complaint·April 12, 2023

...amendment continued from LIC9099 Interviews with W1 revealed that the incident involving R1 diagnosed with pneumonia on 03/01/2020 was not reported to RCEB until 03/13/20, twelve (12) days later. On 04/12/23, S1 did not provide any additional documentation, UIR’s, faxes or emails as proof notification within twenty-four (24) hours or seven (7) days for R1. Type B Deficiency is cited per California Code of Regulations, Title 22, and listed on LIC 809D. Failure to submit Proof of Corrections (POC's) by Plan of Correction date and/or repeat deficiencies within 12-month period may result in civil penalties . Exit interview conducted, Appeal Rights and a copy of this report provided to Co-ADM. ...amendment continued from 9099A The menu consisted of a variety of foods and beverages including, but not limited to, coffee, juice, milk, oranges, pineapples, carrots, salmon, spaghetti, and chicken. On 02/16/23 LPA observed C2 preparing a hot meal on the stove top and preparing place settings to serve lunch for the residents in care. On 11/2/2021 LPA Francisco requested for records for R3 and on subsequent visit 2/16/2023 LPA Holmes requested additional records for R1 and R2 that included physicians reports, after visit summary for medical appointments attended, and weight records for 2020 and 2021. Medical records revealed R3 had a history of being underweight since 06/29/2013. Documentation showed R2 and R3 had slight weight gain during 2021. Interview with W2 in November 2021 stated R3 was improving and eating. Allegation: Licensee does not assist resident with obtaining medical care R1's attending hospital was Kaiser Permanente, Richmond, CA. W1 and S1 did not provide documentation for time period surrounding the allegations for the year 2021. Documentation was received for R2 from appointments attended at Contra Costa Health Services (CCHS) in Martinez, CA and San Pablo, CA for various appointments in February 2021. Each month from May to July 2021 R2 returned for patient recheck visits in ophthalmology without any noted concerns. Documentation was also received for R3’s medical appointments attended at Sutter Health in Berkeley, CA for various appointments in January, February, and May 2021, additionally R3 had monthly visits with podiatrist from January to June in 2021. Documentation did show there were overdue vaccines and rescheduled appointments. S1 stated that overdue or rescheduled appointments may have been related to COVID-19 procedures or residents' behavior. S1 and S3 was able to secure a physician for facility visits. Based on interviews and record review the allegations above may have happened or is valid, however there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted. A copy of this report and appeal rights provided.