Complaint·May 8, 2024

On 05/08/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigaiton visit in order to deliver the findings for the above allegation. LPA met wtih the administrator Ricardo Aban and explained the purpose of today's visit. During the investigation period it was found that S1 and S2 went to check on R1 between 530am and 6am and R1 was alert and they cared for R1 and by the time they finished caring for R1, R1's eyes were closed, but did not appear to be asleep. R1 appeared stiff and not moving. S3 was contacted via text and called at 619am from S2 who infomred that R1 was non-responsive. S4 instructed them to call 911. S3 informed 911 dispatcher that the resident had been non-responsive for an hour, factoring in the time S1 and S2 met with R1 to provide care, the time it took to provide the care, the time they took to notify S4, and when S3 called and spoke with 911 dispatcher. S4 stated that staff should have call 911 instead of calling him/her first. This allegation is substantiated. Based on LPA interviews and items, and letters received, 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, are being cited on the attached LIC9099D. Report is reviewed with administrator and a copy of this report is provided.