complaint·July 15, 2021

All staff interviewed stated that R1 did not request for assistance, to be dressed or undressed. LPA interviewed R1 and R1 stated she had no idea why she was undressed on 06/24/21 and that she really doesn’t know. She answered LPA that she can dress and undress herself. R1 doesn’t not have a diagnosis of Dementia, but Physician Report indicates some forgetfulness. On 06/24/21 R1 was still recovering from a body rash known as shingles. Based On Lpa interviews conducted with staff and R1, it is unclear how the resident became unclothed. Therefore; although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. In Regard to: The staff did not seek medical attention for resident. On 06/06/21 R1 was observed by Med Tech 1 to have multiple severe rashes on body. Med Tech 1 contacted the Dr. Reid and provided pictures of the rash to the Doctor. The Doctor advised R1 needs to be sent to the hospital ASAP. RP was contacted by Med Tech 1 via text on 06/06/21. Med Tech informed in text that R1 has “Severe Rash” and was being sent to Long Beach Memorial. RP was contacted again via text 06/07/21 by Med Tech 1, that R1 had returned to the facility. According to Discharge Paperwork. R1 was diagnosed with Cellulitis (skin Infection) Fungal Skin Rash, and Shingles. On 06/24/21 the paramedics were called by the facility when R1’s vitals were low. According to interviews with RP, R1 was having a hard time being woken up. R1 was sent to the hospital. During file Review it was observed by LPA that R1 opted to voluntarily discharge herself against Medical advice on 06/25/21. R1 returned to the Assisted Living Facility with Shingles Diagnosis along with another diagnosis, and medical advice. Based on Lpa interviews, file review, and observation the department finds that although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview conducted and copy this report given administrator. No citations were issued during this visit.