Complaint Investigation Report
On 08/17/23, LPA reviewed all staff files and found that the facility was in compliance with title 22 regulations except for the following: S2 CPR training certificate missing, S3 DSP I & II certificates and CPR were missing; additionally, the facility did not have a first aid manual on site.
Based on interviews, observations, and records reviewed there is sufficient evidence to support the allegation: Staff files are incomplete. The preponderance of evidence standard has been met; therefore, the above allegations are found to be Substantiated. California Code of Regulations, Title 22, Division 6, and Chapter 1 are cited on the attached LIC 9099D.
Allegation: Resident files are incomplete.
On 08/17/23, LPA reviewed all client files and found that they were complete except for: C1 is missing a consent form. C1 and C2 both have current physical exams and optometrist reports.
Based on interviews and records reviewed there is sufficient evidence to support the allegation: Resident files are incomplete. The preponderance of evidence standard has been met; therefore, the above allegations are found to be Substantiated. California Code of Regulations, Title 22, Division 6, and Chapter 1 are cited on the attached LIC 9099D.
Allegation: Facility staff failed to properly administer medications as prescribed.
On 08/17/23, LPA reviewed the medication administration records, along with the Special Incident Reports, and found the allegation to be Substantiated, the facility did fail to administer medications as prescribed. There were medication errors for C1 and C2 on 03/17/23.
Based on records reviewed there is sufficient evidence to support the allegation: Facility staff failed to properly administer medications as prescribed. The preponderance of evidence standard has been met; therefore, the above allegations are found to be substantiated. California Code of Regulations, Title 22, Division 6, and Chapter 1 are cited on the attached LIC 9099D.
An exit interview was conducted with Vice President, Christopher Aaron, and a hard copy of a LIC 9099 and LIC 9099D, and a plan of corrections was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction