Facility Evaluation Report

05/23/2024 12:00 PM Licensing Program Analyst Rebecca Knight conducted an unannounced case management visit and met with care staff Michael Ting. House manager Virginia Moebs was contacted by telephone call and approved Mr. Ting to sign the report. Today’s visit is regarding an incident that occurred on 05/13/2024 and was reported to licensing on 05/14/2024.

It was reported that on 05/13/2024 Client 1 (C1) arrived back at the facility from his day program. Staff assisted C1 walking from the bus into the facility and observed that C1 was having a hard time walking. At approximately 4:30pm, staff noticed that C1 was having a hard time moving around, standing, and C1’s face was red. Staff asked how C1 was feeling and he kept saying "I'm fine, I'm okay". Staff called 911/Emergency Services and transported C1 to Oroville Hospital Emergency Room.

On 05/14/2024 staff went to visit C1 at the hospital and to talk to the doctor/nurse. The attending nurse informed staff that C1 was being treated for "general weakness infection" and he had been administered an antibiotic. Hospital staff performed an ultrasound on both of C1's legs. At 11:45am, staff spoke with the attending doctor to ask what C1’s diagnosis was. Doctor said C1 was being treated for general weakness post fall, bilateral knee pain. Staff was confused by the diagnosis because C1 had not been observed to have fallen at any time the night before.

During the course of the investigation, it was learned that C1 was diagnosed with UTI and treated at the hospital. C1 was discharged on 05/16/2024 and is now home. LPA interviewed C1 who stated they had not fallen. C1 has home health following for physical, occupational, and speech therapy. LPA also interviewed house manager via telephone call.

No deficiencies were cited as a result of today’s visit. Exit interview conducted and a copy of the report was provided to Nora Serrano.