045000603-11-16-2020-25-AS-RLBN-BVHR3T-20201119114028

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 045000603
Report Date: 11/16/2020
Date Signed: 11/16/2020 09:43:41 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASETT RD., STE. 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/04/2020 and conducted by Evaluator Donna Gurriere

COMPLAINT CONTROL NUMBER: 25-AS-20200904143358

FACILITY NAME:	PRESTIGE ASSISTED LIVING AT OROVILLE		FACILITY NUMBER:	045000603
ADMINISTRATOR:	DAVID, RACHEL		FACILITY TYPE:	740
ADDRESS:	400 EXECUTIVE PARKWAY		TELEPHONE:	(530) 534-8160
CITY:	OROVILLE	STATE: CA	ZIP CODE:	95966
CAPACITY:	88	CENSUS: 43	DATE:	11/16/2020
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	BRANDY STRAHL		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Medications - When a resident passed away, the medications were not properly stored or locked.
Medications - Resident medications were observed in the health services director's office where they were accessible to others, as they were not locked.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Donna Gurriere, Licensing Program Analyst (LPA) was in contact with Brandy Strahl, Administrator. A physical visit could not be made due to the orders in place regarding the Corona Virus. During the month of September, 2020, it was alleged that When a resident passed away, the medications were not properly stored or locked and Resident medications were observed in the health services director’s office where they were accessible to others, as they were not locked.

Medications – When a resident passed away, the medications were not properly stored or locked. The administrator, health services director and numerous med technicians were interviewed. The overall census from the interviews were that the medications are locked in the medication room and stored in the medication cart. It was reported that typically, after a resident passes away, the medications are destroyed; however, it was noted that there has been a recent time lag in the destruction of medications. It was also reported that at times, when a resident passes away, the hospice nurse will come to the facility to take or destroy the unused medications.

**continued**

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rayna L Bryson	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:	DATE: 11/16/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 25-AS-20200904143358

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASETT RD., STE. 170
CHICO, CA 95926

FACILITY NAME: PRESTIGE ASSISTED LIVING AT OROVILLE	FACILITY NUMBER: 045000603
	VISIT DATE: 11/16/2020

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

**continued**

Medications – Resident medications were observed in the health services director’s office where they were accessible to others, as they were not locked. The administrator, health services director and numerous med technicians were interviewed. In addition, documents were received and reviewed. The overall census from the interviews were that the medications were not observed in the health services director’s office unlocked. It was reported that several employees “heard” of the allegation; however, most reported that they did not witness unlocked medications in the health services director’s office.

Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, and the findings are Unsubstantiated.

SUPERVISOR'S NAME: Rayna L Bryson	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:	DATE: 11/16/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2020

LIC9099 (FAS) - (06/04)

Page: 2 of 2