Complaint Investigation Report

On April 12, 2022, the facility self-reported a fall involving Client 1 (C1) to Community Care Licensing. C1 was taken to Palomar Medical Center Poway Emergency Room around 7PM on April 11, 2022 after the accidental fall. Facility records indicated that C1 returned to the facility around 11PM, after receiving medical care for injuries related to the fall. At 10:26AM on April 12, 2022, the day after the fall, facility records and outside source records revealed that an email from the facility was sent to C1’s responsible party informing them of C1’s medical treatment. Outside source records revealed that numerous emails and pictures were sent between the responsible party and the facility concerning C1’s care after the fall. The facility’s emails to the responsible party included C1’s status, pictures, updates, and activities. Requests for photos and communication by the responsible party were provided and replied to by the facility as evidenced by the twenty-three (23) emails exchanged on April 12, 2022.

Based on the evidence obtained during the complaint investigation, the allegation that the licensee did not keep a responsible party informed of a client’s care is found to be UNSUBSTANTIATED, meaning that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Case Manager; a copy of this report and Licensee's Rights (LIC9058) were provided to Case Manager.