Complaint Investigation Report

342700677-4-5-2022-27-AS-KHOS-CDGLCG-20220414083819

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 2525 NATOMAS PARK DR. STE.270

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

03/28/2022 and conducted by Evaluator Christina Valerio

COMPLAINT CONTROL NUMBER: 27-AS-20220328171141

Facility is mismanaging resident's medication.

Licensing Program Analyst (LPA) Christina Valerio and LPA Jamie Ivey-Canady arrived to the facilty unannouced to conduct a 10-Day Visit and complaint investigation. LPAs were met by Co-Administrator Orlando Carpio. LPAs determined the following as it relates to the above allegation.

LPA Valerio reviewed Alta Regional Center Facility Action Report dated 03/24/2022. On 03/17/2022, Alta Regional discovered that the facility was in vioaltion of California Code of Regulations, Title 17 56054(a)(1). LPAs reviewed 2 resident files (R1-R2). Files for R1 and R2 were corrected since Alta Regional's unannouced visit and no additonal medication errors were observed.

Based on record review and interviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Per California Code of Regulations are being cited on the attached LIC-9099D. Failure to correct the deficiency may result in civil penalties. Appeal rights were provided. An exit interview was held and a copy of the report was left at the facility.