Complaint Investigation Report

496801091-9-6-2022-21-AS-BMOS-CJ8RLW-20220913130745

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

04/11/2022 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20220411082204

Staff did not seek medical attention in a timely manner

LPA Leibert arrived unannounced and delivered findings to the Administrator. Interviews with residents and facility staff were conducted. Medical records for R1were reviewed and surveillance video was examined. R1 is reported to have fallen at the facility. Surveillance footage in common areas has corroborated the fall, along with staff interviews. Surveillance footage revealed staff responded to R1’s fall within 14 seconds. After assessing R1, staff noticed a change in her condition. In response, R1 was transported to the hospital. Based on the estimated time of the fall and departure to the hospital, R1 was at the facility for approximately 88 minutes

(one hour and 28 minutes). In this time, R1 was immediately assessed and directly observed for

changes in her condition. Upon her complaint of increased pain, staff communicated with R1’s

family to advise she would be transported to the hospital. R1 is not a fall risk and does not require increased supervision. The allegations “Serious neglect resulting in injury” and “Staff did not seek medical attention in a timely manner” are UNFOUNDED, meaning allegations are false and/or without a reasonable basis. The allegations are DISMISSED. No citations issued. Report left at facility.