complaint·September 26, 2024

UIR indicated that at 1:30 am on 1/14/23, R1 was found on the floor of his room, was breathing but unable to be awaken. 9-1-1 was called and R1 was transported to the hospital. Hospital Discharge Summary showed diagnosis of alcohol intoxication among others with alcohol level of 244 on arrival, and that R1 stated he drinks ‘too much’ Vodka. On 1/19/23, LPA interviewed staff (S1 and S2) and R1’s current conservator (C1). S2 confirmed the incident happened on 1/14/23. S1 stated R1 is allowed 1 drink of travel size of Vodka of about 2 oz/day, but it doesn’t mean R1 will not ask for more and if not given, R1 will become belligerent. C1 stated that when he visited R1 one morning, C1 observed a stain in the carpet in R1’s room on which the staff stated that it’s alcohol. Review of records showed R1’s former conservator (C2) gave permission to the facility to purchase Vodka, not to give all at once and only let R1 consume 1 small bottle at night only. Facility's Alcohol Intake Records for R1 showed R1 was given from 2 to 3 times in the evening of which each time R1 was given 2 to 4 cups of 5 oz/cup. Records also showed there were days when R1 was given 5 oz at 1:00 am, 1:20 am, 1:30 am, 2:30 am and on those days, R1 was also given at night. Based on information gathered, the preponderance of evidence is met, therefore, the allegation is substantiated. Deficiency is cited from Title 22 California Code of Regulations and listed on 9099D. 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 AED. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided. UIR indicated that at 1:30 am on 1/14/23, R1 was found on the floor of his room, was breathing but unable to be awaken. 9-1-1 was called and R1 was transported to the hospital. On 1/19/23, LPA interviewed staff (S2) who confirmed the incident that happened on 1/14/23. Review of LIC602A Physician’s Report revealed R1 does not need assistance with feeding. LPA was unable to interview R1. Based on all information obtained and due to LPA was not able to obtain information from R1, the allegation is unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. No deficiency cited. Exit interview conducted and copy of this report provided.