Complaint Investigation Report

The investigation revealed the following:

Allegation - failure to obtain prompt medical care. During the investigation, interviews were conducted and medical records were obtained. IB Investigator interviewed 12 individuals which included San Gabriel/Pomona Regional Center Quality Assurance Specialist, C1’s Service Coordinator, Home Facility Licensee, Home Facility Administrator, Home Facility Staff, Home Facility Clients, ADP’s Administrator, ADP’s Assistant Administrator, and ADP’s Staff Members. Interviews with ADP staff revealed that on 12/02/2019, C1 arrived at the Adult Day Program (ADP) with an injured finger and the ADP staff documented the injury in C1’s communication logbook. C1 carries the communication logbook daily to the ADP and back to the home facility. On 12/05/2019, the ADP contacted the home facility’s administrator regarding the status of C1's injury since C1 continued to show up at the ADP with the injury and was in pain. On the afternoon of 12/05/2019, the home facility staff took C1 to the hospital where C1 was diagnosed with a fractured finger. Interviews with home facility staff revealed that C1 came home from the ADP with a swollen finger on 12/02/2019 and believed C1 had been bitten by an insect. They applied ointment on the finger until they took C1 to the hospital on 12/05/2019.

Based on interviews and documents, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 1, are being cited on the attached LIC 9099D.

An exit interview was conducted. A copy of this report and appeal rights were provided to Mona De La Rosa (Licensee).