Complaint Investigation Report

PLC 7117 Main, LLC, Orangevale10/07/2021Licence 342700783

Census6
Date signed10/07/2021 03:28:52 PM
The inspector’s account

342700783-10-7-2021-25-AS-LMUZ-C7PUR6-20211011154813

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 520 COHASSET RD., STE. 170

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

09/20/2021 and conducted by Evaluator Michael Smith

COMPLAINT CONTROL NUMBER: 25-AS-20210920163411

Staff are not following physicians orders for medication administration

Prior to entering the facility, LPA Smith spoke with staff to pre-screen that the facility is COVID free. Analyst also self-screened for having no known symptoms or exposure. Analyst followed facility's screening protocols, wore a mask and maintained distance during the visit. LPA Smith conducted an unannounced complaint visit and met with Juliet Irungu.

Complaint alleges that the resident was only administered 1/2 the dosage as the prescription states. Based on witness interviews, LPA was unable to confirm this allegation.

As a result of this investigation, LPA finds the allegation that staff are not following physicians orders for medication administration to be UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

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