Complaint Investigation Report

157206770-4-3-2023-24-AS-MHON-CQRKTD-20230410081055

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

03/07/2023 and conducted by Evaluator Lisa Salazar

COMPLAINT CONTROL NUMBER: 24-AS-20230307143407

On 03/09/23, Licensing Program Analyst (LPA) L. Salazar and Nurse Evaluator II, (NEII) Lori Kopplinger, arrived at the facility unannounced to conduct the required 10 day site visit. LPA was greeted by receptionist, stated the purpose and was allowed entry into the facility. Medication was reviewed and facility was toured.

The above allegation that staff mismanaged resident's medication was addressed on 02/27/23 during the course of another site visit. Facility was cited at that time based on records review and interviews. Based on the information received, the preponderance of evidence standard has been met, therefore, the above allegation is found to be Substantiated. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is not being cited on today's visit, as the deficiency was already cited.

A copy of this report will be provided to facility via email.