Complaint Investigation Report
157209373-8-2-2024-24-AS-SMOA-D7XL29-20240808082159
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
12/28/2023 and conducted by Evaluator Mai Yang
COMPLAINT CONTROL NUMBER: 24-AS-20231228152212
Licensee Anthony Barbato, Licensee Legal Representative Iustina Mignea, and Kala Gibson
Staff did not monitor resident's glucose level resulting in death
The Department conducted interviews, reviewed records, and toured the facility. Based on the interviews conducted and records reviewed, the above allegation is Substantiated. Facility staff did not ensure R2 received his medications to treat his insulin-dependent diabetes condition and did not monitor the resident’s glucose level, which resulted in the resident’s hospitalization and death. Citation for care and supervision are issued on the attached 9099-D.
The issuance of additional civil penalties is pending and currently under review. The details of additional civil penalties will be outlined in a future report to the facility, if any.
Exit Interview was conducted and Appeal Rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction