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Complaint Investigation Report

Grace Blossom Care, Lakewood04/26/2023Licence 198603109

Census5
Date signed04/26/2023 09:25:52 AM
Name of licensing program analystLuis Mora
Name of licensing program managerWei Siew Ho
The inspector’s account

Resident #1 (R1) was observed to have a stage 3 sacral pressure ulcer on February 13, 2020 during a visit from the home health agency. This diagnosis was confirmed during a doctor’s visit on February 14, 2020 yet the facility readmitted the resident to the facility knowing that the resident had a prohibited health condition and was not on hospice. This is a violation of Section 87615(a)(1) Prohibited Health Conditions.

Based on LPA's interviews and records reviewed, the preponderance of evidence standard has been met, therefore the allegation is found SUBSTANTIATED. California Code of Regulations Title 22, Division 6, and Chapter 8 are being cited on the attached LIC 9099D.

Exit interview held and a copy of the report and appeal rights was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction