Complaint Investigation Report

Interviews with W1 revealed that the incident involving R1 diagnosed with pneumonia on 03/01/2020 was not reported to RCEB until 03/13/20, twelve (12) days later. On 04/12/23, S1 did not provide any additional documentation, UIR’s, faxes or emails as proof notification within twenty-four (24) hours or seven (7) days for R1.

Type B Deficiency is cited per California Code of Regulations, Title 22, and listed on LIC 809D. Failure to submit Proof of Corrections (POC's) by Plan of Correction date and/or repeat deficiencies within 12-month period may result in civil penalties .

Exit interview conducted, Appeal Rights and a copy of this report provided to Co-ADM.