Complaint Investigation Report

Interviews with two (2) out of nine (9) staff indicated that hand-over-hand injections are used. Interviews with three (3) out of nine (9) staff indicated that many Assisted Living residents are not capable of or will refuse to follow hand-over-hand procedures. Review of in-service training logs dated 12/4/25 and 12/25/25 indicated that training on hand-over-hand injections has since been given. Interviews with three (3) out of nine (9) staff in dicated they were not aware any trainings have been held or were told to sign the in-service log without attending the training. Based upon evidence gathered, there is a preponderance of evidence to prove that the allegations have been SUBSTANTIATED and are valid.

Deficiencies are cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, or repeat violations within a 12-month period, may result in a civil penalty assessment. Appeal rights were provided. See LIC9099D.

Exit interview conducted with Assistant Executive Director , whose signature on form confirms receipt.