Senior Care Records.

Complaint Investigation Report

Noumea Care Home III, Buena Park04/15/2024Licence 306005644

Census1
Date signed04/15/2024 03:37:40 PM
The inspector’s account

306005644-4-15-2024-22-AS-LMOA-D4U3LP-20240430182104

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 770 THE CITY DR., SUITE 7100

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

12/21/2023 and conducted by Evaluator Jerome Haley

COMPLAINT CONTROL NUMBER: 22-AS-20231221161333

Facility staff failed to properly secure medications

Licensing Program Analyst (LPA) Jerome Haley made an unannounced follow up visit to the facility to close and deliver findings on the complaint allegation made December 21, 2023. LPA Haley was greeted by staff and explained the reason for the visit.

The complaint investigation consisted of interviews with facility staff, a facility client, and document review.

Regarding the complaint allegation: Facility staff failed to properly secure medications.

During interviews 3 of 3 individuals interviewed confirmed the complaint allegation above. Client 1 (C1) medications were observed unsecured on top of the client’s dresser during an unannounced visit from the Regional Center on December 15, 2023.

Based on the evidence gathered through interviews and observations, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. Violations are being cited per California Code of Regulations Title 22, Division 6.

An exit interview was conducted, and a copy of this report, and appeal rights were provided.

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