Complaint·February 27, 2025

***report continues fron LIC9099*** On December 5, 2024, at around 11:00 a.m. S2 and S3 were assisting R1 into the shower stall in a shower chair when R1’s leg got caught between the shower chair and shower wall after which R1 started complaining of pain in her leg. Facility staff were all instructed to call R1’s Responsible Party (RP) before seeking any medical attention for R1. S2 called R1’s RP who advised staff to call 911. R1 was taken to Kaiser Walnut Creek and diagnosed with a fractured right tibia. Interviews with S2 and S3 confirmed that the injury was an accident and that they never had any trouble moving R1 into the shower prior that incident. Review of medical records from Kaiser Walnut Creek indicate that R1 did sustain a fracture of her right tibia. Based on LPA document review and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. A $500.00 immediate civil penalty is assessed on this day. Civil penalty determination related to serious bodily injury is pending.” Exit interview conducted, a copy of this report and appeal rights provided.