Complaint Investigation Report

Covid-19 protocols were not followed- Based on interviews and documents collected during the course of this investigation, it was learned that Resident (R1) tested positive for COVID-19 on 2/10/2022. On 2/11/2022 R1 vitals were checked, and it revealed R1 had a fever and oxygen level was low. On 2/12/2022 R1 was sent to Emanuel Medical Center. The facility failed to send R1 to the hospital when R1’s vitals were out of normal range.

As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations.

You are hereby notified that a civil penalty of $500.00 is assessed for a violation that resulted in death of a resident, or that constitutes physical abuse of a client.

The licensee was informed that a civil penalty assessment based on Health and Safety Code 1569.49(e) is currently under review (pending determination) and may be assessed on a later date, as a result of R1 care while at the facility. Once civil penalty assessment has been determined, CCL will return on a future date to assess the civil penalty.