Complaint Investigation Report

496801090-10-9-2024-21-AS-CMAZ-DA6W24-20241018165342

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SANTA ROSA RO , 1450 NEOTOMAS AVENUE, STE. 100

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

05/31/2024 and conducted by Evaluator Dina Alviso

COMPLAINT CONTROL NUMBER: 21-AS-20240531164055

Licensing Program Analyst (LPA) Alviso, conducted a complaint inspection, approximately 9:30am on 10/9/24, and met with Resident Care Coordinator(RCC) Karrie Hanna. Administrator David Hanna arrived to meet with the LPA.

LPA reviewed resident's (R1) records, including medical documentation, conducted interviews with staff, and other related parties. The investgation revealed that R1 has a care plan in place, and all medications prescribed by the Physician, were on-site, and inaccessible to all others that don't handle the medications. All R1's medications have Dr's Orders, per review of records. There was information and/or provided records that showed a mismanagement of R1's medications. Per interviews with staff, S1 & S2, all of R1's medications are provided as directed by the Physician, per the dosage instructions. There was conflicting information obtained regarding reported allegation of "Staff mismanaged resident’s medication". There was no information obtained that supported a violation had occurred regarding the allegation.

Based on the interviews, record reviews, including medical documentation, and Observations, there was no information obtained that supported the above violation had occurred. The allegation is Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

Exit interview was conducted with the Administrator David Hanna.