Follow-up on corrections·May 17, 2022

On 05/17/2022, at 1130 am, Licensing Program Analyst (LPA) Misty Valencia conducted an unannounced Case Management visit and met with Nicoleta Angheluta, Administrator . Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted Manager and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPA was screened by Nicoleta Angheluta, Administrator . During an investigation of a recent complaint the Department conducted interviews with staff, residents and reviewed records. It was determined that the facility Failed to seek timely medical attention for a resident in care. Neglect/Lack of Care: Licensee Nicoleta Angheluta failed to seek timely medical attention after observing a large chest hematoma on R1. Conclusion: Nicoleta admitted that after R1 sustained a large area of discoloration on her chest following a COVID-19 booster vaccination on 02/23/2022, she did not seek medical attention for R1. Nicoleta described the chest hematoma as a large purple discoloration from R1's armpit to the middle of her chest. Nicoleta said she felt guilty for not seeking immediate medical attention. She said that she failed to seek medical attention because R1 did not complain of pain or have any significant changes in condition other than the purple discoloration. Staff 1 S1 observed R1 to have the chest hematoma on 02/23/2022 and corroborated that medical attention was not sought for it. Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D. Plan of correction (POC) were discussed. Appeal rights were provided and exit interview conducted