Senior Care Records.

Complaint Investigation Report

Our Countryside Resort, Perris07/14/2025Licence 331881645

Census31
Date signed07/14/2025 04:40:37 PM
The inspector’s account

331881645-7-14-2025-18-AS-APEZ-DKRK6Y-20250821073815

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

RIVERSIDE ASC , 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

07/10/2025 and conducted by Evaluator Abdoulaye Zerbo

COMPLAINT CONTROL NUMBER: 18-AS-20250710105402

Licensee does not ensure that staff have required medication training

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit to the facility to initiate a complaint investigation. LPA was greeted and granted entrance by Administrator Elizabeth Mahan. LPA identified himself and discussed the purpose of the visit.

It was alleged Licensee does not ensure that staff have required medication training. Concerns were made about staff having expired medication training certificates. LPA reviewed records and interviewed staff, information obtained revealed that S1 and S2 have expired medication training certificates since April 2025

Based on observations, interviews and records review the allegation of Licensee does not ensure that staff have required medication training is substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted where a copy of this report, 9099D, appeal rights, was reviewed and provided to Administrator Elizabeth Mahan.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction