complaint·February 26, 2021

Continue From 9099-A... Based on LPAs observations and interviews which were conducted and recorded, the preponderance of evidence standards has been met, therefore, the above allegation(s) is found to be SUBSTANTIATED . This poses an immediate Health and Safety risk to clients/residents in care. LPA interviewed a Witness on 1/30/2021, regarding the facility not providing a safe environment . The witness saw her patient’s family member fall in the driveway of the facility. The witness stated the pavement was uneven. The family member’s ankle became swollen and painful to ambulate. The witness advised the staff that was working, of the incident. The family member called the director and advised of the fall. Family member made a medical appointment for the next day. The witness made contact with the family member regarding the outcome of the medical appointment. Family member has a displaced fracture through the base of the 5 th metatarsal and had another appointment with an orthopedic. The family member had called the Director and asked that her medical bills be paid. The director gave her the number of the owner of the facility. LPA interviewed the staff that worked and confirmed that the incident occurred. Based on the witness and staff interviews that were conducted, there is a preponderance of evidence supports the allegation. Therefore, this allegation is SUBSTANTIATED. Regarding the allegation Facility failed to report an incident to Licensing , LPA reviewed facility incident reports and conducted interviews. Upon reviewing facility documentation, no incident report was submitted to CCL regarding a witnessed fall with injury. During a staff interview, it was stated they did not realize a report had not been submitted to LICENSING. Based on LPAs observations and interviews which were conducted and recorded, the preponderance of evidence standards has been met, therefore, the above allegation(s) is found to be SUBSTANTIATED. Deficiencies cited on 809-D, per Title 22 Regulations, Division 6. Appeals rights discussed and printed. Exit interview conducted and copy of this report was given to Priya.