Complaint Investigation Report

496803759-8-10-2023-21-AS-KMOA-CUTPU9-20230818113710

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

06/21/2023 and conducted by Evaluator Victoria Bertozzi

COMPLAINT CONTROL NUMBER: 21-AS-20230621090228

**This report is an amended revision from original complaint report incorrectly dated 7/26/2023 - Facility visit was completed 7/27/2023.*

Licensing Program Analyst Bertozzi arrived unannounced to deliver findings regarding the above complaint allegation and met with Licensee, Leonardo Dela Cruz

Staff mismanaged residents medication – Complaint alleges that staff gave residents their PM medication in the AM by mistake. Based on Interviews and review of documents LPA was not able to determine that residents were not given their medication at the prescribed time.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated