complaint·November 17, 2021

2. Facility has inadequate record keeping It was alleged that staff were not able to provide any details of the R1's medical situation and that S1 was not able provide R1's hospital discharge document when asked by medical transport person. LPA interviewed S1 who stated he looked for the document and was not able to locate it. 3. Staff did not properly assist R1 while in care It was alleged that R1 wanted to go to hospital due to abdominal pain. R1 was found in great distress at 2 a.m. on March 7, 2021 with staff reporting that R1 had been in "10 out of 10 pain" for the full afternoon and evening prior. S1, S2 and administrator indicated that R1 was hospitalized and discharged back to the facility on March 6, 2021 in the afternoon. S1 indicated that R1 has been yelling from the time he was discharged from the hospital and they called non-emergency transport around 12:00 midnight, 1:00 pm the following day. LPA interviewed FM1 who stated that when she called R1 two, three times in evening on March 6, 2021, R1 complained of stomach pain. FM1 spoke with S2 who told FM1 that they (staff) will call non-emergency transport. FM1 stated what she did not understand was why it took 2:00 am for the responder to arrive if the staff called right after FM1 spoke with S2. Based on the information gathered, the preponderance of evidence were met, therefore all 3 allegations are substantiated. Deficiencies are cited from Title 22 California Code of Regulations (see 9099D), Failure to submit proof of corrections by plan of correction due dates may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with licensee over the phone who authorized Maria Dolores Floriza to sign and receive this report. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.