Complaint Investigation Report

216800977-7-24-2023-21-AS-HDBI-CUBRPG-20230802131156

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SANTA ROSA RO , 1450 NEOTOMAS AVENUE, STE. 100

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

05/30/2023 and conducted by Evaluator Victoria Bertozzi

COMPLAINT CONTROL NUMBER: 21-AS-20230530111633

Administrator, Kari Oxford; Resident Care Director, Ashley Perrone

Facility failed to ensure resident takes their medications as prescribed by their Physician

Licensing Program Analyst Bertozzi arrived unannounced to deliver findings regarding the above complaint allegation and met with Administrator, Kari Oxford and Resident Care Director, Ashley Perrone.

Facility failed to ensure resident takes their medications as prescribed by their Physician – Complaint alleges that facility failed to ensure resident was assisted with medication refill causing them to not have medication for two weeks. Per file review and interview, the resident's primary physician was not identified on the Indentification and Emergency Form or the Physician's Report. Attempts to get medication from the responsible party were not successfull. Attempts to clarify who the resident's primary physician was and gain new prescriptions per facility policy were also unsuccessfull despite multiple attempts by the facility.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated