Incident investigation·October 27, 2023

Licensing Program Analyst, Amber Coleman, (LPA) arrived at The Hills of Hamilton Residential Care Facility to conduct a Health and Safety Case Management Visit. This Case Management visit is in response to a Special/Unusual Incident Report, (SIR) received by this agency on October 23rd, 2023. LPA met with Caregiver, Fely, introduced self and stated purpose of the visit; which is to gather more information about the incident. LPA was granted entry and signed in. Staff contacted Administrator to notify of LPA's visit. LPA spoke to Administrator and discussed purpose of the visit, the resident and the Physician's Report. LPA was informed R1 was admitted to the hospital and not present at the time of visit. During today's visit, LPA was accompanied on a tour of the facility, completed record reviews and staff interviews. At approximately 12:15pm LPA reviewed R1's Physician's Report, (LIC602) and observed that R1 is non-ambulatory, unable to transfer to and from bed and not able to leave the facility unassisted. With both staff and Administrator, LPA discussed the importance of the LIC602, ambulatory status, transfers, the level of care/supervision required for the resident. Additionally, R1's family involvement and communication with the family. Based on record reviews and staff interviews. A deficiency is being cited to address concerns mentioned above, per Title 22, California Code of Regulations. An exit interview was conducted to discuss plan of correction. A copy of this report was read/reviewed with Licensee; signature acknowledges understanding and receipt of report and attachments.