Complaint Investigation Report

336408124-8-18-2021-18-AS-EMAN-C67QCD-20210824120259

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

11/19/2019 and conducted by Evaluator Jennifer Semin

COMPLAINT CONTROL NUMBER: 18-AS-20191119135722

Staff failed to administer medication to client

Licensing Program Analyst (LPA) Jennifer Semin conducted an unannounced visit to deliver the findings of the above complaint allegations. LPA met with Marissa Oliverous.

The investigation consisted of interviews with relevant parties and review of pertinent documents.

The first allegation indicates the facility refrigerator is locked. Staff interviews revealed staff deny ever locking the refrigerator. Interviews with Client 1 (C1) revealed that the refrigerator had been locked on several occasions. Interviews with other clients revealed they have never seen the refrigerator locked.

The second allegation indicates staff failed to administer medication to client. Staff interviews revealed that staff administer all client medication according to their physician’s orders. Documents reviewed indicate medication is given according to physician’s order.

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

An exit interview was conducted where this report was discussed and provided to Marissa Oliverous.