Complaint Investigation Report

197610091-12-2-2022-31-AS-NMAN-CMDQ59-20221223105135

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD., STE. 250

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

04/12/2021 and conducted by Evaluator Rosaura Valenzuela

COMPLAINT CONTROL NUMBER: 31-AS-20210412084224

Licensee failed to obtain timely medical care for Resident 1 (R1).

Licensing Program Analyst (LPA) Rosaura Valenzuela made a subsequent visit to deliver the findings for the above noted allegation. LPA met with Administrator Myline Olivas. The purpose of the visit was discussed.

It was alleged that Licensee failed to obtain timely medical care for Resident #1 (R1). To investigate this allegation on 4/19/2021 at 2:21pm, staff interviews were initiated. Staff interviews revealed that R1 was assessed after the fire department left. Staff did not assess R1 before the fire department came, due to Staff #1 (S1) being alseep. On 10/25/2022 between 3:30pm and 4:00pm, LPA reviewed a copy of the Emergency Medical Services report and it stated that R1 was found on the ground and unable to get up. Fire department assessed R1 and helped them get up back to the bed.

Based on interviews and records review, there is sufficient information to substantiate this allegation. Therefore, this allegation is being deemed SUBSTANTIATED at this time.

Deficiencies cited. Exit interview conducted and a copy of the report was issued.