Complaint Investigation Report

306005946-3-11-2024-22-AS-SSAS-D3M2CA-20240322171625

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

03/01/2024 and conducted by Evaluator Joseph Alejandre

COMPLAINT CONTROL NUMBER: 22-AS-20240301164328

Facility did not provide resident's complete medical records to resident's authorized representative.

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with Executive Director Lindsay Schroeder and explained the reason for the visit. The investigation revealed the following. It was alleged that the facility did not provide all of the records for Resident 1 to the authorized representative after they were requested. The request for, "the complete chart" was received by the facility on February 21, 2024. On February 28, 2024 the facility emailed to the authorized representative of Resident 1, 147 pages, including the Admission Agreement, Physician's report and resident information. The Administrator verified that the information sent to the authorized representative did not include the Resident's medication administration records and resident notes. Based on the evidence gathered the preponderance of evidence standard has been met, therefore the allegation is substantiated. Citation is being cited per Title 22, division 6 of the California Code of Regulations. An exit interview was conducted, a copy of the this report along with citation and appeal rights was provided to the facility representative.