Complaint Investigation Report

On 02/14/2022, it was alleged resident (R1) was prohibited to return to the facility after being discharged from Emergency Psychiatric Services (EPS). On 02/23/2022, 4 staff members were interviewed. Based on interviews, it was observed R1’s health was declining which prompted the facility to transport R1 to EPS. S1 states R1 was not necessarily prohibited from returning as there was prior arrangements for R1’s county coordinator to pick-up R1 up from EPS. S3 states the facility was in contact with R1’s county coordinator that day which it was agreed upon R1 returning to their original county to receive higher level of care.

Based on interviews, R1’s county coordinator was responsible to coordinate pick-up for R1 at EPS.

The review of records shows R1 was provided a 72-hour assessment. The assessment listed an order of preference to transfer R1 back to their original county after receiving a medical clearance from EPS.

The Department has investigated the above allegation. Based on interview, record review and observation the Department has found the above allegation is unsubstantiated. An unsubstantiated finding indicates that although the allegation may have happened and/or is valid there is not a preponderance of evidence to provide the alleged violations did or did not occur. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Medroom Manager / Manager on Duty, Ethelind Lara. and a copy of the report was provided.