Incident investigation·October 7, 2021

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a Case Management Inspection and met with Administrator, Charito Santos. LPA conducted risk assessment with Administrator prior to visit. LPA arrived at the facility and had her temperature checked and was logged into a sign-in sheet. LPA is following up regarding an incident report received on 10/5/21 involving resident (R1) had trouble breathing. On 9/26/21 R1 complained about difficulty breathing and was transported to Santa Rosa Memorial Hospital. R1 and was previously diagnosed with Chronic pulmonary disease and was prescribed with new medication albuterol 90mcg and budesonide-formoterol 160-4.5mcg. R1 has a history of not being able to breathe and had been transferred to Hospital due to their smoking habits. Previously, R1 was instructed to limit cigarette intake and responsible party agreed with Administrator that no more money was going to be provided to R1 until their smoking habit changes. As of today, R1 has not experienced any incidents. Administrator informed LPA that facility is working with resident's responsible party and case worker to help R1 to quit smoking. During today's visit, LPA was informed by Administrator that facility contracted a vendor (Telecare) who was also present and will be conducting on 10/14/21 staff training for staff who assist residents with medications to help with medication management issues. Administrator agreed to submit staff training sign-in sheet to CCL by 10/15/21. No deficiencies cited during today's inspection.