Facility Evaluation Report

Licensing Program Analyst (LPA) Karina Canela arrived unannounced at L & S Gentle Care II on 06/02/2022 for the purpose of addressing deficiencies observed during an investigation regarding complaint #21-AS-20220228080816. LPA met with Licensee Imelda Padama.

Prohibited Health Condition: Resident (R1)'s records reviewed revealed R1 developed a stage 3 pressure injury while in care on an unknown date. Facility staff notified R1's authorized representative on 02/28/2022. Administrator did not notify Community Care Licensing and did not request an exception to retain a resident (R1) with a prohibited health condition.

Unlawful Eviction: Statements received revealed licensee gave R1's authorized representative a verbal improper/unlawful eviction. Licensee did not follow eviction procedures as required per regulation 87224. This resulted in R1's authorized representative removed R1 from the facility on 03/02/2022.

Personal Rights Violation: During inspection dated 03/01/2022: LPA observed a visitor of resident (R2) visiting and stated they saw that the Licensee changed the visiting hours on weekends from 10 - 5pm to 10 - 3pm. R2's visitor expressed that it would be difficult to visit with the visiting hours changed. Licensee stated “that’s not for you, you can come whenever”. Licensee then stated they changed the visiting hours for R1's representative as they visit after 6pm and make staff "feel uncomfortable due to raising their voice". LPA stated the facility must allow reasonable hours for visitation. Additionally, LPA observed R1 sitting in their wheelchair wearing a shirt (arm length to elbow) while other residents had jackets or blankets on them. LPA felt R1's arm which was cold to the touch. LPA brought this to the attention of staff (S1). S1 stated R1 is "fine" and does not "like blankets and will throw it off". S1 asked R1 (who is mostly non-verbal) if they are cold, R1 responded "yes". LPA explained to Licensee that R1 felt cold to the touch, and seniors may get cold easily. LPA discussed with staff to be mindful of the comfort of residents.

Deficiencies cited (see LIC809-D pages) from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiencies and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Licensee Imelda Padama, whose signature below confirms receipt of report.