Complaint Investigation Report

Interviews revealed that C1 was being seen by the NP and they diagnosed C1 with a sexually transmitted disease, (STD). Interviews also revealed NP ordered lab work and a urine sample to submit and confirm their diagnoses. The NP proceeded to treat C1 for the STD prior to receiving the lab results. C1 was administered the first injection of two injections of 500mg of ceftriaxone to treat Gonorrhea and Chlamydia. Interviews revealed when the NP received C1’s lab results, the results were negative for any sexually transmitted disease, negative for any bacterial infection and negative for urinary tract infection.

Interviews revealed that the director arrived at Urgent Care to follow-up with C1 and spoke with the NP, who was unable to diagnose or provide additional treatment for C1 and recommended C1 to follow-up with their primary care physician. Furthermore, the NP proceeded to tell the Director their concern for C1 and believed that C1 may be a victim of sexual abuse.

Interviews revealed that the director and C1 left Urgent Care and drove to Sharp Chula Vista Emergency Room where C1 was seen by attending Physician Assistant (PA) who diagnosed C1 with Phimosis (a congenital narrowing of the opening of the foreskin so that it cannot be retracted) which can cause irritation caused by poor hygiene. C1 was prescribed medication and educational material. The PA was supervised by ER physician during C1s examination and did not report negligence or suspicion of sexual abuse in the diagnoses or discharge summary. Interviews revealed C1 denied any sexual abuse by anyone and denied being sexually active.

An exit interview was conducted with Director Preece. A copy of this report and Licensee Appeal Rights (9058 01/16) were provided to Administrator at the conclusion of the visit.