Complaint Investigation Report

547206596-7-2-2024-24-AS-SMOA-D7VJVU-20240806072343

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

03/12/2024 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20240312124816

Administrator Lennette Otero-Gross and Executive Director Lauri Aguilar

Staff did not administer resident’s medications as prescribed

Licensing Program Analyst (LPA) K. Kaur arrived at the facility unannounced for subsequent complaint inspection. LPA met with Executive Director Lauri Aguilar and discussed the purpose of the visit and the elements of the allegations. Administrator Lennette arrived a short while later. LPA delivered the following findings.

The Department investigated the allegations listed above. Based on interviews conducted and records reviewed Staff did not administer resident’s medications as prescribed. Medication audit revealed residents’ medication was not logged in the Centrally Stored Medication and Destruction Record (CSMDR). CSMDR was incomplete and missing information. R1’s Medication count revealed extra pills based on records.

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 Administrator, a copy of this report and appeal rights were provided.