Complaint Investigation Report
On documentation from Urgent Care dated 1/26/2024, it is documented that C1 had not been able to walk steady since 01/22/2024 and was experiencing overall weakness. S1 stated he contacted C1’s PCP on the January 25, 2024 and lab results for lithium was high and PCP asked S1 to contact C1 psychiatrist right away. W3 (Day Program Supervisor) stated that they asked facility administrator, S1 to send C1 for evaluation on 01/24/2024 in an email dated 01/24/2024 at 1:56PM. (LPA was forwarded email from day program) S1 started that he did not get the email because it was wrong email address but that Program Manager W4 called on 01/24/2024 at 1:05PM and spoke with S1 expressing her concerns about C1. W4 stated to S1 that they are going to send C1 home early because C1 is not feeling well. S1 stated that when C1 arrived C1 looked sad but was doing C1 usual activity of watching TV and S1 stated S1 didn’t feel that C1 required medical attention at that time, so he did send C1 to the hospital or call C1 primary doctor on January 24, 2024. The fact that C1 was sent home early from the day program on 01/24/2024, and facility, as well as Regional Center Service Coordinator Dora Contreras being alerted via email at 1:56PM on 1/24/2024 by Day Program Manager (W4) asking facility staff to have C1 evaluated by C1 doctor and requesting a note from C1 PCP to allow C1 to continue to participate at day program without restrictions clearly shows that facility failed to get timely medical attention for C1. Facility was alerted on 01/24/2024 by day program to have C1 evaluated by his PCP and C1 was not taken to hospital until 01/26/2024 shows that C1 did not get timely medication. There is sufficient evidence to substantiate this allegation.
Based on LPAs interviews and conducted record review(s), 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 3 are being cited on the attached LIC 9099D
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction