Complaint Investigation Report

The investigation revealed the following: Regarding Allegation: “Licensee does not ensure staff have appropriate training for colostomy care”. It is being alleged that the licensee did not train staff to change C1’s colostomy bag. Interviews revealed that: A1 stated they received training from Prospect Medical Group and Ambitions facility nurse in February 2024 and 03/05/2024, but there is no written documentation proving said trainings were conducted. S1 confirmed changing C1’s colostomy bag “a few times”. S2 was not available for interview. Ambitions facility nurse confirmed that colostomy bag training was provided to facility in February 2024 and 03/05/2024 but does not have any documentation or signed the in-service log sheet or proof of the training. C1 states that C1 had colon surgery on 02/08/2024 and returned to the facility on 02/14/2024 and staff has changed C1 colostomy bag. Records reviewed indicate: Ambitions in-service training record dated 03/05/2024 was not signed by staff, therefore training cannot be verified.

Based on interviews and records reviews: the preponderance of evidence has been met, therefore the allegation “licensee does not ensure staff have appropriate training for colostomy care” is Substantiated. California Code of Regulations, Title 22, Division 6 are cited on the attached LIC 9099D.

An exit interview was conducted, and a copy of the Complaint Report and Appeal Rights were provided to the Administrator Keith Pollard (A1).