Follow-up on corrections·September 27, 2024

While conducting an investigation of a complaint (Control # 15-AS-20211026093939), resident (R1) showed to Licensing Program Analyst (LPA) Delmundo a wound on R1’s right elbow while LPA was interviewing R1. The wound was about 2 inches x 1 1/2 inches with fresh blood, skin scraped and part of flesh exposed. LPA interviewed the staff (S6) who was assigned to R1 that day. S6 stated she observed R1's wound on the right elbow that day and that the blood was fresh. She attended to other residents and forgot to put bandage on R1's wound nor report to the facility nurse (LVN). S6 further stated does not know what happened and that it could be that R1 hit the bed rails. LPA called LVN who confirmed it was not reported to her. LVN attended to R1 after LPA spoke with her. On this day, September 27, 2024, LPA conducted a case management resulting from the above. LPA met with Wellness Coordinator (WC), and informed the reason for visit. LPA also spoke over the phone with Executive Director (ED) Dolly Rizvi. The ED gave permission to WC to sign and receive this report. Deficiency is cited from Title 22 California Code of Regulations and listed on 809D. Failure to submit proof of correction by plan of correction due date and any repeat violation within 12-month period may result in civil penalty. Deficiency and plan and proof of correction were discussed with the ED over the phone in the presence of WC. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.