Complaint Investigation Report

342700333-12-17-2024-59-AS-MSEY-DCJT65-20250102132635

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO NORTH ASC , 9835 GOETHE ROAD, SUITE 100

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

12/02/2024 and conducted by Evaluator Angela Hood

COMPLAINT CONTROL NUMBER: 59-AS-20241202151115

-Facility staff did not provide resident with medication as prescribed

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today, 12/17/24, and met with the Executive Director, Parveen Saroay, to deliver complaint investigation findings regarding the above stated allegation.

On 12/17/24, LPA conducted a medication count for residents (R1 & R2), comparing the residents’ medication lists on file with medication centrally stored for the residents. LPA did not observe any medication errors. Interview with R1 indicated that they had issues previously with not receiving medications; however, the issues have been resolved and they are receiving all medications as prescribed.

Based on medication count, interviews conducted, and documentation obtained, 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. No deficiencies are being cited.

Exit interview conducted. A copy of the report was provided.