Complaint Investigation Report

374604063-3-2-2026-08-AS-APAO-DRWUFT-20260306143317

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SAN DIEGO RO , 7575 METROPOLITAN DR. #109

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

10/21/2024 and conducted by Evaluator Amy Rodgers

COMPLAINT CONTROL NUMBER: 08-AS-20241021144527

LPA Amy Rodgers conducted an unannounced complaint visit via telephone to deliver findings to Assit. Manger Ileana Castro.

On October 21, 2024, CCL received a complaint alleging Resident #1(R1) missed medication and that staff were not following physician’s orders. R1 specifically alleged eye drops were only given once daily instead of four times daily.

The Department reviewed facility records and conducted staff and outside interviews. Records confirmed R1's physician’s orders for eye drops were four(4) times daily, and Medication Administration Records (MARs) and daily logs showed consistent administration as ordered. R1 also signs a daily medication log verifying they were given the eye drops and no noted discrepancies were documented. Department Interviews confirmed R1 has a documented mental health diagnosis and has made similar allegations in the past. No evidence was found to support that medications were missed or that staff failed to follow physician’s orders.

Based on interviews and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report and Licensee/Appeal Rights (LIC 9058 01/16) were provided to Asministrator Guerrero via E-mail. An electronic E-mail read receipt confirms the documents were received.