Complaint Investigation Report

R1’s ID/Emergency contact information, most recent Physician’s Reports and the report that the covers 09/2023 along with After Visit Summaries, Case Notes, and Centrally Stored Medication lists for 09/2023 - 10/2023; facility’s emails, faxes, call logs and/or any other correspondences with R1's Responsible Party (RP) and Primary Care Physician for 09/2023 and 10/2023.

Allegation: Facility did not provide family with requested resident records.

R1’s Responsible Party (RP) stated that on October 13, 16, 20, 21, and 24, 2023, that she/he had requested records pertaining to R1 and never received a response. ED does not have record of who the request was sent to at the facility. ED did not have who the POA was on record. On 06/14/24, interviews with Staff (ED and S1) revealed that R1’s resident files had not been provided to RP and there was not a POA on record. LPA spoke to ED and S1 on 07/16/24 and both stated that R1’s records would be sent to CCLD by the end of July. The facility did not provide family with requested resident records; therefore, the allegation is substantiated.

Based on information obtained, the allegation is SUBSTANTIATED. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Deficiency is cited from Title 22 California Code of Regulations and listed on LIC 9099D. Failure to submit proof of correction by plan of correction due date, and any repeat violations within a 12-month period may result in civil penalties.

Exit interview conducted, Appeal Rights, and a copy of this report provided to Robert Coe, Executive Director.