Complaint Investigation Report

547202796-7-17-2023-24-AS-SMOA-CUAMHZ-20230801093823

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

05/10/2023 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20230510083343

Licensee did not follow physician's medication orders

Facility has expired food and does not have enough perishable, non-perishable, and nutritious food

Licensing Program Analyst (LPA) K. Kaur and LPM S. Moua arrived at the facility unannounced for subsequent complaint inspection. LPA discussed the purpose of the visit and the elements of the allegations with Licensee. LPA delivered the following findings.

The Department investigated the allegations listed above. Based on interviews conducted and record review, and documentation and photos from Regional Center the facility failed to follow medication distribution, had expired food, and facility that was not clean.

The preponderance of evidence standard has been met; therefore, the above allegation is found to be

SUBSTANTIATED. See citations on the attached LIC9099D. Exit interview was conducted with Licensee, a copy of this report and appeal rights were provided.