Complaint·March 21, 2025

Records collected confirmed that R1 did not have a bowl movement from January 29, 2025, until February 12, 2025, when medical attention was provided. Interview with Administrator revealed that there was miscommunication between staff, responsible party and medical providers which resulted in no medical care for constipation. Interview with outside source agency revealed that they were unaware R1 had not had a bowel movement for the extended period. Outside source agency also explained that medical attention is required after no bowel movement for 3 days. Based on interviews conducted and records reviewed a preponderance of evidence exists to support the allegation, therefore it is substantiated. A deficiency is cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). An exit interview was conducted and a Plan of Correction was jointly developed. A copy of this report, LIC 9099-C, LIC 9099-D, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to Administrator Michelle Retzer, signature on this form confirms receipt of documents . Interview with an outside source revealed that R1 did not have any physical signs that R1 was left soiled for an extended period of time. It was also alleged that licensee did not issue a refund. LPA Strong reviewed final itemized receipt of services and observed R1’s responsible party was issued $2402.08 refund via check mailed. Based on signed Admissions Agreement and itemized receipt, the correct refund was issued. Interview with Administrator confirmed that refund was issued within time frame necessary. Based on the interviews, and record reviews there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of this report and Appeal and Licensee Rights (LIC 9058 03/22) were provided to the Administrator.