Complaint Investigation Report

107209492-6-17-2025-24-AS-SMOA-DHSMCS-20250619093002

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

05/13/2025 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20250513154609

Administrator Karen Dhaliwal and Licensed Vocational Nurse Diane Cramer

Staff do not ensure residents expired medications are discarded

On 06/17/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation. LPA introduced self, stated the purpose of the visit, and met with Administrator Karen Dhaliwal and Licensed Vocational Nurse Diane Cramer. LPA delivered complaint findings.

During the course of the investigation, the Department conducted interviews, toured the facility, and reviewed records. Discontinued medications were stored in medication room unlogged and not disposed. Interview with staff confirms expired medications and medications for former residents has not been logged and disposed back dated to March 2025. Based on observations and interviews conducted, the preponderance evident has been met, therefore the above allegation is found to be SUBSTANTIATED. An exit interview was conducted. A copy of this report and appeal rights was provided to the Administrator, whose signature on this form confirms receipt of this report.