Complaint Investigation Report

126801366-12-24-2024-21-AS-BMOS-DCNPXA-20250106104158

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

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

12/19/2024 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20241219130327

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to open an investigation into the above allegation. LPA met with Executive Director David Uballez and reviewed records. Based on interviews conducted and records reviewed, medication technician, S1, gave resident, R1, medication from the package of R2. The medications were the same and to correct the error, S1 took the medication from R1's package and placed them into the already opened package of R2. S1 placed tape over the backing of the package to secure them. S1 was removed from medication duties for not following facility policies regarding administering medications. The correct medication was given and no medications were missing.

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, therefore the allegation is Unsubstantiated.