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25 | Licensing Program Analyst (LPA) Victoria Brown arrived unannounced to conduct a case management visit on 10/24/22 at 9am. LPA met with Ronelo Madrid, Caregiver and stated the purpose of the visit. LPA reviewed resident #1 (R1) file with Ronelo and obtained copies of the Physician Report (LIC602), Centrally Stored Medication and Destruction Record, and Special Incident report.
The investigation revealed that in reviewing documents and interviews R1 arrived as a respite to the facility with a redness on the coccyx. Although the family was aware there was no creams or orders provided to the facility. The red area became larger as confirmed by staff but there was not an open wound. The family was made aware by the Licensee of the redness. Although the resident was not seen or diagnosed by a physician, Title 22 regulations allows a stage 2 pressure injury in the home.
On the previous respite visit 1 month before, R1 sustained a bruise in the knee area. There seem to be a discrepancy on how the bruise looked but confirmed that R1 sleeps in a fetal position with knees against the wall. The family was made aware and a cushion was used to prevent any further redness or bruises on the knee. In addition, the bed was lowered for R1.
Based on the information reviewed and obtained, although the allegation may have happened or is valid,
there is not a preponderance of the evidence to prove that the alleged abuse occurred and that the facility is at fault for any deficiencies regarding Title 22 regulations.
Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 6, no deficiencies are being cited during this visit. |