198602405-5-14-2024-11-AS-EMAZ-D5KTS3-20240524145829

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602405
Report Date: 05/14/2024
Date Signed: 05/14/2024 11:04:29 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/07/2024 and conducted by Evaluator Alfonso Iniguez

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20240507095848

FACILITY NAME:	ANEW DIRECTION ADULT LIVING		FACILITY NUMBER:	198602405
ADMINISTRATOR:	PATRICIA DUFRENNE		FACILITY TYPE:	735
ADDRESS:	2300 S PACIFIC AVE		TELEPHONE:	(909) 210-0365
CITY:	SAN PEDRO	STATE: CA	ZIP CODE:	90731
CAPACITY:	72	CENSUS: 66	DATE:	05/14/2024
		UNANNOUNCED	TIME BEGAN:	08:31 AM
MET WITH:	Joyce Garcia/Administrator		TIME COMPLETED:	11:04 AM

ALLEGATION(S):

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Staff mismanaged resident's medication

INVESTIGATION FINDINGS:

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On 5/14/2024 LPA Alfonso Iniguez conducted an unannounced complaint visit. LPA Iniguez met with Joyce Garcia /Administrator. LPA explained the purpose of this visit.

Investigation Consisted of: LPA conducted the following interviews: Administrator Interview(A#1), Client’s interviews (C#1-C#6), Facility Staff-MedTech’s Interviews(S#1-S#3) and Witness interviews (W#1-W#4). LPA obtained and reviewed the following documents: Client’s roster, Personnel roster, (C#1-C#6) Identification and Emergency Information, (C#1-C#6) Admissions agreements, (C#1-C#6) Physicians Report for Residential Care Facilities for the Elderly, (C#1-C#6) Needs and Services Plan, (C#1-C#6) Medication Administration Record (MAR) for the months of January-May 2024, and Copies of Staff Training regarding medication intake.

Evaluation Report continues LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

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

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20240507095848

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: ANEW DIRECTION ADULT LIVING	FACILITY NUMBER: 198602405
	VISIT DATE: 05/14/2024

NARRATIVE

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Investigation Revealed the Following:

Allegation: Staff mismanaged resident's medication

The details of the complaint alleged that facility staff are mismanaging clients in care medications.

During the records review, LPA Iniguez examined the Medication Administration Records (MARs) for clients C#1 through C#6 from January to May 2024 and found consistent documentation. Additionally, LPA observed the annual staff training "Policies and Procedures Regarding Medications" dated 12/1/23.

During a physical review of the client’s medications, LPA observed that all the client’s medications were stored in a centrally locked area accessible only to the facility staff. LPA Iniguez examined the client’s physical medications, which were packaged in a bubble pack with the pharmacy's name, prescription number, client's name, medication name, dosage, physician's name, directions for taking medication, number of refills, and expiration date. LPA did not observe any medications without clients’ names, dosages, or other essential indicators.

During an Interview with the facility administrator (A#1), she mentioned that the facility staff administers medications to clients in the morning and at night. The staff receives medication training from the pharmacist once a year. Additionally, (A#1) clarified that case managers from Telecare do not dispense prescribed medications to facility clients, she stated they are not allowed to go near where the clients’ medications are stored; only the facility staff does. Furthermore, (A#1) assured that all clients in care receive their medications as prescribed by their physician.

Evaluation Report continues LIC 9099-C

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20240507095848

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: ANEW DIRECTION ADULT LIVING	FACILITY NUMBER: 198602405
	VISIT DATE: 05/14/2024

NARRATIVE

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During interviews with clients (C#1-C#6), (6) out of (6) stated that they are taking prescribed medications and the facility staff are the ones giving them their medications. Also, (6) out of (6) state that they have not received their prescribed medicines from other people who are not facility staff. In addition, (6) out of (6) clients stated that they have not missed a prescribed medication and feel the facility staff are managing their medications correctly. Furthermore, (6) out of (6) clients state that they feel safe living here.

During interviews with the facility Staff, MedTechs (S#1-S#3), (3) out (3) stated that they are the ones that dispense the prescribed medications to the clients. Also, (3) out of (3) indicated that they received annual training on handling, dispensing, and recognizing prescribed medications. In addition, (3) out of (3) stated that case managers from Telecare are not dispensing medicines to the clients in care, and all facility clients are getting their medications as prescribed by their physician.

During interviews with Witnesses (W#1-W#4), (4) out of (4) stated that they do not give medications to the facility clients; they only help them with social services issues. Also, (1) out of (4) witnesses state that facility clients receive oral medications from facility staff, but if a client needs medication through an injection, they are licensed to administer it.

Evaluation Report continues LIC 9099-C

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20240507095848

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: ANEW DIRECTION ADULT LIVING	FACILITY NUMBER: 198602405
	VISIT DATE: 05/14/2024

NARRATIVE

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During this investigation, LPA found did not find sufficient evident to support the above-mentioned allegation(s).

Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation(s) are found to be UNSUBSTANTIATED.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

An exit interview was conducted, and a copy of the Complaint Report was given to Joyce Garcia /Administrator.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

LIC9099 (FAS) - (06/04)

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