Complaint Investigation Report

Based on interviews conducted, it was learned that this incident was not reported to the responsible parties for R1 when R1 initially sustained the fall on 10/17/2023 and was suffering with a swollen left ankle. It was learned that the responsible parties were not made aware of the incident and reason for the hospital visit until the actual date of the appointment on 10/30/2023.

It was further learned that this facility, and it's representatives, admitted that there was a breakdown in communication with R1 and R1's responsible parties in connection to this fall that took place on 10/17/2023 and they should have been informed in a timely manner.

As a result of this investigation, this LPA found the allegations to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegations were valid because the preponderance of the evidence standard had been met.

The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes.

Appeal rights were printed and a copy was left with the facility designated Administrator at this time.

This incident is currently under review and a future civil penalty may apply based on 1569.49(f) H&S. Failure to correct the deficiencies may also result in civil penalties as well.