Senior Care Records.

Complaint Investigation Report

Arc Facility at Camino 2, Fullerton08/06/2024Licence 306002916

Census6
Date signed08/06/2024 06:39:06 PM
The inspector’s account

306002916-8-6-2024-22-AS-SSAS-D882CQ-20240816171708

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

ORANGE COUNTY RO , 770 THE CITY DR., SUITE 7100

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

07/30/2024 and conducted by Evaluator Joseph Alejandre

COMPLAINT CONTROL NUMBER: 22-AS-20240730135947

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegations above. LPA and the Administrator toured the facility. LPA interviewed staff and residents. The investigation into the allegation facility is mismanaging medication revealed the following. It was reported that Resident 1 (R1) ran out of their Venlafaxine 225MG. R1 verified they ran out of the medication on or around July 14, 2024. The Administrator verified this report. At this time the facility was handling R1's medication. Both the Administrator and R1 verified this information. A review of medication records show R1's medication arrived at the facility on July 31, 2024. R1 did not have their Venlafaxine 225MG for 16 days. LPA reviewed R1's medication. No other discrepancies observed. Based on the information gathered the preponderance of evidence standard has been met therefore the allegation is substantiated. Deficiencies are being cited per Title 22 Division 6 of the California Code of Regulation. An exit interview was conducted and a copy of the report provided along with appeal rights was provided.

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