complaint·April 4, 2024

The investigation revealed the following: Allegation: Facility failed to seek medical attention for resident's wounds. It is alleged that R1 had wounds on their finger, arms & legs that have gone untreated. This allegation was investigated by Investigator Padilla with the Investigations Branch (IB). Victim, witnesses, and staff member interviews were conducted. The following information was found during IB's investigation: The caregivers, MedTech's, and administration staff failed to seek timely medical attention for R1 on 12/26/2023 which resulted in R1 seeking their own medical treatment by calling 911, after R1 informed multiple facility employees that they had injuries on their finger, arm, and leg. R1 was diagnosed at the local hospital with swelling of the right hand and index finger that had redness, swelling, and drainage as a result of an unwitnessed mechanical slip and fall. Hospital medical records for R1 state: that there were signs of Suspected Abuse and Neglect. Per IB report by investigator: There were too many inconsistent and false statements from both S1 and S2 about the accounts of R1's injuries and who arranged medical transportation for R1. On the Unusual Incident/Injury Report, it states that staff observed R1 with their right arm bleeding, and MedTech S3 arranged transportation. The document has false information, S3 did not arrange transportation for R1. R1 called 911 for help and to be transported to local Hospital for further treatment. Based on observations and interviews which were conducted and record review, 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. Exit interview held and a copy of this report was provided along with appeal rights to Alex Solorio.