Complaint Investigation Report

LPA interviewed staff (S1, S2, S3 and S4). Three out of 4 staff stated R1's blood pressure was high on the time R1 called for help on July 7, 2023, was observed weak and was found on the floor; however, they did not call 9-1-1. The staff only called 9-1-1 when R1 called for help the second time around 3:00 am the following day and R1 was taken to the hospital by the first responders.

Based on LPA's records review and interviews, the preponderance of evidence has been met, therefore the allegation of ' Facility staff did not seek medical attention in a timely manner' is found to be substantiated. Title 22 California Code of Regulations is being cited and listed on 9099D. Failure to submit proof of correction by plan of correction due date and any repeat violations within 12 month period may result in civil penalties.

Deficiency and plan and proof of correction were discussed with the licensee.

Exit interview conducted. Copy of this report, LIC9098 Proof of Correction form and Appeal Rights provided.