Complaint Investigation Report
157208915-4-25-2023-24-AS-MHON-CRJND2-20230505102137
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 Lisa Salazar
COMPLAINT CONTROL NUMBER: 24-AS-20230109154022
Staff did not administer resident's medication in a timely manner
On 04/14/23, Licensing Program Analyst, (LPA) L. Salazar arrived at the facility unannounced to deliver findings on the above allegations. LPA was greeted by Administrator, stated the purpose of the visit and was allowed entry into the facility.
During the investigation, LPA toured the facility and Resident R1's room, conducted interviews and records review. LPA interviewed R1 who denies feeling intimidated by any staff. R1 stated they believe staff speak loudly because it is common that the residents in the facility experience hearing loss. LPA observed R1's Medication Administration Records and Centrally Stored Medication and Destruction Record to accurately reflect the medication doses have been given according to physician's order.
Based on the information received, we have found that the complaint was Unfounded, meaning that the allegations are false, or are without reasonable basis, therefore, we have dismissed the complaint. Exit interview conducted with Administrator and a copy of this report was provided at the time of visit. No deficiencies cited.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction