complaint·February 15, 2022

conducted a record review and verified there are 22 residents receiving hospice care. Based on interviews and record review, it could not be proven that facility is retaining more residents receiving hospice care than approved for. Therefore, the allegation is deemed Unsubstantiated at this time. Unqualified Director operating facility: In regards to the above allegation, it was reported that Carol Trejo is not a qualified administrator. LPAs Tan and Cava conducted a record review pertaining to Ms. Trejo. Review of the facility file indicate that Carolina Garcia-Trejo is listed as the facility administrator. Review of facility files further indicates that Ms. Trejo has been employed by the facility since July 2018. She was hired as a wellness director at that time. She was then placed as interim administrator in February 2021, then promoted to the position permanently in June 2021. LPAs obtained a copy of Ms. Trejo's certificate and it is effective from 12/7/20 through 4/23/22. Based on interviews and a review of staff and facility records, it could not be proven that there is an unqualified director in charge of facility operation. Therefore, the allegation is deemed Unsubstantiated at this time. Resident's are being over-medicated: In regards to the above allegation, it was reported that all residents are being drugged with psychotrophic drugs. The reporting party did not identify resident names. The investigation consisted of LPAs Tan and Cava interviewing residents and reviewing the facility's medication log. Interviews with residents do not corroborate with the allegation. Residents did not express any concerns regarding their medication management. LPAs did not observe any discrepancies while reviewing the facility's medication log. Based on interviews with residents and a review of and facility medication records, it could not be proven that residents are being over-medicated. Therefore, the allegation is deemed Unsubstantiated at this time.