Complaint·December 12, 2023

INVESTIGATION REVEALED THE FOLLOWING: Allegation #1: Facility is in disrepair. It is alleged the facility is in disrepair. The complainant reported the physical plant is not maintained in good condition. On 12/12/23 between 2:01 pm - 2:47 pm an inspection the entire facility. The inspection revealed that the central stove burner was not operable at 2:01 pm. The bathroom in resident's room #6 is missing a window covering for privacy. At 2:21 pm resident #4 (R4) who occupies room #6 was interviewed and who stated preferred having a window covering for privacy in the private bathroom. Based on the information gathered, there is sufficient evidence to support the allegation mentioned above. Allegation #2: Facility staff failed to properly administer the resident’s medications. The details of the complaint alleged the facility is not properly administering resident's medications. The complainant reported the facility is not administering and storing medications properly. On 12/12/23 between 2:01 pm - 2:47 pm inspection the entire facility. At 2:05 pm the Department identified refrigerated prescription medications were not stored properly for residents #2 and #5 (R2 and R5). (R2's) was in a locked box with a key attached and key not stored away from box. (R5's) medications were stored in a snap box plastic container with no lock. Both (R2 and R5) medications were accessible to other residents diagnosed with dementia. Based on the information gathered, there is sufficient evidence to support the allegation mentioned above. Based on observations, interviews, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099-D. An exit interview was conducted with Michelle Kellogg, and a hard copy of the report along with appeal rights.