Complaint Investigation Report

336427235-12-7-2021-18-AS-EMAN-CPGTFQ-20230228134156

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1650 SPRUCE ST STE 200 MS29-27

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

12/01/2021 and conducted by Evaluator Jennifer Semin

COMPLAINT CONTROL NUMBER: 18-AS-20211201141446

Resident is being overmedicated while in care.

Licensing Program Analyst (LPA) Jennifer Semin conducted an unannounced visit to initiate an investigation and deliver the findings for the above allegation. LPA met with Assistant Administrator Mary Gonzalez.

The investigation consisted of interviews with staff and relevant parties. Regarding the allegation, Resident is being overmedicated while in care. Staff interviews revealed all residents, including Resident 1 (R1), are given their medication according to the physician’s order. Staff state they document and notify resident’s responsible party when any changes in condition occur. Responsible Party (RP) stated facility notifies RP of any change in condition for R1. Relevant parties state R1 is prescribed too much medication by their physician. Facility documents revealed the facility is giving medication according to the physician’s order.

Based upon interviews and information gathered, and although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED at this time.

An exit interview was conducted where this report was discussed and provided to Ms. Gonzalez.