Complaint Investigation Report
157209068-12-5-2022-24-AS-MHON-CMSM5Y-20230105081908
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
12/01/2022 and conducted by Evaluator Melinda Medina
COMPLAINT CONTROL NUMBER: 24-AS-20221201143337
Staff not providing medications as prescribed to resident(s) in care.
On 12/05/22, Licensing Program Analysts (LPAs) M. Medina and L. Salazar arrived at the facility unannounced to conduct a 10-day complaint visit. LPA was met my Janice Johnson, Administrative Assistant and was allowed entry into the facility. COVID precautionary measures were taken at the time of entry.
During the course of the investigation, LPA conducted interviews, conducted record review of Resident (R1's) file and Centrally stored medication.
Based on interviews conducted and records review, the allegation of staff not providing medications as prescribed to resident(s) in care is UNSUBSTANTIATED. 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.
No deficiencies cited during this complaint visit. An exit interview was conducted. A copy of this report was discussed and provided to facility staff, Janice Johnson for facility records.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction