complaint·July 25, 2024

Administrator Abella reported on 7/9/2024, C1 arrived to the facility from day program, and she checked C1’s mouth and did not observe any bleeding, swelling, or indication of pain. Administrator Abella reported on 7/9/2024, she called C1’s dentist office and they reported C1’s dentist was unavailable. Administrator Abella added the dentist’s office also informed her C1’s last dentist visit was on 8/8/2023 and C1’s dental insurance would not cover any dental expenses until after 8/8/2024. Administrator Abella reported prior to this incident, C1 had a dentist appointment for a routine visit scheduled on 8/12/2024. Administrator Abella reported she monitored C1’s mouth from 7/9/2024 to 7/13/2024 and did not observe any blood, so she did not feel C1 required immediate medical attention. Administrator Abella reported C1 did not express any pain or signs of discomfort, so she decided to wait for C1 to visit the dentist on 8/12/2024. Administrator Abella explained that on 7/18/2024, she received a call from Inland Regional Center inquiring about the situation. Administrator Abella reported she scheduled an appointment with a different dentist and C1 received medical attention on 7/19/2024. LPA reviewed C1’s Dental Appointment Report dated 8/8/2023, which notes C1 had a routine exam and indicated follow up was required for a specific tooth number. Administrator Abella explained the facility forgot to follow up with the dentist's office to pursue treatment for C1. LPA reviewed the visit referral for C1’s 7/19/2024 dental visit, which noted an extraction referral for the same tooth indicated on the 8/8/2023 visit. LPA reviewed C1’s Individual Program Plan (IPP) dated 6/13/2024, which notes C1 performs their own personal care activities including brushing their teeth, when reminded. Administrator Abella reported the facility reminds C1 to brush their teeth every morning and evening. C1’s IPP indicates C1 uses words to communicate, but their speech is not easily understood. LPA attempted to conduct an interview with C1 but was unable to establish effective communication. LPA reviewed C1’s admission agreement dated 2/6/2018 and subsection a(9) lists assistance with bathing and personal care as need as a basic service provided by the facility. Based on LPA’s interviews conducted, and records reviewed, 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, Chapter 1), is being cited on the attached LIC 9099 D. An exit interview was conducted, and a copy of this report was provided to Administrator Abella along with a Confidential Names List (LIC 811) and Appeal Rights.