Complaint Investigation Report
Allegation: Staff did not inform resident's authorized representative of a change in resident's condition.
The details of the complaint alleged that the facility staff did not inform the resident’s authorized representative when they went to the hospital.
During the records review, LPA Iniguez examined the facility face sheet of resident (R#1). It was noted that (R#1) did not list a contact person, nearest kin, or legal guardian, but rather listed themselves as their legal representative. Additionally, LPA observed the Identification and Emergency Information sheet was reviewed, and it was found that (R#1) did not list a legal guardian or conservator, but only their insurance company as the entity responsible for paying for their care while living at the facility. Moreover, LPA reviewed (R#1)'s Physicians Report for Residential Care Facilities for the Elderly (RCFE), or LIC 602A, where (R#1) again listed themselves as their legal representative. Lastly, a copy of an Unusual Incident Report-LIC 624 dated 12/26/23 was reviewed, which indicated that when (R#1) went to the hospital that day, the facility informed (R#1)'s physician and CCLD.
During an interview with the Administrator (A#1), she stated that the facility's sending residents to the hospital is based on a case-by-case basis; the residents will choose to go. If the resident decides to go to the hospital, the facility will inform the resident's physician and the responsible party if they have one. Once the resident returns from the hospital, we will assess the resident in case they need more care. Also, we submit an Unusual Incident Report to CCLD when a resident goes to the hospital. Also, (A#1) stated that (R#1) was self-responsible; they needed a representative listed on their identification and emergency information form and were not conserved. In addition, (A#1) stated that the facility has always notified residents' legal representatives and their physicians; we try to build a relationship with the residents' representative and their physicians.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction