Complaint Investigation Report

415601114-1-10-2024-14-AS-KHOS-CZHP85-20240115100458

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

12/05/2023 and conducted by Evaluator Jaime Vado

COMPLAINT CONTROL NUMBER: 14-AS-20231205135135

*** This is an amended document marking the report as public ***

On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver findings regarding the above allegation. LPA met with interim executive director Jessica Pryor and explained purpose of today's visit.

During the course of the investigation LPA made observations of the facility medication administration practices, med cart oraganization, reviewed resident medication administration recording process, and reviewed training records. LPA observed that all observed items are in place. LPA asked two med techs to demonstrate their medication handling practices. Medication training for med techs are reviewed as current. These allegations are 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. Report is reviewed with Jessica Pryor.