Magnolia Crossing

Licensing Program Analyst (LPA) Daiquiri Boyd conducted the subsequent complaint investigation visit to the facility. During the course of this complaint investigation LPA spoke with staff and obtained and/or reviewed facility records and emails. It was determined based on interviews and records review that the above allegation is SUBSTANTIATED. Facility did not provide a copy of the resident file as requested to the resident and/or resident's responsible party within 2 days as stated. Based on LPAs observations and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. Health and Safety Code 1569.269(a)(21) is being cited on the attached LIC 9099D. SubstantiatedRead the full finding— CDSS inspection report, May 6, 2025 · control 24-AS-20250407133544

On 10/18/24, Licensing Program Analyst (LPA) M. Medina conducted a subsequent unannounced complaint visit to conduct interviews and deliver findings. LPA introduced self, stated purpose of visit, and met with Administrator, Constance Peters. This department investigated the above allegations during the investigation, LPA toured facility, conducted interviews, and reviewed records. This department had insufficient information regarding the allegations listed above. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or disprove that the allegations occurred therefore the allegations are UNSUBSTANTIATED. No deficiencies issued during this complaint visit . Exit interview conducted. A copy of this report was provided to Administrator for facility records UnsubstantiatedRead the full finding— CDSS inspection report, October 18, 2024 · control 24-AS-20240529155053

Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced to deliver findings on this investigation. LPA met with Facility Administrator, Constance Peters and announced the purpose of the visit. LPA conducted interviews, observations, and record reviews. Regarding staff did not safeguard resident's personal belongings. LPA conducted interviews, record review and LIC621 form. There was no supportive documentation found on file to support that resident's belongings were not safeguard. Regarding staff did not provide adequate food service to residents. Based on conducted observations, file reviews, and interviews this allegation was found unsubstantiated. Continue 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, February 27, 2024 · control 24-AS-20240126102342

Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced to deliver findings on this investigation. LPA met with Facility Administrator, Constance Peters and announced the purpose of the visit. LPA conducted interviews, observations, and record reviews. Regarding staff handling residents in a rough manner, LPA interview four residents. Three of the four residents reported they have not seen or heard staff handle residents in a rough manner. One resident reported hearing from other residents that residents are handled in a rough manner. Continue 9099-C Unsubstantiated— CDSS inspection report, February 6, 2024 · control 24-AS-20231201155005

On 12/08/2023, Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced to deliver findings on the allegations listed above. LPA met with Facility Administrator Constance Peters to discuss the elements of the allegations. Regarding the allegation, staff do not administer resident’s medication as prescribed. Based on interviews and record reviews, it is unclear weather or not R1’s medication was not administered as prescribed. LIC602A physician’s report state R1 can leave the facility unsupervised and able to administer own prescription medication. R1 has prescribed medication that facility cannot administer without physician’s orders. Continue page 2 - 9099C UnsubstantiatedRead the full finding— CDSS inspection report, December 8, 2023 · control 24-AS-20231013160821

On 08/04/2023, Licensing Program Analyst (LPA) Sarah Hurt arrived at the facility unannounced to deliver findings on the allegations listed above. LPA met with Facility Administrator Constance Peters announced the purpose of the inspection. Regarding the allegation staff did not seek medical attention for a resident. LPA Hurt reviewed Centrally Stored Medication Logs, Medication Administration Records, and medications for Resident 1, and Resident 2. LPA Hurt spoke with three facility staff who agreed the Medication Administration Record has several errors, and the count was not always done at the end of each shift. Based on this it is unclear if there was a medication error or if medical attention was needed for Resident 1. Based on interviews conducted, documentation obtained and reviewed during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence toRead the full finding— CDSS inspection report, August 4, 2023 · control 24-AS-20230724091124

Licensing Program Analyst (LPA) Darius Williams conducted an unannounced follow up visit. LPA Williams met with Administrator, Constance Peters. LPA Williams conducted interviews, observations, and record revie In regards to staff using profanity towards residents, LPA interview four residents. Resident 4, 7, and 8 reported they have not seen or heard staff use profanity toward residents. Resident 2 reported hearing someone use profanity while they were in their room, but did not see if the individual was a resident or staff or who they were speaking to. In regards to staff falsifying records. LPA spoke with Staff 1 who reported if residents decline to eat or want to eat in their room, they informs the manager. *Continued on LIC 9099-C* UnsubstantiatedRead the full finding— CDSS inspection report, July 17, 2023 · control 24-AS-20230620122450

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. LPA met with Administrator Constance Peters and informed her the purpose of the visit. During this visit LPA delivered investigation findings regarding the above allegations.The Department has investigated the complaint alleging: Staff provides care to residents while under the influence of marijuana, and Staff do not ensure that infection control practices are maintained when handling medication. Based on the interviews conducted and/or records review the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. UnsubstantiatedRead the full finding— CDSS inspection report, June 23, 2023 · control 24-AS-20230619090724

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the above allegation. LPA Hurt met with facility Administrator Constance Peters and explained the purpose of today's visit. Regarding the allegation staff are resricting residents vistors. Witness 1 attempted to visit Resident 1 on April 19, 2023 and was told by facility staff he would not be allowed to visit, or speak to Resident 1 without supervision. LPA Hurt spoke with Resident 1 who stated he was ok with Witness 1 visiting him, and he does not want to deny anyone from visiting him. LPA Hurt reviewed the Power of Attorney documents for Resident 1, and there is no section mentioning visitors or restriction of specific visitors.. Resident 1's Power of Attorney has not provided any documents proving anyone is legally ordered to stay away from Resident 1. Based on the interviews conducted, documentation obtained and reviewed, and the information received during this investigation,Read the full finding— CDSS inspection report, June 2, 2023 · control 24-AS-20230424172045

On 5/31/23 at 8:20 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an initial 10-day complaint inspection. LPA explained reason for inspection and was granted entry by Administrator (ADM) Constance Peters. LPA conducted interviews and toured the three buildings. LPA observed each building with a kitchen that has a double oven. LPA observed all six ovens operational and heating up. The allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview conducted. A copy of this report was given to Administrator, whose signature confirms receipt of this report. UnfoundedRead the full finding— CDSS inspection report, May 31, 2023 · control 24-AS-20230525082016

On 02/21/2023, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegations, LPA introdcued self, stated the purpose of the visit and requested to meet with Administrator. LPA met with Administrator, Lai Saeteurn. During this investigation, LPA reviewed records and interviewed facility staff. Based on interviews conducted, the allegation: Staff administering medication while under the influence is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficeincies issued during this inspection. Exit interview conducted. A copy of this report was dicussed and provided to Administrator, Lai Saereurn, whose signature on this form confirms receipt of this document. UnsubstantiatedRead the full finding— CDSS inspection report, February 21, 2023 · control 24-AS-20230109110932