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Inspection visit

Complaint

NINA'S HOMELicense 1072071216 citations on this visit
6 citations recorded

Inspector’s narrative

What the inspector wrote

CONT... Allegation: Staff did not ensure that a resident's medication was stored locked During investigation LPA completed interviews with RP and received pictures provided by RP. RP disclosed that the facility has medication throughout the facility that are unlocked and accessible to residents in care. Pictures provided showed medications in an unlocked dresser drawer. During LPAs visit to the facility on 4/19/24 medications were unlocked inside the refrigerator. This allegation is SUBSTANTIATED. Allegation: Staff do not safeguard residents' personal belongings During investigation RP alleged facility did not safeguard R1 and R2’s personal belongings. During review of the admission agreements, it was observed items were not itemized by the licensee but by the family only. Items still not located at move out: laptop, hearing aids, wheelchairs, clothes, medications, supplies for R1 and R2. Documentation does not support that these items were not properly safeguarded and returned to residents upon move out. This allegation is SUBSTANTIATED. Allegation: Staff do not treat resident with dignity and respect During interviews with staff and RP it was disclosed that staff are taking photographs and videos of R1 and sending them to the Licensee. Staff do not have the family’s consent to do this. These pictures/videos were of R1 in compromising positions/incidents and inappropriate to take. During a visit on 4/19/24 LPA observed staff walking into residents’ rooms without permission to enter, moving a resident without explanation and staff raising their voice at R2. This allegation is SUBSTANTIATED. Allegation: Staff do not ensure that residents are properly supervised During interviews with RP and staff it was disclosed that staff are sleeping during the night shift. Interviews disclosed R2 had a drop in their glucose levels and called for assistance, but staff did not come to assist them. During review of documentation, it was observed that R1 wanders throughout the night and R2 needs assistance with their medical condition. This allegation is SUBSTANTIATED. Allegation: Staff handled a resident in a rough manner During interview with RP it was disclosed caregivers laugh and mock R1 when needing assistance. Interview disclosed RP observed S1 pulling R1 in a rough manner while transferring without assistance. During visit on 4/19/24 LPA observed staff pick up R1 from a sitting position and lay them down on the couch without notifying R1 they were going to move them. R1 showed signs of pain by saying “ouch” and rubbing their legs. LPA asked if their leg hurt and R1 replied “yes”. This allegation is SUBSTANTIATED. Allegation: Staff do not meet a resident's dietary needs During investigation LPA completed interviews with RP, staff and residents, completed visits of the facility and reviewed documentation. During facility visit on 4/19/24 LPA observed expired food in the pantry, improperly stored food in refrigerator/freezer and observed staff cooking. Interviews with residents indicated they do not have a variety of food served that is meeting their dietary needs. This allegation is SUBSTANTIATED. The allegations listed above have been found to be SUBSTANTIATED per Title 22. Deficiencies cited on attached 9099D. Exit interview completed with Administrator, Leticia. A copy of this report, deficiencies, and appeal rights provided.

Citations

7 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87309(a)(1)Type B

    Store disinfectants separately from food supplies

    87309 Storage Space(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. (1)Storage areas for poisons, and firearms and other dangerous weapons shall be locked. This requirement was not met as evidence by: LPA observation of pictures provided by RP of medications unlock in a dresser drawer, medications unlocked in the facility refrigerator and drawers during a visit on 4/19/24.

  • 87555(a)Type B

    Diet quality and preparation in safe healthful manner

    87555 General Food Service Requirements(a)The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents... All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement was not met as evidence by: LPA observations on 4/19/24 of expired food in the pantry, improperly stored food in refrigerator/freezer and observed staff cooking. Interviews conducted with residents indicated residents do not have a variety of food served that is meeting their dietary needs.

  • 87355(e)(b)(1)Type A

    87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record This requirement was not met as evidence by: LPA observation of S1 working at facility and Licensee not ensuring all staff present at the facility have received criminal record clearance and been associated to the facility. This poses an immediate health, safety and/or personal rights risk to residents in care.

  • 1569.153(d)Type B

    1569.153 Theft and loss program; standards, property inventories and surrender of personal effects; secured areasA theft and loss program shall be implemented by the residential care facilities...include all of the following:... A written resident personal property inventory is established upon admission and retained during the resident's stay in the residential care facility... This requirement was not met as evidence by: LPA’s review of the admission agreement and interview with RP disclosing R1 and R2 did not discharge with all of their belongings/medication/supplies.

  • 87465(a)(4)Type A

    Assist residents with self-administered medication

    87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility...(4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidence by LPA observation of MARS reviewed from 4/1/24-4/12/24 showing R1 did not receive their medications as prescribed. It was also observed that R1 was not being provided liquids with thicken during a visit conducted on 4/19/24.

  • 87468.2(a)(1)Type B

    Right to personal privacy in daily care

    87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a)...(1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance... This requirement was not met as evidence by: LPA interviews disclosing staff are taking photographs/videos of R1 without consent. LPA observation of staff walking into residents’ rooms without permission to enter. Moving R1 in a rough manner without explanation. Raising their voices at R2 during visit on 4/19/24.

  • 87705(c)(4)(A)Type B

    87705 Care of Persons with Dementia(c) Licensees who accept and retain residents with dementia... (4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs...(A)... shall have at least one night staff person awake and on duty... This requirement was not met as evidence by: LPA interviews staff they are sleeping during the night shift. Documentation reviewed shows R1 wanders throughout the night and R2 needs assistance with their medical condition.

FAQ · About this visit

Common questions about this visit

What happened during the October 3, 2024 inspection of NINA'S HOME?

This was a complaint inspection of NINA'S HOME on October 3, 2024. 6 citations were issued: 1 Type A (serious) and 5 Type B.

Were any citations issued to NINA'S HOME on October 3, 2024?

Yes, 6 citations were issued (1 Type A, 5 Type B). The first citation was for: "87309 Storage Space(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.