Complaint Investigation Report

306000889-3-2-2026-22-AS-APAO-DRWTFN-20260306134149

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

02/25/2026 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20260225105026

SENIOR LIVING COMMUNITY FOR THE EASTERN STAR IN CA

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.

During the course of the investigation, LPA toured the facility and interviewed staff and resident as well as reviewed and obtained pertinent documentation such as medication administration record (MAR). Regarding the allegation that staff overmedicated a resident, the investigation revealed the following: Interview with Resident 1 (R1) showed the resident had a lack of awareness of which medications are prescribed. Medication orders show R1 is prescribed Hydrocodone (Norco) 10/325mg twice daily and Trazadone HCL 50mg at bedtime. Review of MAR indicates resident has been receiving the medications as prescribed. Per physician report dated 12/16/2025, R1 is diagnosed with Mild Cognitive Impairment with disorientation. Based on interviews conducted and record review, the allegation is deemed UNFOUNDED, meaning the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of this report was provided to facility representative.