Complaint Investigation Report

347004963-7-6-2023-59-AS-KHOS-CTMRSU-20230711131720

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

03/28/2023 and conducted by Evaluator Angela Hood

COMPLAINT CONTROL NUMBER: 59-AS-20230328155820

-Residents are chemically restrained with medication

Licensing Program Analysts (LPAs) Angela Hood and Michael Hood arrived at the care home today and met with the Administrator, Kim Rosa, to deliver findings into the allegations listed above.

During the course of the investigation, interviews were conducted, a medication count was conducted for residents (R1 & R3), and documentation pertinent to the investigation was obtained. LPA found no errors in Trazadone 100mg for both R1 and R3, which are prescribed as a sleep aid. LPA reviewed facility roster indicating that all staff working at the facility are criminal background check cleared. Interviews conducted with staff (S1 & S2) as well as R1 and resident (R2) indicated that they have never witnessed staff using drugs while on duty. Interviews with R1 and R2 indicated that they have never experienced abuse or witnessed staff abusing residents in care. Interviews with S1 and S2 indicated that they have not witnessed staff abusing residents.

Based on interviews conducted, documentation reviewed, and medication count, 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 allegation is UNSUBSTANTIATED. No deficiencies are being cited during this visit.

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