complaint·May 30, 2025

Staff failed to provide emergency medical services in a timely manner It was reported that on 06/21/24 at approximately 7:00p.m., R1 was vomiting and not feeling well. R1’s roommate called for assistance. R1 had been food poisoned and 911 was not called until 11:00p.m. Staff revealed that on 06/21/24, R1 was taken to their room from the dining room at approximately 7:00p.m., by staff due to appearing tired. Shortly after being placed in the bed, R1 vomited and R1 fell asleep. Staff continued to frequently monitor R1 every 30 - 45 minutes until approximately 10:30p.m., when staff noticed that R1 had vomited. At approximately 11:00p.m., staff assessed R1 and due to having shortness of breath decided to call 911. A review of records revealed that on 06/21/24 R1 was not feeling well since 7:00p.m. Between 7:00p.m. to 10:30p.m. staff monitored resident and R1 had vomited at list three (3) times. Overall investigation revealed that although between 7:00p.m. and 10:30p.m. staff had knowledge that R1 was vomiting and feeling weak, they did not call 911 emergency services until 11:20p.m. Based on interviews, and record review, there is a sufficient information to verify validity of the complaint. Hence the allegation is SUBSTANTIATED at this time. No other health and safety issues noted at the time of this visit. Under Title 22, Division 6, Chapter 8 following deficiency was issued and recorded on LIC9099D. Exit interview conducted and a copy of the report was issued. Facility staff did not respond in a timely manner to resident's call pendant It was reported that on 06/21/24, staff did not respond in a timely manner to Resident #1 (R1's) call pendant. Staff interviews revealed that neither R1 or R2 pushed the call pendant. Staff indicated that they are responding to the emergency calls within ten (10) to fifteen (15) minutes. On 07/10/24, LPA Valenzuela was unable to speak with R1 as she was not present at the facility. At the time of this visit LPA Alvizar-Ettima was informed that R1 passed away on 06/22/24. Upon checking ten (10) randomly selected residents’ pendants, LPA noted that staff is responding within fourteen (14) minutes. Residents interviewed during this visit did not address any concerns regarding staff response time to the call pendants. Based on interviews and records review there is not sufficient validity of the complaint, Thus, this allegation is UNSUBSTANTIATED at this time. No health and safety issues noted at the time of this visit. Exit interview conducted and a copy of the report was issued.