Complaint Investigation Report

Licensee indicated C1’s physician left area over two months ago and a new one has not been provided. C1’s symptoms continued through 1/16/2024 when licensee, at suggestion of Service Coordinator (SC), called 911 to take C1 to Hospital. C1 was admitted to the hospital on 1/18/2024 from symptoms of (stopped walking, standing on feet, & became incontinent in bed) from 1/12/2024 on. Primary diagnosis dehydration, secondary weakness with procedure due to esophagitis and findings of mid-size hiatal hernia and gallstones. Medical records indicate due to C1 laying in bed for extended periods of time could cause worsening to esophagitis.

Based on LPA’s interviews and Hospital medical records obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED .

Failure to seek medical care resulted in violation causing injury to person in care $500

The licensee was informed that additional civil penalties are under review by the Department per Health and Safety Code 1569.49 (f).

The following deficiencies were observed (see LIC 9099D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided.