Complaint Investigation Report

During review of record where R#1 was admitted demonstrated that R#1 arrived at the facility with pressure sores on legs and back. Local hospital listed Resident #1 pressure injury to be at a stage 3 injury appearance. Based on the evidence gathered during the investigation, the above allegation is Substantiated.

Substantiated A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Title 22 regulations, Personnel Requirements – General 87411 (a), from division 6, chapter, article 6, is being cited on the attached LIC 9099 D.

An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided, along with a copy of the appeal rights to Facility Caregiver.

An immediate civil penalty is assessed for $500.00, per Health and Safety Code 1548 (c). In addition, an additional review is being conducted and additional civil penalty may be imposed per Health and Safety Code 1569.49 (f).

Exit interview conducted and copy of report provided to Facility Caregiver Alexia Portillo