Complaint·December 10, 2024

Continued from LIC9099A... Also, R1 is not able to eat on their own, decreased their engagement with other residents for activities and willingness to perform ADLs. On 10/10/24 during LPA’s annual visit, the facility printed R1’s care plan, which did not indicate any change of condition. However, the facility provided LPA with ADL’s log for the months of September 2024 and October 2024 revealing that R1 have been assisted with ADLs, but they were not able to provide evidence that R1’s responsible parties were notified about R1’s change of condition. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is cited on the attached LIC 9099D. Appeal Rights Given. Continued from LIC9099... On 10/7/24, R1’s physician recommended to have MRI of the spine and the facility notified R1’s responsible party. On 10/20/24 R1 was admitted to home health and responsible parties were notified. After reviewing incident reports log from the facility, LPA was unable to find any reports made to the Department about this incident and no further details were documented regarding any investigation been conducted by the facility. LPA will address reporting requirements in a case management. According to R1’s physician report dated 3/1/24, R1 has a diagnosis of dementia and did not have a history of skin condition prior to this incident. Based on confidential interviews conducted by LPA with staff, residents, and outside parties, R1’s cause of injury is undetermined, the investigation revealed the facility seek timely medical attention and responsible parties were notified. A finding that the complaint allegation occurs of resident sustained unexplained injury while in care is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Another allegation about residents do not have reasonable access to the facility telephone to receive confidential calls. According to the reporting party, the main phone number to the facility has been out of service for a month. The only way to get a hold of residents is by contacting the facility Director on their work phone, which doesn’t ensure the confidentiality of the calls. Based on records review, the facility provided LPA with an email dated 8/29/24 at 9:18am showing a mass email sent to various resident’s responsible parties including R1’s responsible party. During interviews conducted by LPA with outside parties it was confirmed that the facility has sent them written notifications via e-mail about new facility number. A finding that the complaint allegation occurs of resident do not have reasonable access to the facility telephone to receive confidential calls is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.