Complaint Investigation Report

Staff noticed that the injury progressively got worse while at the facility and it was only reported to a home health nurse after it had already progressed to a the stage 3 pressure injury. The facility failed to provide timely medical attention to the injury to prevent it from progressing to a stage 3 pressure injury. The allegation is substantiated.

Based on LPA interviews and items letters received, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, are being cited on the attached LIC9099D. This investigation is still under consideration for additional civil penalties.

Civil penalty assessed at $100 a day x 5 days = $500. Civil penalty is attached on the following LIC421IM.

Report is reviewed with care giver Randy Bandong.