Follow-up on corrections·January 21, 2025

Licensing Program Analysts (LPAs) Cuadra and Magdaleno conducted a case management visit to cite deficiencies discovered during a complaint investigation and met with Licensee, Edward Gadia . LPA learned through records review and interviews that on 10/4/2024 facility staff did not seek any medical attention from resident’s (R1) physician after staff (S1 & S2) were notified by an outside agency that R1 was complaining of pain and bruising was noted on their wrist. Per S1 and S2, they notified the Licensee about R1’s condition, but it was until 10/17/24 when an outside agency came to the facility who noticed bruising was not yellowing, then they contacted R1’s physician who referred them to have x-rays done and a diagnosis revealed an acute fracture distal ulna. According to facility progress notes, on 3/19/24 R1 initiated to experience aggressive behaviors towards the staff, and swing their arms at them, but it wasn’t timely addressed by facility staff. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to seek medical care resulted in violation causing injury to person in care $500 immediate civil penalty issued. The licensee was informed that additional civil penalties are under review by the Department per Health and Safety Code 1569.49 (f).