Complaint Investigation Report

306002429-6-2-2022-22-AS-AORZ-CFNLZL-20220623091206

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

02/04/2022 and conducted by Evaluator Kevin Saborit-Guasch

COMPLAINT CONTROL NUMBER: 22-AS-20220204075525

1) Staff are not properly trained to handle and dispense medications.

3) Staff are not trained to care for resident with restricted health condition.

On 06/02/2022, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced to the facility to deliver findings made during the investigation of complaint 22-AS-20220204075525. LPA was greeted and granted entry by Paul Bartolome, caregiver and explained the purpose of the visit. Administrator Russell Venanzi was notified of the visit and arrived later to assist with the visit.

Based on the observations, interviews and file review conducted during the visit on 02/10/2022, LPAs were able to determine that on the allegation that staff trained to handle and dispense medications, LPAs found two staff members for whom training had been completed but not documented.

On the allegation that staff are not trained to care for resident with restricted health condition, LPAs confirmed no training had been documented at the time of the visit and no Home Health Services were involved in the colostomy care. The preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated and are being cited on the attached LIC 9099D. An exit interview was conducted and a copy of the report and Appeal Rights were left at the facility.