Complaint Investigation Report

197608905-3-29-2022-31-AS-CHAS-CDFMWZ-20220413095906

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD., STE. 250

This is an official report of an unannounced visit/investigation of a complaint received in our office on

03/25/2022 and conducted by Evaluator Wendell Smith

COMPLAINT CONTROL NUMBER: 31-AS-20220325114649

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced complaint visit to investigate the allegation above. LPA met with facility staff and explained the reason for this visit.

LPA conducted a physical plant tour from 9:45-10am to ensure no immediate health and safety issues.

Regarding the allegation above it is alleged that resident #1 (R1) has not been given medication according to physician orders and may have been overmedicated. It is alleged that staff stopped giving a specific medication against physician orders . LPA conducted interviews with facility staff regarding this allegation from 10:30-11:15am. LPA spoke with case manager from Kaiser Palliative Care regarding R1's care from 11:15-11:30am. LPA interviewed residents which included R1 to see how they were doing at the facility from 10-10:30am. LPA reviewed R1's facility file which included medication information and physician orders. LPA reviewed R1's medication compared to R1's medication documentation to see if they matched up from approximately 11:30-12:45pm. Based on interviews and documentation it appears that R1 is being given all their medication according to physician orders. Based on the information obtained this allegation is deemed Unsubstantiated at this time. Exit Interview conducted.