Complaint Investigation Report

Regarding the allegation that facility staff did not seek timely medical attention for resident the department conducted an investigation. Based on interviews and records, R1 had a fall at the facility on 3/6/2024 at approximately 0500 hours and family was contacted at 0900 hours. Family did not arrive at the facility until between 1000-1100 hours at which time R1 was found in bed and 911 was called. In addition, facility staff indicated a change in condition but did not call 911 or seek timely medical attention.

A finding that the complaint is SUBSTANTIATED means that the allegations are valid because the preponderance of evidence standard has been met.

An LIC421IM form issuing an immediate civil penalty of $500 was provided. The immediate civil penalty of $500 was issued today due to absence of supervision that occurred on 03/06/2024 in which a resident fell but facility staff were unaware of the fall until 4 hours after the incident.

The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.

An exit interview was conducted and appeal rights provided. This report was reviewed with Ricardo Aban, Executive Director and a copy of the report left at the facility.