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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 445202597
Report Date: 09/19/2024
Date Signed: 09/19/2024 03:57:11 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/23/2021 and conducted by Evaluator Grace Donato
COMPLAINT CONTROL NUMBER: 26-AS-20210623095010
FACILITY NAME:WESTWIND MEMORY CAREFACILITY NUMBER:
445202597
ADMINISTRATOR:STEVEN SILACCIFACILITY TYPE:
740
ADDRESS:160 JEWELL STREETTELEPHONE:
(831) 421-9100
CITY:SANTA CRUZSTATE: CAZIP CODE:
95060
CAPACITY:59CENSUS: 55DATE:
09/19/2024
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Steven SilacciTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Facility staff not following doctor's orders
INVESTIGATION FINDINGS:
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On 9/19/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director, Steven Silacci and explained the purpose of today's visit.

Regarding the allegation of Facility staff not following doctor's orders, Reporting Party (RP) stated that the facility is not consistent with following through with doctor's orders. When the facility receives a doctor's order from the physician, it takes a long time for staff to log the information in the facility's system, and the Med Tech does not see the doctor's order for the resident.

LPA interviewed ED and it was stated that once the facility receives the doctors orders through fax. It is immediately updated in the system. Medication rooms has the fax machine. Memory Care Manager, Med Techs, Directors are able to update the system once the orders are received. LPA is not able to reach RP due to the number provided was a wrong number.

Based on interviews, the department has determined that 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, therefore the allegation is UNSUBSTANTIATED.

Report is reviwed and copy is provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jackie Jin
LICENSING EVALUATOR NAME: Grace Donato
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
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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