Facility Evaluation Report

During complaint investigation, deficiency of the CA Code of REgulations, Title 22 was observed to have occurred and is cited on a following page.

Based on interviews with staff and a review of medical records from Sutter Health/Palo Alto Medical Foundation (PAMF), facility staff failed to seek medical attention in a timely manner for client #1, who was eventually diagnosed with a UTI. On 3/13/20, staff observed yellowish vaginal discharge and blood in client's diaper, but did not seek medical intervention nor report to MD until 3/20/2020, 7 days later. MD prescribed topical external treatment based on symptoms described. On 4/2/20, staff reported to MD that client has dark urine and is very confused. After results from urinalysis testing, UTI was confirmed on 4/3/20 and client was treated with a lengthy course of antibiotics. The observations, communication and treatment were not documented in facility notes due to staff shortage.

--------------------This report is delivered via phone and emailed to administrator for signature------------

-------------------Signed 2 page report to be returned to CCLD via email or fax to 650/266-8841-----------------