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32 | Furthermore, the LIC 624 Unusual Incident/Injury Report regarding the July 22, 2023 incident is dated July 24, 2023. The facility did not follow reporting requirements. As Any suspected physical abuse that results in serious bodily injury of an elder abuse, shall be reported to Community Care Licensing Department (CCLD) within two hours of the incident. The facility did not submit a LIC 624 Unusual Incident/Injury Report in a timely manner to CCLD.
The facility has a history of not submitting LIC 624 Unusual Incident/Injury Report to CCLD in a timely manner. A suspected abuse incident which involved two residents was not reported in a timely manner to CCLD. The incident involved a resident being slapped by another resident on October 15, 2023. The facility called local law enforcement on the date of incident, however, the LIC 624 Unusual Incident/Injury Report was submitted to the Department on October 17, 2023.
On September 30, 2023, there was an incident that involved two residents being in an altercation. One resident sustained a head injury and was sent out the Emergency Room (ER). Local law enforcement was called, and CCLD received an LIC 624 Unusual Incident/Injury Report on October 02, 2023. As a result, the facility is not following reporting requirements.
The following deficiencies were observed and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. The deficiencies can be found on the 809-D page.
An exit was interview conducted, and a copy of the 809 report, 809-D page, and appeal rights were given to the facility. |