complaint·September 27, 2022

Report documenting R3's bruising. Regarding the allegation: Facility staff failed to provide First Aid to resident injury, the staff interviewed confirmed they did not provide any First Aid treatment to R3 when R3 was observed with bruising on their face. The facility records reviewed did not document that any First Aid treatment was provided to R3. Based on the observations made, interviews which were conducted, and the records reviewed, the preponderance of evidence standard has been met, therefore the allegation of Facility staff failed to provide First Aid to resident injury is deemed SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 1 is being cited on the attached LIC 9099 D. An exit interview was conducted with Melinda Flores and a copy of this report along with the appeal rights, LIC 9098 and LIC 811 were provided at the time of this visit. allegation: Facility failed to notify responsible party of injuries, the individuals interviewed providing conflicting statements and could not corroborate the allegation. The facility documented the submission of an Incident Report to Licensing on July 4, 2022 at 10:20 AM where the report documented R3's family was notified of R3's injury. The facility sign-in sheets documented R3's responsible party checking in at 10:38 AM on July 4th. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the following allegation: Facility failed to notify responsible party of injuries is deemed UNSUBSTANTIATED. An exit interview was conducted with Melinda Flores and a copy of this report along with the LIC 811 were provided at the time of this visit.