Complaint Investigation Report

Allegation: Resident sustained multiple injuries while in care.

It is stated on 12/07/2021 resident sustained multiple injury while in care. On 12/07/2021 LPA could not interview R1 for complaint as R1 has an attorney. Letter from attorney states that R1 was inside facility van and was injured when driver came to a stop and R1 flew out of wheelchair on the van floor. On 12/14/2021 LPA reviewed IB report which did not find that R1 was injured when van came to a stop. On 12/14/2021 LPA reviewed medical records from IB report, records did not find that R1 was injured from falling out of the wheelchair. Medical report suggests minor injuries to resident knees. On 12/13/2021 LPA interviewed S5 driver who stated that resident 1 did fall out of wheelchair when S5 came to a stop at a red light. S5 states that R1had very minor injuries to R1 knees and refused to be taken to hospital or for 911 to be called. S5 states that R1 asked driver to drive R1back to the facility.

Based on LPAs observations and interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be substantiated. California Code of Regulations, Title 22, Division 6, and Chapter 8 are being cited on the attached LIC 9099D.

An exit interview was conducted and copy of the Complaint Report and Appeal Rights were provided to the Administrator.