Complaint Investigation Report

361800198-9-12-2025-56-AS-KCLS-DLZTJ4-20250930144541

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

10/24/2022 and conducted by Evaluator Javier Prieto

COMPLAINT CONTROL NUMBER: 56-AS-20221024143427

Staff not providing residents medications as prescribed.

LPA Javier Prieto arrived to the facility to conduct a complaint investigation regarding an allegation that staff are not providing residents medication as prescribe. LPA met with administrator Glenn Bernal and explained the elements of the complaint.

LPA Prieto interviewed resident #1 (R1), R2, R3 and R4. All stated that their medications are being dispensed as prescribed. LPA obtained the Medication Administration Record (MAR) log for R5. Records show that the medication is being dispensed as prescribed.

This agency has investigated the complaint alleging staff not providing residents medications as prescribed. . We have found that the complaint was UNFOUNDED, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. This report was signed by LPA Prieto and Administrator Bernal and a copy was left with the facility.