Complaint Investigation Report

Regarding the allegation “Staff did not notify resident's responsible person of resident's change of condition” LPA conducted an interview with Facility Administrator who informed LPA that Resident #1 had sustained an unwitnessed fall on 9/22/2024. In addition, Administrator informed LPA that staff noticed that R#1 was not able to fully lift their arm up for about a week. During the interview LPA was informed by the administrator that R#1 was taken to the hospital by R#1 responsible party, who later was informed by Kaiser, that R#1 had sustained a Hemerus Fracture due to an accidental fall R#1 sustained on 9/22/2024. Based on the interviews and evidence gathered above allegations are 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, 87465 (2) Incidental Medical and Dental Care, 87411 (a) Personnel Requirements – General, 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 Clarita Pereabras.