455002744-5-2-2023-25-AS-KHOS-CRGJNS-20230503071224

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455002744
Report Date: 04/26/2023
Date Signed: 05/02/2023 10:44:45 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/15/2023 and conducted by Evaluator Rebecca Knight

COMPLAINT CONTROL NUMBER: 25-AS-20230215125826

FACILITY NAME:	HORIZON ET AL, LLC		FACILITY NUMBER:	455002744
ADMINISTRATOR:	LAWSON, STEPHEN		FACILITY TYPE:	740
ADDRESS:	1023 GREENBRIAR CT		TELEPHONE:	(530) 227-5020
CITY:	REDDING	STATE: CA	ZIP CODE:	96003
CAPACITY:	6	CENSUS:	DATE:	04/26/2023
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Stephen Lawson - administrator		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Staff used resident prescribed medication for personal use - UNFOUNDED

INVESTIGATION FINDINGS:

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04/26/2023 10:00 AM Licensing Program Analyst (LPA) Rebecca Knight, made an unannounced visit to the facility and met with administrator Stephen Lawson. The purpose of this visit was to deliver the results of a complaint investigation. Prior to initiating the visit, LPA self-screened for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95 mask, gloves.
During the course of the investigation the licensee, administrator and 4 staff were interviewed. LPA reviewed the following documents from licensee: Resident list, staff list with telephone numbers, MAR and Physician’s report for 6 residents, Centrally Stored Medication logs, hospice admission forms, drug test results for all staff.

Continued on LIC9099-C

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:	DATE: 04/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2023

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 25-AS-20230215125826

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833

FACILITY NAME: HORIZON ET AL, LLC	FACILITY NUMBER: 455002744
	VISIT DATE: 04/26/2023

NARRATIVE

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Staff used resident prescribed medication for personal use - UNFOUNDED

LPA reviewed follicle drug test results for all care staff, administrator, and licensee. The tests were requested by North State Drug Testing and Performed by Omega Laboratories. Tests performed were for extended opiates. Test method was head hair. 5 of 5 staff tested by hair follicle testing method received negative test results.

3 of 3 staff stated they had never witnessed or heard of any staff taking medication that has been prescribed to a resident and ingesting it while on duty at the facility.

3 of 3 staff stated that medication is stored in a locked medicine cabinet inside the locked pantry. LPA observed that the pantry door was locked and medications were stored in a locked cabinet within the pantry.

Administrator stated they had not heard of staff taking resident prescription medications for personal use.

Based on interviews and record review of negative hair follicle drug test results received for all staff, the administrator and licensee the allegation is unfounded.

This agency has investigated the complaint alleging staff used resident prescribed medication for personal use. We have found the complaint was UNFOUNDED, meaning that the allegation is false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted. A copy of the report was provided to licensee Colleen Lawson.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

LIC9099 (FAS) - (06/04)

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