Complaint Investigation Report

LPA reviewed the Department's documents, although, a death report was submitted to CCLD, no incident reports were submitted to CCLD in regards to R1's falls, and the facility was unable to provide fax confirmation sheets to show that incident reports were submitted to CCLD.

Based on the interviews conducted, records reviewed and information collected, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties.

Report is reviewed with Administrator, Anne Buerhaus and a copy is provided with appeal rights.