Complaint Investigation Report
157208773-11-22-2021-24-AS-SPIY-C99MV3-20211130085605
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
10/12/2021 and conducted by Evaluator Kelly J. McClurg
COMPLAINT CONTROL NUMBER: 24-AS-20211012141149
Facility did not provide transportation arrangements to resident in care
Centrally stored medications were made accessible to residents in care
Staff did not notify resident's physician of resident's change in condition
An unannounced Complaint visit was conducted on the date & during the times identified above by Licensing Program Analyst (LPA) K. McClurg & Licensing Program Manager (LPM) See Moua. LPA & LPM met with Administrator (Admin) Ramona Eleco & stated purpose of visit.
The Department conducted interviews with residents & staff, toured the facility & reviewed records. Based on observations the sinks & showers in resident's room were not leaking & had hot water. The Med room was observed locked with a Med Tech & residents interviewed confirmed that staff do not yell at them & transportation arrangements are provided. The Admin stated that resident's physician's are notified of changes immediately. The allegations are Unsubstantiated.
No deficiencies. Exit interview conducted with Admin.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction