Complaint·March 17, 2023

Based on the interviews conducted, R1 indicated that the Co-Administrator told him/her to fake his/her symptoms. When taken to the hospital, R1 confirmed he/she did not have pneumonia. In addition, according to the on-call nurse on 2/15/23, the hospital called the facility notifying them of R1’s discharge, however the Administrator was refusing to take R1 back. The On-Call nurse then called the facility to notify them that R1 does not have pneumonia. According to the hospital staff interviewed, the Case Manager and the Emergency Department Nurse call the Administrator as well to confirm that R1 did not have pneumonia, is stable and is going to get discharged from the hospital. Furthermore, when R1 was taken back to the facility, the facility lights were off, the doors were locked, and no one was opening the door. Based on the discharge documents reviewed, R1 did not have any signs of pneumonia both clinically, on x-rays, and on exams. In addition, discharge documents indicated, when R1 was returned to the facility, the facility shut off it's lights and locked the doors after noticing that EMS returned with the R1. The preponderance of evidence standard has been met; therefore, the above allegation is determined to be Substantiated as the facility administrator acknowledged that she refused to allow R1 to return back to the facility until R1's responsible party assessed R1 prior to returning. In addition, it was indicated that the administrator did not assess the R1 when at the hospital and did not reassess R1 when he/she returned back to the facility. Deficiency of the Residential Care Elderly California Code of Regulations, Title 22, Division 6 is observed and cited on a LIC 9099D. Failure to correct the deficiencies may result in civil penalties. Report is reviewed with Administrator, Leslie Hui and a copy is provided with appeal rights.