The Department interviewed facility staff, resident, Far Northern staff, UC Davis staff, and reviewed records. During the investigation, it was determined that there was sufficient evidence to substantiate; Facility did not follow doctor’s orders for resident. Through interview with facility staff, it wasn’t a doctor’s order it was never a doctor’s order it was a referral. On 7/8/2022 C1 had an appointment scheduled at UC Davis Metabolic Clinic to start treatment that would improve C1’s quality of life, that appointment was missed. C1 was referred to UC Davis Metabolic Clinic because C1 needs medical treatment with diet, medication, and metabolic formula to help lower the toxins in C1’s body that affect her brain and behaviors. Through interview with Far Northern staff, it was determined that facility believed the treatment for C1 was a joke and didn’t take it seriously and facility didn’t know how they would be able to get C1 to treatment appointments at UC Davis Metabolic Clinic because it was a lot involved. It was also noted that C1 is very friendly and cooperative and when working with C1 there wasn’t any problems. Through interview with UC Davis staff, it was determined that UC Davis Metabolic Clinic was met with resistance from facility and facility indicated they have so many residents and would talk to staff about treatment and get back to them and they never heard back from facility.

The Department interviewed facility staff, resident, Far Northern staff, UC Davis staff, and reviewed records. During the investigation, it was determined that there was sufficient evidence to substantiate; Facility interfered with resident seeking medical treatment. Through interview with facility staff, staff indicated C1 does not like doctor’s appointments or long rides in a vehicle. Through written statement from the UC Davis Metabolic Clinic MD on 5/25/2022 there was a phone conversation with facility and UC Davis staff, where facility indicated they do not feel C1 needed care from the clinic and facility felt they had C1’s condition under control and indicated they didn’t think they needed C1’s follow up visit. On 7/8/2022 C1 had an appointment scheduled at UC Davis Metabolic Clinic to start treatment that would improve C1’s quality of life, the facility did not take C1 to that appointment and the metabolic formula would have been given to C1 at that appointment. Through interview with Far Northern staff, it was determined that facility didn’t know how they would be able to get C1 to treatment appointments at UC Davis Metabolic Clinic because it was a lot involved and facility indicated they have so many residents. On 10/13/2022 facility was able to accommodate C1 to the UC Davis Metabolic Clinic for C1’s appointment by using 3 facility staff members one to drive C1, one to entertain C1 for the long drive, and one to oversee C1’s appointment. Through interview with UC Davis staff C1 did well at the appointment and the metabolic formula offered to C1, C1 took it willingly.

A copy of this report and appeal rights have been provided to the facility. Exit interview conducted.