Complaint·October 1, 2024

On September 27 2024 Vital Care Transportation arrived at 8:15 a.m. and they asked S1 to call 911 due to R1 blood pressure being out of range. S1 called 911 and R1 was transported to Norwalk Community Hospital where R1 was admitted until R1 was discharged on September 30, 2024. LPA asked S1 why S1 did not call 911 right away when R1 had fall and S1 stated because R1 refused and R1 condition did not appear too serious. LPA asked S1 if she had medical background to make that determination and S1 said no. LIC602 dated 6/20/2020 indicates that R1 is not able to make decisions or exercise good judgment. R1 was inconsistent in R1 answers. R2 could not corroborate the allegation. W2 who is family member stated that W2 was informed of fall and resident refusal. W2 did not remember that day or time of notification. S1 did not notify department of R1 fall, refusal to get medical attention, and hospitalization for three (3) days. S1 did not call 911 for R1 to get medical attention when R1 fell and hit head until three days later on September 27, 2024 on the request of the Vital Care transportation company. Based on LPA observations 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 and Chapter 8 are being cited on the attached LIC 9099D. A copy of report, LIC9099D and appeal rights was provided during the exit interview.