Complaint Investigation Report

Throughout the investigation, the department inspected the facility, secured pertinent records and conducted interviews with staff, residents, and outside sources. Interviews with outside sources, staff, and resident confirm staff were administering medication injections to their resident.

Based on interviews and records reviewed, a preponderance of evidence exists to show the Licensee did administer injections to their resident. The allegation is therefore substantiated. Deficiencies are being cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). A joint plan of corrections was developed with Licensee Annie Nazaian over the phone.

An exit interview was conducted in person with Care Giver Wendy Gomez Estrada and Care Giver Carolina Fuentes and over the phone with Licensee Annie Nazaian to whom a copy of this report, LIC 9099-C, LIC 9099-D, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.