Victoria's Care Home

Allegation investigated: Staff are not dispensing medications as prescribed

Licensing Program Analyst (LPA) Katie Brown arrived at the facility to conduct a subsequent complaint visit and deliver complaint investigation findings. LPA discussed the elements of the allegations with Administrator Joseph Gitti and Harmeen Jhutti. Based on record review of R1’s Centrally Stored Medication Log and the Medication Administration Record (MAR) it was not documented that a medication was started once received. Interview reveals that based on these documents, it cannot be confirmed that medication was given. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A deficiency is being cited in accordance with California Code of Regulations on the attached LIC 9099-D. An exit interview was conducted and plan of correction (poc) was developed. A copy of this report and Appeal Rights were discussed and left with Joseph Gitti, whose signature on this form confirms receipt of these documents. Substantiatedthe state’s words, verbatim · CDSS document, Jan 17, 2023 · control 24-AS-20220921094752

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(c)(2) · Plan of correction due date: Jan 25, 2023

87465 Incidental Medical and Dental Care (c) If the resident's physician has stated in writing that the residentf.....shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by: Licensee did not ensure that facility staff assisted R1 was medication as perscribed by the physician. Cipro was delivered and entered onto the centrally stored log but not added to the MAR. AD cannot confirm that the medication was started or given to R1 as ordered. This poses a potential health, safety or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jan 17, 2023

Plan of correction: The facility has implemented an electronic medication documentation system which is now being used to track and document medication. AD will conduct a staff training on medication documentation and provide proof of training to CCLD by the due date via email.

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Neglect and/or Lack of Care and Supervision

Licensing Program Analyst (LPA) Katie Brown arrived unannounced at the facility to deliver complaint findings. LPA met with Joseph Gitti. This Agency has investigated the allegation listed above. Based on Observation and interview, the facility has supplies and procedures in place to meet the care and supervision needs of the residents. The above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. There were no citations issued. An exit interview was conducted and a copy of this report was left with Joseph Gitti, whose signature confirms receipt of these documents. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 15, 2022 · control 24-AS-20220913120040

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Katie Brown arrived at the facility unannounced to conduct the Annual Inspection - Infection Control. LPA met with and explained the purpose of the visit with Administrator (AD) Joseph Gitti. LPA toured the facility inside and out. Upon entry, LPA observed visitor log/symptom screening and sanitizer. Covid-19 symptom and precautionary signs are posted at entry and throughout the facility. Furniture in common and dining areas are spaced to promote distancing. Facility has designated visitation areas available. LPA observed soap, paper towels and hand washing signs in bathrooms. LPA observed required food supply, paper products, available PPE and resident medications. Cleaning/disinfecting products and sharps/knives were locked. LPA reviewed resident emergency contact information. Fire and Carbon Monoxide alarms were observed in working order. LPA observed fire extinguishers dated 1/20/22. The pool was observed to be gated and locked as required. No deficiencies were cited during this inspection. An exit interview was conducted. A copy of this report was left with Joseph Gitti whose signature confirms receipt of these documents. LPA requested the following updated forms by 12/22/22: LIC 308, LIC 400, LIC 402, LIC 500, LIC 610, LIC 9020, a copy of current Liability Coverage.the state’s words, verbatim · CDSS document, Dec 15, 2022

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Katie Brown arrived at the facility unannounced to conduct a Health & Safety Inspection in conjunction with an initial complaint visit. LPA met with and explained the purpose of the inspection with Administrator (AD) Joseph Gitti. During the visit LPA toured the facility. LPA observed residents in common areas waiting for lunch to be served or in their rooms watching television. During the tour, LPA observed resident’s bedrooms and bathrooms. Required furnishings were in place and in good condition. Bathroom water temperature was recorded at 118 degrees. Cleaning and disinfecting supplies as well as knives were locked. Towels, bedding, linens and paper products were properly stored. Medications and resident files were observed and locked. The facility has a pool with a gate which was locked. LPA observed required food supplies and kitchen appliances in working order. Common areas and walkways were free of obstruction. Facility temperature was 78 degrees. Fire Alarm and Carbon Monoxide detectors were observed. Fire Extinguisher service date was 1/20/22. No deficiencies were cited during this inspection An exit interview was conducted, and a copy of this report was left with AD, whose signature on this form confirm receipt of these documents.the state’s words, verbatim · CDSS document, Sep 22, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Katie Brown arrived at the facility unannounced to conduct the Infection Control Inspection. LPA met with Designee/Administrator Susan San Juan. LPA entered through the central entry point where health screening was conducted. Visitor policy, PPE and sanitizer was observed in the entryway. Infection control procedures which were observed or reviewed by LPA include: Daily symptoms screenings (for staff, residents and visitors), testing, visitation, quarantine/isolation procedures, staffing, PPE and daily infection control procedures. All 6 residents and live in staff are fully vaccinated, including boosters. LPA toured the facility inside and out. LPA observed locked/inaccessible pool. Required postings as well as Covid-19 and hand washing were observed. Furniture in common and dining areas are spaced to promote distancing. Facility has designated visitation areas available. LPA observed 30-day resident medication as well as PPE supply. Common and resident bathroom sinks are stocked with liquid soap and towels washing. The following forms requested to be updated and submitted to LPA by 1/5/2022: LIC 308, 309 610, 500, 9020A, a copy of current Liability Insurance, No deficiencies cited for Infection Control Annual Inspection.the state’s words, verbatim · CDSS document, Dec 27, 2021