Complaint Investigation Report

Peninsula Reflections, Colma04/26/2024Licence 415600976

Census45
Date signed04/26/2024 10:54:19 AM
The inspector’s account

415600976-4-26-2024-14-AS-AMEN-D59TGW-20240514144349

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SAN BRUNO RO , 851 TRAEGER AVE., SUITE 360

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

02/14/2024 and conducted by Evaluator Jaime Vado

COMPLAINT CONTROL NUMBER: 14-AS-20240214151800

- Staff are mismanaging resident's medication

On 04/26/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit to deliver findings regarding the allegations received. LPA met with the admininstrator Anna Allas and explained the purpose of today's visit.

During the course of the investigation LPA conducted interviews, made facility observations, and reviewed records. Per records reviewed regarding medication, the medication is marked as being administered accurately. Interviews with staff indicate that the resident did swallow the medication when it was provided and the med tech spoke to the resident during this time to ensure it was swallowed. The med tech confirmed this observation. Due to contradicting interview details this allegation is unsubstantiated.

Based on these observations, the above allegations are UNSUBSTANTIATED.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time.

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