Complaint·August 5, 2024

Based on client and facility records reviewed, information obtained from facility staff--including administrator-- and CDSS Administrator Certification Unit, these allegations are determined to be unsubstantiated. Although the allegations may have occurred or are valid, there is not enough evidence to prove the alleged violations did or did not occur. Four residents' physicians determined that they were unable to store and administer their medications, so facility provided this assisted living service until authorizations were obtained from MDs for their respective spouses to store and administer medications. However, facility failed to implement assisted living services in accordance with facility guidelines. See Facility Evaluation Report for deficiency. Executive director Janie Woo was appointed as facility administrator in November 2023. She applied for RCFE administrator certification approximately 6 months ago, but has not yet received administrator certificate. According to CDSS Administrator Certification Unit, status is pending. This could either mean that her application is pending review of information submitted or that information has been reviewed, approved, and that certificate is not yet processed/issued.