Complaint Investigation Report

107209035-5-20-2022-24-AS-MHON-CEQTR6-20220524145702

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

02/23/2022 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20220223151826

Administrator Rob Huntley and Health Services Director Laurie Johnson

Facility failed to seek timely medical attention for a resident resulting in serious injury

Facility did not report change in resident condition to responsible party

On 05/20/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit, and met with Administrator Rob Huntley and Health Services Director Laurie Johnson.

During the course of the investigation, interviews were conducted with staff and medical records were reviewed. It could not be proven or disproven that resident had a change of condition specifically related to skin integrity, that would have prompted staff to seek medical attention for resident or notify of the responsible party (RP) of any changes in resident’s condition, however on the morning of 2/10/22, when staff observed a strong odor in resident’s urine, they sought immediate medical attention and notified the responsible party that morning.

Based on interviews and records review, the allegations that facility failed to seek medical attention for a resident resulting in serious injury and that facility failed to notify the RP of resident’s change of condition are UNSUBSTANTIATED, meaning there is not a preponderance of evidence to prove or disprove the alleged violations occurred. No deficiencies issued. An exit interview was conducted. A copy of this report was provided to the Administrator.