Complaint Investigation Report

275202849-10-28-2024-24-AS-BCHN-DBCW2L-20241125155431

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

10/17/2024 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 24-AS-20241017124757

Resident was billed for services not rendered.

Licensing Program Analyst (LPA) Sarah Hurt arrived at the facility unannounced on October 21, 2024 at 01:00 p.m. to investigate the above allegations. LPA met with facility Business Office Manager, Andrea Ramirez and explained the purpose for today’s visit.

Regarding the allegation resident was billed for services not rendered. Resident 1's assesment stated they need assistance with 6 to 10 medications. Resident 1's "medication clarification list" signed by Physician on 09/03/2924 lists 6 as needed medications in addition to the 5 routine medications. Resident 1 is being billed for assistance with 6 to11 medications including PRN's. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficincies cited today Per Title 22 Regulations.

Exit interview conducted with facility Assistant Executive Director, Andrea Ramirez , and copy of report provided.