Census34
Date signed02/21/2023 10:33:50 AM
The inspector’s account

107208838-2-21-2023-24-AS-MHON-CRJNLA-20230505103314

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

01/09/2023 and conducted by Evaluator Alexandria Walton

COMPLAINT CONTROL NUMBER: 24-AS-20230109110932

Staff administering medication while under the influence

On 02/21/2023, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegations, LPA introdcued self, stated the purpose of the visit and requested to meet with Administrator. LPA met with Administrator, Lai Saeteurn.

During this investigation, LPA reviewed records and interviewed facility staff.

Based on interviews conducted, the allegation: Staff administering medication while under the influence is UNSUBSTANTIATED. 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.

No deficeincies issued during this inspection. Exit interview conducted. A copy of this report was dicussed and provided to Administrator, Lai Saereurn, whose signature on this form confirms receipt of this document.

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