Complaint Investigation Report

496803998-12-19-2023-21-AS-VBEI-CYRT9U-20231222133232

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

11/13/2023 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20231113084830

Staff did not seek medical attention in a timely manner

Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. Complainant alleges that staff made errors regarding resident's (R1) medications and that R1 was not provided timely medical attention following a fall on 10/31/2023. Through investigative interviews and review of pertinent documents, the following determinations are made: The specific medications and dates of alleged errors were not reported to CCL; Health Services Director states that any medications not given were due to R1's absence from the facility; Facility reports that R1 initially indicated a lack of pain and declined medical treatment following R1's fall; Staff reportedly checked R1 daily for changes in gait and pain; R1 was sent out for medical treatment on day three when R1 reported pain and requested treatment; Facility's Report of Injury (LIC624) conforms with staff statements regarding the accident. Although allegations may be true, based upon the statements made and documents reviewed, there is not a preponderance of evidence to prove the allegations are true or, not true. Therefore, the allegations are UNSUBSTANTIATED.