Senior Care Records.

Complaint Investigation Report

Everett Forest,llc, Loma Linda03/10/2022Licence 366410695

Census4
Date signed03/10/2022 12:11:00 PM
The inspector’s account

366410695-3-10-2022-18-AS-KCLS-CDQUAZ-20220422152533

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1650 SPRUCE ST STE 200 MS29-27

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

03/04/2022 and conducted by Evaluator Javier Prieto

COMPLAINT CONTROL NUMBER: 18-AS-20220304104105

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding allegations that unqualified staff caring for residents, unqualified staff dispensing medication

and facility is not clean. LPA Prieto met with administrator Angelo Galasinao and discuss the details of the allegations made against the facility. Mr. Galasinao stated that he is the administrator with a current administrator certificate. Training that involves in obtaining such certificate includes dispensing medication and direct care for residents. Mr Galasinao was able to produce training documents related to these allegations and supplied LPA with copies. LPA Prieto toured the facility and found it to be clean and free from clutter and foul odors.

Based on the information obtained there is not enough evidence that unqualified staff caring for residents, unqualified staff dispensing medication and facility is not clean. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. Although the allegations 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.

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