342700650-4-25-2025-59-AS-MSEY-DGDKUU-20250505081317

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700650
Report Date: 04/25/2025
Date Signed: 04/25/2025 03:20:12 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/31/2025 and conducted by Evaluator Angela Hood

COMPLAINT CONTROL NUMBER: 59-AS-20250131153330

FACILITY NAME:	MERAKEY - PARKS		FACILITY NUMBER:	342700650
ADMINISTRATOR:	KYRIE S RICHARDSON		FACILITY TYPE:	737
ADDRESS:	3333 PARKS LANE		TELEPHONE:	(916) 609-2425
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	4	CENSUS: 4	DATE:	04/25/2025
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Kyrie Richardson, Administrator		TIME COMPLETED:	03:35 PM

ALLEGATION(S):

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-Facility staff are mismanaging resident's medications
-Staff are not reporting incidents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angela Hood arrived at the care home and met with the Administrator, Kyrie Richardson, to deliver complaint investigation findings regarding the above stated allegations.

During the course of the investigation, LPA conducted interviews, a medication count, and obtained documentation pertinent to the investigation.

Allegation: Facility staff are mismanaging resident's medications
On February 6, 2025, LPA conducted a medication count for residents (R1, R2, & R3) comparing the residents' medication lists on file with the medication centrally stored for the residents. LPA did not observe any medication errors. Interviews with Administrator and staff (S1, S2, S6, S7, and S9) indicated that R1 never refuses medications. S1, S2, S4, S5, S6, and S7 indicated that they have never witnessed R1 spit out any medications. S8 indicated that on two occasions in the past (dates unknown) they witnessed AM medications half dissolved in R1's bed within an hour of the medication
*******************************************Continued on LIC9099-C************************************************

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2025

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 59-AS-20250131153330

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: MERAKEY - PARKS	FACILITY NUMBER: 342700650
	VISIT DATE: 04/25/2025

NARRATIVE

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pass. S8 indicated that the facility nurse instructed that the medications could be readministered to R1 without incident as they were provided to R1 within the window of time the medication can be administered. S9 indicated that, on one occasion (date unknown), they have witnessed R1 spit their medication back into the cup and then took it immediately after. S2, S6, S7, and S8 indicated that there are typically two staff members that pass medications together for verification purposes. The Medication/Treatment Administration Record for R1, dated January 2025, indicated that R1 received all of their medications. On April 22, 2025, LPA observed R1's bed and did not observe any medications in the bed.

Allegation: Staff are not reporting incidents
Interview with S2 indicated that everyone is a mandated reporter and required to report any incidents involving the residents. S2, S4, S6, S7, and S8 indicated that they report all incidents involving the residents. S5 and S9 indicated that they haven't had any incidents involving the residents to report. S4, S5, S6, S7, S8, and S9 indicated that they have never heard of a staff member not reporting incidents involving residents in care. LPA consistently receives incident reports from the facility.

Based on medication count, observation, documentation obtained, and interviews conducted, 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. No deficiencies are being cited.

Exit interview conducted. A copy of the report was provided.

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2025

LIC9099 (FAS) - (06/04)

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