Follow-up on corrections·April 28, 2024

On 4/28/2024, Licensing Program Analysts (LPA) Maria (Mita) Partoza and Simi Rai conducted an unannounced visit to the facility. LPA stated that the purpose of the visit is to continue the case management-deficiencies observed from 4/27/2024, and to deliver the deficiency citations based on observation and interview from 4/27/2024. LPAs were met by a care giver (S2) and S2 called the licensee/administrator (LIC/ADM) Constantin Lapustea and LIC/ADM arrived at the facility within 30 minutes. LIC/ADM stated he was attending church. On 4/27/2024 LPA Partoza conducted an unannounced complaint visit to the facility and was greeted by the staff's (S1) child who is a minor (M1). LPA was able to confirm that M1 is under the age of 18. LPA arrived at 9:00 a.m. on 4/27/2024 and requested to see LIC/ADM or the designated administrator. M1 stated that the licensee/administrator (LIC/ADM) Constantin Lapustea and caregiver (S2) was out. M1 stated he/she is the child of the staff (S1) who is currently accompanying and assisting 3 residents with their walk and will be back in 15 minutes. LPA observed that M1 was alone with 2 residents for more than 15 minutes with 2 out of 2 residents that are diagnosed with dementia and are ambulatory. During visit on 4/27/2024, LPA observed the following: 3 residents with the staff (S1) came in after their walk around the neighborhood. LPA observed that 2 out of 3 residents uses assistive device such as cane and walker. 1 out of 3 uses assistive device as needed (walker). S1 introduced self and stated that he/she is the caregiver at the facility and LIC/ADM are not in the facility during the time of visit of 4/27/2024. LPA conducted a facility inspection and observed that 5 out 6 residents were present in the facility. 1 out of 6 went out to a day program. continued to page 2 - LIC 809C During the visit of 4/27/2024, LPA interviewed S1. S1 stated that he/she is not fingerprinted and not background cleared. S1 stated that he/she has been working at the facility since September 2023 and works at the facility every other weekends. LPA observed that S1 is not associated and listed on the facility roster and on the department's record under the facility personnel summary report. S1 stated that he/she does not have criminal background clearance and have not completed livescan for fingerprint clearance. During today's visit, LPAs interviewed LIC/ADM. LIC/ADM admitted that he did not have S1 fingerprinted and have a criminal background clearance prior to working in the facility. On 4/27/2024, LPA toured the facility and checked bathroom, kitchen and residents' room and observed that the drawer for knives were unlocked and key was located in the key hole. The cabinet under the sink has chemicals and the cabinet was unlocked. LPA observed that the medications for the day in the upper kitchen cabinet, such as Nyquil, Robitussin, Centrum, Magnesium and resident's prescription medications were unlocked and easily accessible to residents in care. The medication was also accessible to staff who is not responsible to administer and supervise medication to residents in care. LPA inspected the bathrooms and 3 out of 3 bathroom sink cabinets was unlocked and contains chemicals, such as Lysol cleaning solutions, bar counter cleaner, were easily accessible to residents in care. LPA reviewed records for 2 out of 2 residents were diagnosed with dementia and are ambulatory. During today's visit, LPAs observed 3 out of 6 resident walking around the facility. Deficiencies is being cited during today's visit based on California Code of Regulation, Title 22, please see LIC809-D. A civil penalty is being assessed for the amount of $500 ($100 per day x 5 days) for staff (S1) working at the facility without fingerprint clearance. See LIC 421BG. An exit interview was conducted with LIC/ADM Constantin Lapustea and a copy of the report was provided. Appeal rights was also provided. End of Report