Complaint Investigation Report

275202604-12-20-2024-24-AS-KHOS-DCWPFM-20250114101659

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

12/04/2024 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 24-AS-20241204145107

Facility staff are falsifying resident records

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the allegations listed above . LPA met with facility Administrator, Wendy Adler, and explained the purpose of today's visit.

Regarding the allegation Facility staff are falsifying resident records. Facility staff 1 documented Resident 1's medication was given at 7 a.m. Resident 1 was sleeping at 7 a.m. and medication was not given until 10 a.m. Resident 1's medication instructions document to be given at 7a.m. Based on interviews, and documents reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

The following deficincies are being cited Per Title 22 Regulations.

Exit interview conducted with facility Administrator Wendy Adler, and a copy of this report along with appeals rights provided.