Complaint Investigation Report

Interviews with staff and outside sources reveal that R1's Responsible Party was initially informed of an injury sustained by R1. File review also corroborated documentation of that notification, however no record of further updates to R1's responsible party were noted. File review notes basic first aid being administered for a period of two (2) days after initial injury and then nothing for twelve (12) days until a note regarding new medication orders for a developed infection, after R1 was taken by their Responsible Party to receive medical attention for the injury. Staff interviews reveal that basic dressing changes were conducted every other day but no wound care arrangements were ever set up, nor arrangement for appropriate medical care.

Based on LPA's review of records, interviews with staff and outside sources, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited per California Code of Regulations, Title 22, Division 6 on the attached 9099D. An exit interview was conducted with Health Services Director Mendez to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.