Complaint Investigation Report

On 1/13/22, 9/10/24, 9/11/24 and 9/12/24, LPA interviewed 5 staff, previous executive director (PED), administrator (ADM) and R1. PED stated R1 can not reposition on his when in bed. ADM stated R1 can not reposition when in bed as well as when R1 is on his wheelchair. ADM also stated that R1 can only press the button on his wheelchair to have his leg elevated. The 5 staff stated R1 is being repositioned which is confirmed by LPA from the document obtained. R1 stated he can not reposition on his own.

Based on interviews and records review, and facility not licensed for bedridden nor have bedridden fire clearance at the time complaint was received, the preponderance of evidence is met, therefore, the allegation of facility retained resident (R1) beyond the limitation of license is closed as substantiated.

Deficiency is cited from Title 22 California Code of Regulations and listed on 9099D. A $500.00 civil penalty is assessed for section 80020(a).

Deficiency and civil penalty were discussed with ADM.

Exit interview conducted. Appeal Rights, LIC421IM Civil Penalty Assessment and copy of this report provided.