Complaint Investigation Report

079200174-2-28-2022-15-AS-KHOS-CE4HJN-20220504061438

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1515 CLAY STREET, STE. 310

This is an official report of an unannounced visit/investigation of a complaint received in our office on

11/05/2021 and conducted by Evaluator Daisy Panlilio

COMPLAINT CONTROL NUMBER: 15-AS-20211105105834

Linda Portillo/Luis Fernandez, Administrators

Facility did not seek medical attention for client’s continued pain after fall

On 02/28/22, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced subsequent complaint visit with administrator to deliver the findings of above allegations. LPA explained the purpose of the visit with administrators.

Allegation: Facility did not seek medical attention for client’s continued pain after fall.

Based on interviews, observations and record reviews which were conducted, client (C1) fell off his bed at night and did not report injury to staff. However, staff noticed C1 in discomfort at the facility and transported him to the hospital for evaluation on 10/17/21 and discharged back to the facility the same day diagnosed with a sprained right knee. On 10/26/21, C1 was taken by staff back to the hospital due to continued pain. Hospital staff was ready to discharge C1 back to the facility but administrator/licensee requested for C1 to be re-examined where it was found that C1 had a broken hip. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is unsubstantiated.

No deficiencies cited. Exit Interview conducted and a copy of this report provided via email.