complaint·May 17, 2024

Based on interview, on 05/07/2024 around 5:00PM the ADM was notified of the restricted health condition when R1 was already in the ambulance en route back to the facility from the hospital. The ADM immediately contacted a home health agency to provide training to staff. Based on record review the training with the home health agency was completed on the same day. On 05/08/2024 around 4:00PM – 5:00PM, R1’s responsible party through San Andreas Regional Center (SARC) was contacted; however, ADM did not speak with SARC until 05/09/2024. On 05/09/2024, the facility was instructed to create an urgent restricted health condition care plan. Based on record review, on 05/09/2024 the restricted health condition care plan was completed by the facility nurse consultant and pending approval by SARC. On 05/15/2023, the facility was pending additional documentation to SARC. On 05/16/2024, the additional documentation was submitted and the restricted health condition care plan was approved. As of today’s visit, of 05/17/2024, the facility’s nurse consultant has not yet completed the staff training on R1’s restricted health condition care plan. ADM states the plan for the facility’s nurse consultant to complete the training, ASAP. The Department has investigated the above allegation. Based on interview, record review, and observation the preponderance of evidence standard has been met, therefore, the above allegation is substantiated. A deficiency was cited per California Code of Regulations, Title 22. SEE LIC9099-D. Advisory note provided. This report was reviewed with Administrator, Aaron-Dell Coronel and a copy of the report and appeal rights were provided. PAGE 2 OF 2.