Facility Evaluation Report

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted a office meeting to deliver findings on an investigation completed by the Department. LPA greeted and met with Licensee Diane Hall and explained the reason for the meeting. During the course of the investigation, the following deficiencies were observed and are being cited via this case management deficiency.

On 08/02/2023 Licensee Diane Hall took Client 1 (C1) to see their Primary Care Physician where they noticed C1 had pressure injuries that needed to get looked at.

C1 was taken to OC Global Medical Center. Upon being admitted, C1 was found to have multiple stage three and stage two pressure injuries including wounds on the upper right back, bilateral left and right foot and sacral area and stage two wounds on right and left gluteal area gallstones. The OC Global Medical Center wound care nurse further found scar tissue around the wounds from old healed pressure injuries resulting from infrequent repositioning. C1’s wound care nurse from OC Global Medical Center, Primary Care Physician and Dermatologist all confirmed C1’s pressure injuries were unrelated to C1’s pre-existing skin condition. Four of four caregivers confirmed providing care for C1’s wounds despite them not being a skilled trained professional.

After multiple attempts to contact Hall via phone and email, on 12/13/23 an attempted follow up visit was conducted to the facility to obtain requested documents regarding C1. During the visit Hall was asked to provide the Department with C1’s records so they can be taken for copying. Hall stated she would need to retrieve C1’s file from her Tustin Ranch Office and would produce the records by 2:40 PM that same day.