complaint·June 21, 2023

Due to the COVID-19 pandemic, on-site facility visits were suspended to prevent the spread of the virus. On 5/05/2020, LPA Taku interviewed facility staff (S1-S3) via tele-visit. 3 out of 3 staff stated R1 was treated for a pressure injury while in care by a home health agency. S1 – S3 states R1 was bed-bound and required staff assistance with activities of daily living (ADLs). S1 – S2 states it would take about 2-3 caregivers to transport R1 to and from the wheelchair, assist with bathing, changing, and feeding. S2 stated R1’s routine which included getting R1 out of bed daily for meals and per R1’s request. On 06/06/2023, LPA Dolores interviewed a former staff (W1). W1 states R1 was being repositioned every 2 hours, and most especially when assisted with incontinence. Based on record review, R1 was admitted to the facility on 05/01/2019. R1’s Functional Capability Assessment dated 05/01/2019, indicates that R1 uses a wheelchair, is able to reposition from side to side, but needs help with bathing/showering, dressing, toileting, and personal hygiene. A Home Health note dated 01/07/2020, showed that R1 was evaluated and assessed by a Home Health medical professional for R1’s pressure ulcer. The review of records states the wound was healed on 02/04/2020. The Department has investigated the above allegation. Based on interview, record review, and observation the Department has investigated the above allegation is unsubstantiated. An unsubstantiated finding means although the allegations may have happened and/or is valid there is not a preponderance of evidence to prove the alleged violations did or did not occur. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Licensee, Dominica Oliva and a copy of the report was provided.