Complaint Investigation Report

092700750-2-17-2022-25-AS-LMUZ-CC6TSN-20220303135923

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 520 COHASSET RD., STE. 170

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

12/03/2021 and conducted by Evaluator Michael Smith

COMPLAINT CONTROL NUMBER: 25-AS-20211203151735

Facility staff did not follow doctor's orders.

Prior to entering the facility, LPA Smith spoke with staff to pre-screen that the facility is COVID free. Analyst also self-screened for having no known symptoms or exposure. Analyst followed facility's screening protocols, wore a mask and maintained distance during the visit. LPA Smith conducted an unannounced complaint visit and met with Stephen MacDonald.

Facility admitted they failed to follow MD orders which resulted in a treatment delay of approximately 2 weeks for a resident's medical condition. Based on witness statements, this allegation is SUBSTANTIATED.

As a result of this investigation, LPA finds the allegation that facility staff did not follow doctor's orders to be SUBSTANTIATED. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6.