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32 | (Pg2) The Administrator was notified that the complaint was referred to Community Care Licensing Investigation's Branch (IB) and assigned to Investigator Jose Santana. The LPA determined further investigation was required.
On 09/07/2021, Investigator Santana conducted interviews with the reporting party, R1’s representative and Santa Barbara Long Term Ombudsman Program (LTCOP); on 10/05/2021, with facility staff; on 10/06/2021, with facility staff, Central Coast Home Health and Hospice, and attempted an interview with R1 (R1 was not able to be interviewed due to R1 could not provide the correct answers to the 10 Step Investigative Interview Protocol); on 11/03/2021, with R1’s former Primary Care Physician; on 11/05/2021, with Witness #1 (W1); on 11/19/2021, with Witness #2 (W2) and Central Coast Home Health Physical Therapist; and on 11/18/2021 and 11/24/2021, attempted interview/left message with R1’s Primary Care Physician.
Investigator Santana reviewed copies of facility records and medical records related to R1. The information indicated R1, with a history of ataxia (impaired balance or coordination), Alzheimer’s dementia, and a fall risk, was admitted to the facility on 07/27/2021. R1 required a “Level 2” care program in memory care, based on a comprehensive assessment. The highest level in memory care is a Level 3. The physician report, dated 06/16/2021, listed the primary diagnosis as spinocerebellar ataxia for which R1 required a walker. Care and supervision needed for this condition was for R1 to receive medication and to be watched for falls. R1 was listed as having dementia and as being confused and verbally aggressive. R1 had the capacity to take care of toileting needs but required supervision with bathing and grooming. R1 had motor impairment that manifested as walking with a tremor, but could transfer independently to and from bed. Additionally, the Investigator reviewed R1’s preplacement appraisal, service plans, narrative charting, residency agreement, unusual incident report for the 08/08/2021 fall, internal incident reports, shift reports, physician communications, staff schedule and assignments, Emergency Medical Services (EMS) records, 911 call recordings, Santa Barbara Cottage Hospital records, Goleta Valley Cottage Hospital records, and Central Coast Home Health records.
On 09/07/2021, Investigator Santana contacted the Santa Barbara Long Term Care Ombudsman Program (LTCOP) and was informed they would not be investigating the present allegation due to consent had not been received from R1’s representative. On 09/10/2021, the investigator contacted the Santa Barbara County Sheriff’s Office, Criminal Records, to inquire if there was a crime report for the present allegation. There was no crime report related to R1.
(Continued on 9099-C) |