Complaint Investigation Report

486803921-1-18-2024-21-AS-VBEI-CZQT3Z-20240122132310

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

01/08/2024 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20240108143927

Staff did not seek medical attention for resident in a timely manner

Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. This investigation consisted of site visits to facility, taking statements from staff and witnesses, review of pertinent documents. The following determinations are made: Complainant alleges that R1 was exhibiting unusual behaviors on or about 10/23/2023 and that the POA for R1 and the facility staff refused to seek medical care for R1 and that R1 had a dangerously high blood pressure; Staff state that R1 refuted Complainant's claims and had a blood pressure reading that was average for R1; Blood pressure logs confirm staff statements; Chart notes indicates that R1 exhibited "confused" behavior that day which appears to be a pattern of behavior that is documented on other days in the chart; Paramedics were called and R1 was taken to medical facility and released the same day back to the facility; After visit summary report indicates R1 was evaluated for cognitive issues and makes no mention of high blood pressure. Although the allegation may be true, based on statements and documents, there is not a preponderance of evidence to prove or, disprove, the allegation. Therefore, it is UNSUBSTANTIATED.