complaint·December 20, 2024

Continued from LIC 9099 LPA Valerio reviewed facility files for Staff 1 (S1). LPA observed completed training certificates for the following topics: Medication training - 01/10/2024, Dementia Care Staff Training - 02/02/2024, Osha training - 01/20/2024, 40 hour orientation training - completed, Oxygen training - 02/01/24, Orientation training - 01/18/24 - 02/01/2024, and Disaster and Emergency Training - 02/01/2024. All training were instructed by Administrator Beatrice. On 11/26/2024, LPA Valerio observed Staff 3 (S3) working at the facility. Licensee/Administrator Beatrice was cited for California Code of Regulations (CCR) Title 22, Section 87411(g)(2) for not obtaining a fingerprint clearance for S3 prior to working at the facility. According to an interview with S3, S3 was there shadowing the main staff, S1. LPA Valerio learned during this visit that S3 was assisting residents over the weekend. When S3 was questioned, S3 stated the residents are going to get S3 in trouble. Administrator Beatrice confirmed during this visit that paper work and training was still in the process for S3. S3 did not have any prior training or experience. Therefore, the allegation of Staff did not receive all required training is substantiated. Staff do not provide appropriate supervision to residents in care. On 10/24/2024, LPA Villanueva observed the facility to be in disrepair in Resident 1's (R1) room. On 11/05/2024, the facility was cited for the allegation f acility is in disrepair. On 11/05/2024, LPA Valerio observed R1's bedroom. LPA observed the holes next to the electrical socket to be repaired; however, the electrical socket was missing a cover. LPA observed the scratches on the window frame and bed frame still is disrepair. LPA Valerio interviewed staff regarding the R1's behaviors. According to the Administrator, R1 has had these behaviors but nothing has worked. They will fix the facility and R1 will go and do it again. LPA Valerio interviewed S1. S1 stated they try to give one hand activity to R1, but R1 will try to eat it. The amount of damage done, such as digging into the window seal and walls, show that the facility is not supervising R1 or attempting to redirect resident. During LPA's visits, S1 has been on shift without assistance to provide care and supervision to up to 6 residents while conducting daily activities. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8) are being cited on the attached LIC-9099D. Failure to correct the deficiency may result in civil penalties. Appeal rights were provided.  An exit interview was conducted, and a copy of the report was left at the facility. Continued from LIC 9099 - A LPA Valerio reviewed resident records for Resident 1 (R1) - Resident 5 (R5). R1, R2, and R3 did not have injections listed on their medication list. R4 was observed to have tablets for medication. However, on a medication list from a previous rehabilitation center, there are 3 injections on the list. It says started date 06/18/2024 with no end date. There is a hand written note saying discontinue, but it is unclear if this was discontinued. On the LIC 602, there is an N/A next to able to administer own injections and yes to able to perform own glucose testing. On 12/20/2024, LPA Valerio went to observe R4's medication but learned R4 moved out of the facility. Administrator Beatrice did not provide a complete copy of R5's file and therefore, LPA was unable to determine if injections are provided. On 12/20/2024, LPA Valerio reviewed R5's medications. LPA did not observe injections present at the facility for R5. Administrator does not spend sufficient number of hours at the facility. On 10/24/2024, 11/05/2024, 11/26/2024, and 12/20/2024, LPAs observed Staff 1 (S1) on shift. LPAs did not observe Administrator Beatrice present when LPAs arrived at the facility. During each visit, Administrator Beatrice went to the facility after learning of arrival of the LPA. According to an interview with OA, anytime OA visits the facility, Administrator Beatrice is never there. According to an interview with Administrator Beatrice, Administrator stated she is always here. She comes when it is necessary. For example, she will come in the morning, she will coming in the evening, or she will come to work the over night shift. Administrator Beatrice stated she travels from her facility in Elk Grove and her facility in Galt. Based on all the information collected by the Department, although the allegation may have happened or is valid, here is not a preponderance of evidence to prove the allegation occurred, therefore this allegation is UNSUBSTANTIATED. California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. Exit interview was held and a copy of report was left at the facility.