Complaint·July 2, 2024

To investigate the allegation, LPA obtained and reviewed relevant documents. (Resident Files, Incident Report submissions, Resident roster,and Staff roster.) According to the documents reviewed, on November 3, 2023, Staff informed the Person responsible for R1 of the incident, and filed an incident report to Community Care Licensing, which was sent in a timely manner and according to regulations. Per Interview with Administrator, Staff were aware of the incident on the day of occurrence and required notifications were submitted. Administrator states that the Responsible Party (RP) for R1 wished to consult with additional family members prior to making any emergency medical treatment efforts. However, the Administrator says they continued on with due diligence to assess and monitor R1's health and pain concerns. Therefore, the allegation that Staff failed to follow proper reporting requirements is UNSUBSTANTIATED at this time. No deficiency cited. Exit interview conducted. Copy of this report issued.