complaint·May 13, 2025

Continued from LIC9099... However, during the course of record review, LPA obtained “Narrative Charting” notes from R1’s record which state that R1 was sent to the hospital via 911 on September 26, 2023, for a seizure and on September 27, 2023, for having blood in their stool. The Department was not notified in either of these instances, nor were incident reports submitted as required per regulation, (see LIC9099D). Based on interviews conducted and records obtained, the allegation that the facility did not follow reporting requirements is SUBSTANTIATED. A finding that a complaint allegation is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiency is cited from Title 22 Regulations, Division 6, (see LIC9099D). Exit interview conducted. Copy of report discussed and provided to Licensee, whose signature on form confirms receipt of documents. Appeal rights provided. Continued from LIC9099A... Based on record review, interviews conducted, and observations made, the allegation that the facility staff did not follow physician’s orders is UNSUBSTANTIATED. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies cited. Exit interview conducted. Copy of report discussed and provided to Licensee. Signature on form confirms receipt of documents.