Complaint Investigation Report

107206929-8-25-2025-24-AS-SPIY-DMWMWG-20251029095819

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

08/20/2025 and conducted by Evaluator Katie Brown

COMPLAINT CONTROL NUMBER: 24-AS-20250820163504

PAINTBRUSH ASSISTED LIVING AND MEMORY CARE

Staff dispensed medication(s) not prescribed to residents

Staff did not report incident involving residents as required

Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct the initial complaint visit. LPA explained the reason for the visit and discussed the allegations with Administrator (AD) Deanne Edwards. Investigation findings were delivered to the facility during this visit.

This Department investigated the allegations above. Interviews were conducted and confirm that on 7/21/25, Residents R1 and R2 were given and took the wrong medications. Based on interview and record review of Med Tech chart Notes the incident was not reported to the resident's representatives as required. Additionally, an incident Report was not submitted to CCLD. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Deficiencies are being cited in accordance with California Code of Regulations on the attached LIC 9099-D.

An exit interview was conducted and Plan of Correction was developed. A copy of this report and Appeal Rights were provided.