Facility Evaluation Report

On August 2, 2022, Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced and met with Bill Phelps, Administrator, and explained purpose of inspection. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols, contacted the facility to confirm there are currently no positive COVID-19 diagnoses, completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms and completed a facility risk assessment. Additionally, LPA was screened per COVID-19 precautionary measures upon entering the community. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N 95 mask.

On June 25, 2021, the Department concluded a complaint investigation which alleged the following: Resident (R1) fell and sustained brain/head injuries while under care of facility staff.

The allegation was substantiated, and the licensee was cited for violating California Code of Regulations (CCR) Title 22, section § 87705(c)(3)(C): § 87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (3) In addition to the on-the-job training requirements in Section 87411(d), staff who provide direct care to residents with dementia shall receive the following training as appropriate for the job assigned and as evidenced by safe and effective job performance: (C) Recognizing the effects of medications commonly used to treat the symptoms of dementia.

Additionally, the licensee was cited for violating CCR Tile 22 § 87463 Reappraisals (c) The licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff, and a representative of the resident’s home health agency, if any, when there is significant change in the resident’s condition, or once every 12 months, whichever occurs first, as specified in section § 87467, Resident Participation in Decision Making and Health and Safety Code §1569.625 Staff training; legislative findings;