Complaint Investigation Report
Facility did not seek timely medical attention for a client in care.- SUBSTANTIATED
It was reported that a client is bulimic and has not been treated by a physician for their condition.
LPA reviewed LIC602 Physician’s Report dated 02/26/2025 for Client 1 (C1). The document does not include a diagnosis of bulimia for C1. LPA reviewed documentation of medical appointments on 12/12/2025 (labs), 12/19/2025 with an upcoming appointment for 01/29/2026. On 01/15/2026 R1 had a visit to the ER for symptoms unrelated to bulimia.
LPA reviewed care notes for C1 for July 2025. On four separate days it was reported that C1 was having issues with binge eating out of their personal snack supply and then throwing up in their room and the common area of the facility. It was also reported that C1 was refusing the meals provided by the facility.
All staff who were interviewed stated that C1 does not have a bulimia diagnosis but does struggle with eating.
Administrator stated the client had an issue with throwing up when they first moved in but the client saw a doctor then and it hasn’t been a problem since.
It was determined that although C1 does not have a bulimia diagnosis they do have an issue with not eating the meals provided by the facility and prefers to eat the snacks that they purchase for themselves. There are documented occurrences where C1 has vomited after these incidents of eating their snacks as opposed to the facility meals. The facility did not provide documentation that proves that C1 was seen by a physician after these reported incidents that occurred in July 2025. The allegation is substantiated.
Based on interviews and evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC9099D. Appeal rights were provided. Exit interview conducted and a copy of the report was provided to administrator Christa Carrasco.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction