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13 | Licensing Program Analyst (LPA) Cynthia Chan initiated a subsequent complaint investigation for the allegations listed above. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s complaint investigation was conducted telephonically with Victoria Tran, the facility administrator.
The investigation consisted of the following:
On 10/11/2019, LPA Juan Miramontes conducted the initial complaint visit and delivered the unsubstantiated findings. During the visit, LPA Miramontes received copies of the resident and staff rosters, reviewed facility record files for Resident #1-4 (R1 - R4), and obtained copies of the ID Sheet, Physician's Report, list of medications, nursing notes, and Special Incident Reports. LPA Miramontes also conducted interviews with Administrator Tran, Staff #1, and with R1, R3, and R4. R2 was not available during time of LPA's visit.
On 2/22/2021, LPA Chan re-interviewed the Administrator and requested for July through October 2019 MAR logs for R1. On 4/8/2021, LPA Chan interviewed additional 3 staff and 6 residents.
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