Complaint Investigation Report

374604178-4-5-2024-08-AS-SJAB-D67T52-20240613142449

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

04/03/2024 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20240403130808

Client medication records were not complete

Licensing Program Analyst (LPA) Tiffany Holmes conducted a visit to commence a complaint investigation into the above identified allegation. LPA was granted entry into the facility by Jose Gonzalez, Administrator, to whom LPA disclosed the purpose of the visit. Community Care Licensing (CCL) has investigated the above-listed complaint allegation.

The investigation consisted of a review of outside source records and interview of facility staff. It was alleged that the client medication records were not complete. It was observed by an outside agency that Client 1 (C1)s Medication Administration Record (MAR) record did not contain a list of all of the medications prescribed to client and their side effects. Interviews revealed the side effects leaflets were in another binder at the time and was provided to the outside agency at the time they were observing the files. Interviews revealed that staff moved the documents from the alternate binder into the Mars binder within the next two days. Interviews with staff revealed the leaflets were in the garage in the other binder. The allegation is unsubstantiated.

An exit interview was conducted with Jose Gonzalez, and a copy of this report, and Licensee/Appeal Rights (LIC9058) were provided at the conclusion of the visit, their signature on this report acknowledges receipt of copies of the reports and the rights.