Complaint Investigation Report

107208908-3-13-2024-24-AS-BCHN-D3K2D8-20240320171755

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

12/12/2023 and conducted by Evaluator Vadim Gorban

COMPLAINT CONTROL NUMBER: 24-AS-20231212143827

Staff did not dispense medication to resident in a timely manner.

On 3/13/24, Licensing Program Analyst (LPA) V. Gorban visited the facility to deliver findings. During this visit LPA met with facility Administrator (AD) Eddie Rangel and stated the purpose of the visit.

During this visit LPA toured the facility inside and out and observed residents in care.

Once the tour was complete, LPA discussed the findings with the AD.

Allegation: Staff did not dispense medication to resident in a timely manner. During complaint investigation the department reviewed facility records, interviewed facility staff and the Administrator. Based off of facility records review medication administration to R1 as prescribed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

Exit interview conducted, report signed and copy of this report provided to the Administrator for facility records.