Senior Care Records.

Complaint Investigation Report

Vintage Home, Covina01/12/2024Licence 198600544

Census6
Date signed01/12/2024 11:11:52 AM
Name of licensing program analystBonnie Tao
Name of licensing program managerFernando Fierros
The inspector’s account

Interview with administrator confirmed C1's medication, Divalproex, was dispensed to C1 on 12/18/23 in the morning but did not log in C1’s medication record. Therefore, there was a discrepancy between the medication dispensed and the medication record correctly.

Based on LPAs' file review and interview, the investigation revealed that 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 being cited on the attached LIC 9099D.

Exit interview conducted with Linda Williams, administrator. A copy of this report and appeal rights were provided to Linda.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction