Complaint·September 28, 2024

Page 2 of 2. It was alleged that the facility did not provide adequate care for the resident R1’s wound on right foot which resulted wound being infected by maggots. On 10/28/2022. The Department received Incident Report for R1 wherein R1 was sent to the hospital due to ADM noticed an unusual smell and observed wound on right foot. Based on review of R1’s Appraisal/Needs and Services Plan dated 7/3/2021, R1 takes walks regularly and R1 is able to do functions of daily living. R1 needs assistance in housekeeping and medication. Based review of R1’s Physician’s Report dated 6/23/2021, R1 is has a mental health diagnosis and R1 able to leave the facility unassisted. R1 is not able to administer own prescription medications and not able to store own medication. On 9/28/2024, LPA Rai interviewed 1 staff (S1) who is aware of incident regarding R1. S1 stated the facility staff only assisted R1 with medication and housekeeping as R1 was independent with all other Activities of Daily Living (ADLs). R1 was able to grooming, bath/shower and dress himself/herself. S1 stated the staff did not observe R1 had wounds before this incident and R1 did not have any home health services for wound care. The Department has completed the investigation of the above allegations. Based on interviews conducted and record reviews, the department has found that the above allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. No deficiencies cited from California Code of Regulations, Title 22. Exit interview conducted with Licensee, Dominica Olivia and a copy of the report was provided.