Complaint Investigation Report

342701159-1-12-2023-27-AS-LKIG-CNCQX4-20230123113254

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO AC/SC , 2525 NATOMAS PARK DR. STE.270

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

10/24/2022 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20221024150556

Staff do not distribute residents' medications as prescribed

Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to finish tne complaint allegation Listed above. LPA was meet by Staff and administrator. LPA explained the purpose of today's visit.

The investigation was conducted by LPA Lewis and consisted of reviews of the facility records and interviews with facility management and staff. Other witnesses were contacted and interviewed.

The complaint allegations listed above were investigated. The facility staff, management and other witnesses were interviewed by LPA Lewis. Other witnesses interviewed provided conflicting information on the allegations.

LPA Lewis observed during file review that the MAR'S (Medication administration records) were marked as complete but during a physical count of the medication there was more medication present then days left of bottle. Neither staff or administrator could say definitively why the medication count was incorrect.

The investigation concluded, based on interviews, inspections, and file reviews the allegations were substantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations occurred

Based on LPA’s observations and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are determined to be SUBSTANTIATED.

Per California Code of Regulations, Title 22 Division 6, Chapter 8, no deficiencies are being cited. Exit interview held, a copy of report given during today’s visit.