Complaint Investigation Report

There is allegation of reporting requirements. Documentation dated 6/29/2021 reflects R1 was seen in the ER for a head injury. Community Care Licensing (CCL) did not receive an incident report. CCL received incident reports on 7/12/2021 and 7/14/2021 for R1 for incidents occurring on 7/4/20201. In addition, CCL received an incident report on 7/12/2021 for incident occurring on 7/1/2021 for R2. Based on LPA’s observations, interviews and a review of records, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.