Complaint·September 14, 2024

On September 8, 2022, LPA Christine Dolores interviewed ADM. ADM stated the necessary paperwork was the 602 (physicians report) with the client's medical information. ADM states they normally don't give the paramedics the 602 and they only hand over the Vial of L.I.F.E form. Staff had given the Vial of L.I.F.E form to the paramedic but because the paramedic requested the 602, which then her staff had to go back to make copies. On September 5, 2024, LPA interviewed resident R1. Resident R1 stated he/she does not remember what had occurred on August 28, 2022 and does not remember interacting with the paramedics. On September 14, 2024, LPA interviewed Staff S2. Staff S2 stated he/she has trouble remembering the details of the event but stated they provided the paramedics with the documents they requested. S2 stated it took about 2 minutes to provide copies of R1's physician report and medication list. LPA interviewed Witness W1. W1 stated August 28, 2022, staff on site were unable to provide any information regarding resident R1. W1 stated it took facility staff 10-15 minutes to provide the information regarding R1. Based on investigation, records reviewed, and interviews conducted, the Department found that the above allegations are UNSUBSTANTIATED . An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations did or did not occur. No deficiencies cited, an exit interview conducted with Lead Luzviminda "Minda" Obillo and a copy of the report was provided. Page 2 Out of 2. END OF REPORT