Frye's Care Home

Type of visit: Required - 1 Year

At approximately 8:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Required-1 Year inspection. LPA met with Supervisor Sara McDonald and explained the purpose of the visit. Administrator certificate is current. Facility has a Hospice waiver for 10 residents. At approximately 8:15AM, LPA toured the facility to ensure the health and safety of residents in care. The facility was observed to be at a comfortable temperature. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed. Fire extinguishers were fully charged. Smoke detectors are all operational. Carbon Monoxide Detector was present. The common areas, bathrooms and kitchen were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. The kitchen equipment was clean and in good repair. Dishware appeared to be stored in a sanitary manner. Food appears to be stored and prepared properly. Refrigerators and freezers were maintained at the proper temperature. Facility has required supply of perishable and non-perishable food. Emergency water was present to ensure facility can be self-sufficient for 72 hours. Facility has a generator to supply power in an emergency. Emergency lighting devices were present. First aid kit was present. No pools/bodies of water are on the premises. Facility has been conducting Emergency drills every 3 months. At approximately 9:00AM, LPA reviewed 5 of 43 resident files. All resident files contained the required documentation. Reappraisals were conducted within the last 12 months. Documentation of a physician visit within the last 12 months was present. Medication records were organized and contained orders for each medication. Medications were secured in a locked cabinet. Continued on LIC809-C… At approximately 10:25AM, LPA reviewed 5 staff files. Staff files reviewed did not contain evidence of completed annual training. First Aid/CPR certification was current. All employees requiring background checks are cleared. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC610E- Disaster Plan Evidence of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Sara McDonald and Appeal rights were given.the state’s words, verbatim · CDSS document, Jan 21, 2026

Allegation investigated: Medication Mismanagement Personal Rights Facility not providing care and supervision

At approximately 8:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegations. LPA met with Katelyn Formby, interviewed staff and reviewed records. Based on interviews and records reviewed, LPA did not find evidence to support the allegation that staff mismanaged medication. The medication is prepared in the medication room and taken to the residents room. Staff stay with resident to ensure medication is taken, then return the medication cup to the medication room. LPA inspected various resident rooms and did not observe any evidence of medications. Based on interviews conducted, LPA did not find evidence that staff violated residents personal rights. Residents diagnosed with dementia retain the personal right to engage in sexual behaviors and spend time with those they choose to be with. Staff are aware and observant for hostile actions between residents to ensure safety. Based on records reviewed and interviews conducted, LPA did not find evidence to support the allegation that facility is not providing care and supervision. Resident records show resident diet orders are for a regular diet with thin liquids. Oxygen orders are on an as needed basis. Hospice orders show to elevate extremities, but resident is able to move legs on an off the bed. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 29, 2025 · control 21-AS-20250109165507

Allegation investigated: Staff did not prevent inappropriate touching between residents

At approximately 11:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an inspection into the above allegation. LPA met with facility mananger Katelyn Formby, reviewed records and interviewed staff. Based on interviews conducted and records reviewed, residents are free to walk around the facility and interact with each other as they wish. Staff are aware of the interactions between the two residents and have not observed any behaviors that are dangerous. Neither resident is conserved. Facility has met with both responsible parties and reviewed the personal rights of residents living in assisted living. LPA received copies of documents. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 6, 2025 · control 21-AS-20241230150731

Type of visit: Required - 1 Year

At approximately 11:30AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced annual required inspection of this licensed senior care facility. LPA met with Assistant Manager Katelyn Formby. At approximately 11:45AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in storage closets throughout the building. Water temperature measured within regulation throughout the facility. Fire extinguishers inspected were charged. Smoke detectors were found to be in working order. Facility has fire sprinklers throughout. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. At approximately 12:25PM, LPA reviewed 5 of 36 resident records. 5 of 5 records contained current and signed admission agreements and current care plans. Medication records are thorough and contained physician's orders for each resident. At approximately 1:00PM, LPA reviewed 6 staff records. 6 of 6 records contained documentation of completed training as required. At approximately 1:45PM, LPA reviewed the facility emergency disaster plan with staff. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducts emergency drills quarterly. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report Evidence of Liability Insurance No citations issue during today's visit.the state’s words, verbatim · CDSS document, Jan 6, 2025

Type of visit: Case Management - Incident

At approximately 10:45AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct a case management in regards to an incident report submitted to the department on 08/12/2024. LPA met with Manager Katelyn Formby and reviewed records. On 08/10/2024, Resident, R1, received another residents medication. During an evening medication pass, staff gave R1 the wrong cup of medications. After R1 had already taken the pills, staff noticed it was the incorrect medication. Physician was notified and informed staff to observe resident for changes. Approximately 6 hours later, staff observed R1 to have lower than normal blood pressure and contacted emergency personnel. Resident stayed in the hospital for observation. LPA reviewed discharge paperwork and observed resident had no long term effects from the medication error. Staff was retrained on facility medication practices. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Katelyn Formby and Appeal rights were given.the state’s words, verbatim · CDSS document, Aug 20, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(4) · Plan of correction due date: Aug 21, 2024

87465 Incidental Medical and Dental Care:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on records reviewed Licensee did not ensure R1 received the correct medication. This poses an immediate Health risk to residents in care.the state’s words, verbatim · CDSS document, Aug 20, 2024

Plan of correction: Facility conducted retraining for responsible staff. POC cleared at time of visit.

Type of visit: Required - 1 Year

At approximately 11:30AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced annual required inspection of this licensed senior care facility. LPA met with Assistant Manager Katelyn Formby. At approximately 11:45AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in storage closets throughout the building. LPA observed the cupboard under the sink in memory care was unsecured. Water temperature measured between 96 and 125 degrees. Fire extinguishers inspected were charged. Smoke detectors were found to be in working order. Facility has fire sprinklers throughout. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. At approximately 12:45PM, LPA reviewed 5 of 32 resident records. Records contained current physician reports and care plans. 5 of 5 records contained current and signed admission agreements. Medication records are thorough and contained physician's orders for each resident. At approximately 2:00PM, LPA reviewed 6 staff records. 6 of 6 records did not contain documentation of completed training records as required. LPA interviewed 2 staff during this inspection. Continued on LIC809-C... At approximately 3:30PM, LPA reviewed the facility emergency disaster plan with staff. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducts emergency drills monthly. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report Evidence of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Katelyn Formby and Appeal rights were given.the state’s words, verbatim · CDSS document, Dec 5, 2023

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.