From: Kathi Stringer [mailto:kathistringer@earthlink.net]

Sent: Friday, November 09, 2007 6:26 PM

To: Iacino, Jean (CDPH-DIR); Lincer, Jackie (CDPH-L&C)

Cc: Royall, Leslie L. (CMS/WC); Kathi Stringer

Subject: 3rd Request

 

 

Hi Jackie or Jean,

 

This is my 3rd request:

 

I have not yet received a response for the 3rd request sent almost 3 weeks

days ago.

The log dates are as follows:

 

1st Request: Tuesday, September 18, 2007 10:02 PM

2nd Request: Sent: Tuesday, October 16, 2007 10:32 PM

3rd Request: Sent: Friday, November 9, 2007

 

Almost everyday, patients are being DENIED their civil and statuary rights

in a LOCKED facility against their will, and it is putting the County and

State at risk for civil and/or a class action law suit.  Imagine if an

attorney decided to represent every patient that was held over the 23 hour,

59 minute limit.  The courtroom would be packed with patients.  It is a

great liability at the current time.  After the 24 hour minute mark, many of

the patients' civil and statuary rights are DENIED.  My request is continued

below....thanks much.

 

My Mailing Address is:

Kathi Stringer

PO BOX 731

Beaumont, CA  92223-0731

 

Thanks,

 

Kathi Stringer

 

REQUEST: I am requesting the following:

 

1. A letter of correction from the State that explains that the August 9,

2007 letter is incorrect and does not clearly the State's position.

2. The correct findings, status, and estimated completion date for the

complaint # CA000114563 filed on May 4, 2007.

 

Complete Letter below for Ref.

 

 

RE: Problem: L&C Letter dated Aug 9, 2007

 

-----Original Message-----

From: Kathi Stringer [mailto:kathistringer@earthlink.net]

Sent: Tuesday, October 16, 2007 10:32 PM

To: Iacino, Jean (CDPH-DIR); Lincer, Jackie (CDPH-L&C)

Cc: Royall, Leslie L. (CMS/WC); Kathi Stringer

Subject: RE: Problem: L&C Letter dated Aug 9, 2007

 

 

Dear Jackie or Jean,

 

I have not yet received a response for the request sent almost 30 days ago.

The request is below.  This is my second request.

 

My Mailing Address is:

Kathi Stringer

PO BOX 731

Beaumont, CA  92223-0731

 

Thannnnnnnnk Youuuuuuuuuuuuu,

 

Kathi Stringer

 

-------------------------

 

REQUEST: I am requesting the following:

 

1. A letter of correction from the State that explains that the August 9,

2007 letter is incorrect and does not clearly the State's position.

2. The correct findings, status, and estimated completion date for the

complaint # CA000114563 filed on May 4, 2007.

 

Complete Letter below for Ref.

 

-------------------------

 

-----Original Message-----

From: Kathi Stringer [mailto:kathistringer@earthlink.net]

Sent: Tuesday, September 18, 2007 10:02 PM

To: Iacino, Jean (CDPH-DIR); Lincer, Jackie (CDPH-L&C)

Cc: Kathi Stringer; Royall, Leslie L. (CMS/WC)

Subject: RE: Problem: L&C Letter dated Aug 9, 2007

 

 

On Monday, September 17, 2007 11:02 AM, Jackie sent the following email to

me (Kathi Stringer) and Bonnie Holle.

 

 

"Can you please handle as I don't have the files," Jackie

 

 

The Next Day:

 

Today at 2:00PM I received a call from Bonnie Holle, the local L&C.  She

indicated that she was calling me to clear up the confusion, per Jackie's

request.  I asked Bonnie before she started to clear up the confusion

verbally, would she please do so in writing so that there is a record of the

State's official position, so that we could all be clear.  Bonnie indicated

that she would not do that, and verbal clarification would be the only

method of communicating with me.

 

August 9, 2007 Letter extract in question:

 

Paragraph #3

"L&C validated the complaint allegation during the onsite visit.  Pursuant

to our investigation, L&C sent the facility a statement of deficiencies, and

the facility submitted an acceptable Plan of Correction to the Department

(see enclosed form)."

 

Paragraph #4

"If L&C issued a statement of deficiencies form, the facility was required

to submit a plan of correction that met federal and state requirements.  The

same federal form, known as a "CMS 2567," is used for both purposes"

 

Bonnie indicated that the letter dated August 9, 2007 doesn't really mean

what it says.  This very fustrating.  Again, the third paragraph in the

letter states, "L&C validated the complaint allegation during the onsite

visit.  Pursuant to our investigation, L&C sent the facility a statement of

deficiencies, and the facility submitted an acceptable Plan of Correction to

the Department (see enclosed form)."   Bonnie indicated that was incorrect

and that no Plan of Correction exists from ETS/hospital.  I asked why the

letter stated otherwise.  Bonnie indicated that the following paragraph,

number four, clouds the meaning of paragraph three.  To be clear, lets go

over the following paragraph.  The following paragraph states: "If L&C

issued a statement of deficiencies form, the facility was required to submit

a plan of correction that met federal and state requirements."  Notice it

begins with "If L&C issued a statement of deficiencies.."  Of course L&C

issued a statement of deficiencies because the previous paragraph (#3)

states, "L&C sent the facility a statement of deficiencies." and that

validated there is now a Plan of Correction, according to this letter. To me

it is as clear as can be. It states, "L&C validated the complaint allegation

during the onsite visit.  Pursuant to our investigation, L&C sent the

facility a statement of deficiencies, and the facility submitted an

acceptable Plan of Correction to the Department (see enclosed form)."

 

I filed my complaint # CA000114563 on May 4, 2007. It has been over 4 months

and now I have a letter from the State dated, August 9, 2007, and it is said

to be ambiguous per Bonnie Holle, and doesn't mean what it says.  For the

record, I would like a letter from the State that DOES'S mean what it says.

I think I am entitled to that per code and regs.  Also, L&C sent a letter

May 14, 2007 when I first filed this complaint a second time, and this

letter indicated, "We anticipate that you will receive the L&C Program's

findings within (60) days.  Again, it has been twice that long.

 

For the record: Clients/patients need to be OUT of ETS/Hospital in 23 hours

and 59 minutes, because if they are still "involuntary" held, they are

denied their State and Federal rights.  Some of those rights include:

 

The right to have visitors. (ETS does not allow visitors)

The right to have a bed.  (ETS has a massive bed shortage)

The right to privacy. (Clients do not have a room.)

The right to a comprehensive treatment plan. (ETS does not have group and

individual therapy. Nor does ETS have a planned program structured with

therapeutic activities.)

The list goes on and on (See Complaint # CA2500037635)

 

I've been on ETS and clients are packed in there like sardines in a sardine

can.  In my view, at this time, the ONLY Plan of Correction would be a new

ETS and Intensive Treatment Facility (ITF) with a reasonable COMPLETION

date, This way ETS can transfer their patients to a larger bed facility in

the new ITF. Otherwise, I suggest consideration to revoke their license,

and/or impose fines.

 

Time is of the essence.  Patients are at risk.  All of these problems have

been previously identified in the year 2005 (per Complaint # CA2500037635)

and that Plan of Correction has FAILED and the State did NOT follow-up on

that Plan of Correction and therefore put patients at risk.

 

REQUEST: I am requesting the following:

 

1. A letter of correction from the State that explains that the August 9,

2007 letter is incorrect and does not clearly the State's position.

2. The correct findings, status, and estimated completion date for the

complaint # CA000114563 filed on May 4, 2007.

 

Thank you,

 

Kathi Stringer, Advocate

Kathi's Mental Health Review http://www.toddlertime.com