complaint·August 28, 2024

indicate itemized charges as required in the admission agreement that was approved by the Department. Based on record review conducted, the above allegation is substantiated. Based on LPAs observations and record reviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, is being cited on the attached LIC 9099D. Exit interview was conducted with the Administrator and Appeal Rights was provided. Facility staff did not dispense medications as prescribed During interview, the House Manager explained to the LPAs procedure when giving medications to the residents. House Manager also states that staff giving medications make sure that the residents take their medications. Residents interviewed state they get all their medications on time. Facility staff did not properly supervise resident resulting in resident wandering away from facility During interview conducted, the Administrator and House Manager state the facility has an auditory device that gets turned off during the day and turned on at night. During the day when the alarm is off, staff monitor the residents. The Administrator will install additional auditory device (Ring) by tomorrow, 8/29/2024. While at the facility, LPAs observed a staff watching over the residents in the front yard. The facility's last AWOL was recorded on 7/21/2023. Facility staff did not provide written copy of admissions agreement to responsible person. Based on interviews conducted, the Administrator states after admissions agreement are signed, a copy has always been given to the resident's responsible person. During the visit, LPAs interviewed Housing Authority of the County of Alameda (HACA) Supervisor (W1) who states that the office has a copy of all the clients' admission agreements. Based on interviews and record reviews conducted, the above allegations are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated . Exit interview was conducted with the Administrator and a copy of this report was provided.