Alder Bay Assisted Living

At approximately 11:45AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegation. LPA met with Executive Director Sara Anderson, interviewed staff and residents. Based on interviews conducted, facility housekeeper unexpectedly quit on 10/02/2024. Facility was without housekeeping services for approximately 3 weeks. During this time, housekeeping was conducted by caregivers as they found time. Based on interviews conducted, when a staff was informed of a cleaning need, they responded immediately. LPA was informed a housekeeper has been hired and cleaning is back on schedule. During the course of this investigtion, LPA observed facility bathrooms and common areas were clean and in good repair. 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. UnsubstantiatedRead the full finding— CDSS inspection report, November 18, 2024 · control 21-AS-20241011132703

At approximately 11:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegations. LPA met with Executive Director Sara Anderson and reviewed records. LPA received copies of documents. Based on a review of records and interviews conducted, LPA did not find evidence that residents needs were not being met. Resident, R1, fell while in their room and staff responded quickly. Emergency personnel (EMT's) were notified and took R1 to the hospital. Facility provided R1's emergency paperwork to the EMT's at that time. It was later noticed the face sheet of the paperwork was missing Allergen information, but the information was included on the physician report, which was also provided. All of R1's diagnosis were listed correctly on the face sheet. Based on interviews conducted, Staff observed a change of condition that became noticable over the course of a few days. Continued on LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, August 19, 2024 · control 21-AS-20240709165029

At approximately 11:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegation. LPA met with Executive Director Sara Anderson and reviewed records. LPA received copies of documents. Based on a review of records and interviews conducted, facility issued a notice to all residents regarding a change to the way the payments are received. The date given in the notice for the change was incorrect. The date in the notice only provided 30 days until the change took effect. Administrator re-issued the notice with the correct date, to provide residents the full 60 day notice. LPA reviewed the current Admission agreement. There were no rate changes made to the admission agreement. There are no references made regarding the method of payment. The facility has the ability to make changes to the program design, provided they provide at least a 60 day notice to residents. Continued on LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, August 19, 2024 · control 21-AS-20240812164151

At approximately 11:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegations. LPA met with Administrator Sara Anderson, interviewed staff and reviewed records. Based on records reviewed and interviews conducted, facility did observe a change in residents condition and notified resident physician. Facility updates resident care plans quarterly, or as needed, and provides them to caregivers for review. Based on records reviewed and interviews conducted, facility was communicating with resident physician regarding changes in condition and to develop a plan to ensure their needs were met. Care plan was updated as needed. Resident ultimately moved to a higher level of care. 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. UnsubstantiatedRead the full finding— CDSS inspection report, April 15, 2024 · control 21-AS-20240118133728

At approximately 8:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the allegation listed above. LPA met with Executive Director Sara Anderson, interviewed residents and reviewed records. Based on interviews conducted, food service for the evening meal has been a common concern with residents. The staff responsible for preparing the evening meal served residents food that was not at the proper temperature and did not provide proper amounts. LPA discussed this issue with the Director and was informed the staff responsible has been terminated. After several attempts to correct the situation, S1 refused to conform to the proper techniques for serving meals. The Director has several job postings advertised for a replacement and has rearranged kitchen staff to ensure meals are served in the appropriate manner. Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the abRead the full finding— CDSS inspection report, April 20, 2023 · control 21-AS-20230405092217

At approximately 11:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the allegations listed above. LPA met with Executive Director Sara Anderson, interviewed residents and reviewed records. LPA was not able to find supporting evidence that the needs of the residents are not being met due to inadequate staffing. LPA reviewed staffing schedules and found facility had staff scheduled to meet the residents needs. LPA reviewed "resident call for assistance logs" and found the average response time for staff to respond was 7 minutes. The facility has a business office manager that answers the telephone during business hours. If a person were to call after hours or on weekends, the calls are answered by the medication technician, if available, or the call will go to voicemail. The business office manager checks for messages when they return to the office the next business day. LPA reviewed the facility laundry scheduleRead the full finding— CDSS inspection report, April 10, 2023 · control 21-AS-20230324084346

At approximately 11:45AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegation. LPA met with Executive Director Sara Anderson, reviewed records and interviewed staff. LPA reviewed staff training records and found a lack of required annual training. Executive Director has implemented a training plan to ensure staff receive the required hours of training. Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. 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 Executive Director and Appeal rights were given. SubstantiatedRead the full finding— CDSS inspection report, December 20, 2022 · control 21-AS-20221122121315

At approximately 8:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct an investigation into the above allegations. LPA met with Executive Director Sara Anderson, reviewed records and interviewed staff. Based on records reviewed and interviews conducted, the facility did not provide adequate food services to residents, see complaint 21-AS-20221018160309. Facility is in the process of hiring additional kitchen staff and equipment to ensure residents receive quality food service. Based on interviews conducted, residents are not consistently receiving showers due to a lack of staff. LPA reviewed documentation that showed some residents refused showers while others were not showered due to time or lack of staff. LPA observed there has only been weekly bingo as an activity for several months. Facility is in the process of hiring a designated activities director. Based on interviews conducted, facility was without housekeeping staff and housekeRead the full finding— CDSS inspection report, December 1, 2022 · control 21-AS-20221031122319

At approximately 8:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to deliver findings to an investigation into the above allegations. LPA met with Executive Director Dale Woytek, toured the facility, reviewed records and intereviewed staff and residents. LPA toured the kitchen and inspected equipment. The stove/oven/griddle combination was not in good repair. LPA was informed and observed a crack in the grease tray section of the griddle that has already caused several fires. The last fire caused the grease tray to melt and now it is not removeable. Two of Three ovens are non operational. Facility does not have an area to keep food warm while serving residents, resulting in cold to partially warm food being served to residents. LPA inspected the warming station and found large, rusted holes in the base where water would be. The ventilation unit above the stove was in need of degreasing and cleaning. Unit was not being used during this visit. TRead the full finding— CDSS inspection report, November 15, 2022 · control 21-AS-20220930122431

At approximately 11:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to deliver findings to an investigation into the above allegations. LPA met with Executive Director Dale Woytek, toured the facility, reviewed records and intereviewed staff and residents. Based on interviews conducted and LPA observation, care staff did not meet the needs of residents on at least two occasions. During a visit on 11/07/2022, LPA witnessed staff not provide shower assistance due to not having enough staff on duty at the time. LPA inquired if this situation occurred often and was told that it was not a daily issue, but did happen often. LPA observed meal service on several occasions during this investigation. LPA observed the meal during the morning and afternoon was served in a timely manner. During the evening meals, LPA was informed that food served to residents is luke warm or cold, due to the lack of a warming station and lack of space in the kitchen to prepRead the full finding— CDSS inspection report, November 15, 2022 · control 21-AS-20221018160309

At approximately 10:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to deliver findings to an investigation into the above allegations. LPA met with Executive Director Dale Woytek, toured the facility, reviewed records and intereviewed staff and residents. Based on interviews conducted, staff did not financially abuse a resident. Based on interviews conducted, the encounters where S1 received money from residents were all consenual and residents freely gave money to S1. S1 also received money from various staff. There were no incidents of threats or bullying to get money. Based on interviews conducted, the personal property that was taken by S1 was given as a gift from a resident. S1 was terminated for violating facility policy. 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. UnsubstantiatedRead the full finding— CDSS inspection report, November 15, 2022 · control 21-AS-20221004173642

At approximately 11:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct an investigation into the above allegation. LPA met with Business Office Manager Kim Gibbs, toured the building, interviewed residents and staff and reviewed records. LPA measured the air temperature on each floor of the building. Temperatures ranged from 61-68 degrees in the hallways. LPA measured the temperature in a sampling of resident rooms. Temperatures ranged from 62-69 degrees. LPA spoke with residents and was informed they were provided individual space heaters for their rooms until the heating system was repaired. LPA was informed by Tod Murray, a corporate representive, the repairs were in process and the contractor was scheduled to be on site 11/08/2022 to correct the issue. Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiencies are cited from thRead the full finding— CDSS inspection report, November 7, 2022 · control 21-AS-20221031122319

At approximately 10:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct an investigation into the above allegation. LPA met with Administrator Daly Woytek, toured the facility, reviewed records and interviewed staff and residents. LPA reviewed staff schedules and compaired them to the background clearance records for the facility. Based on this record review, LPA observed S1 and S2, currently working at the facility, did not have a background clearance. LPA observed S3 and S4, no longer employed at the facility, had worked at the facility without a background clearance. A civil penalty is being issued in the amount of $2000. Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. 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 beforeRead the full finding— CDSS inspection report, October 6, 2022 · control 21-AS-20221004173642

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility, unannounced, to complete an investigation into the above allegations. LPA met with Executive Director Dale Woytek, toured the building, interviewed staff and reviewed records. During the course of this investigation, LPA reviewed staff training records and interviewed staff regarding the training they received. LPA was informed that the training consisted mostly of watching a video and shadowing another staff, then they would work on their own after approximately 2-3 days. LPA was provided documentation of staff training hours for 10 staff. Of the 10 staff, only 1 out of 10 had the required annual 20 hours of training. LPA toured the facility on 08/04, 08/11 and 8/24/2022. LPA observed carpets in need of cleaning and a door in the hallway that was broken. LPA was informed by Dale that new doors are in the process of being ordered. It is a challenge in this area due to the lack of availabiliRead the full finding— CDSS inspection report, September 16, 2022 · control 21-AS-20220805163150

At approximately 10:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility, unannounced, to open an investigation into the above allegation. LPA met with Executive Director Tiffany Blake and reviewed documents. Tiffany told LPA she submitted the administrator application on 10/20/2021. Then again, after taking and passing the Administrator test. Tiffany told LPA that her payment was returned due to it being the wrong amount. A new check, for the proper amount, was sent, which was also returned, due to the date being past the 30 day time frame from taking the test. Although it appears there was some miscommunication between Tiffany and the Administrator certification unit, no application was received, therefore no Administrator certificate was issued. LPA discussed the steps that need to be taken to correct this issue. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ieRead the full finding— CDSS inspection report, August 4, 2022 · control 21-AS-20220802120803