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Allegation investigated: Staff mistreat client while in care

Licensing Program Analyst (LPA) Darius Williams conducted a follow up complaint visit to deliver findings. LPA Williams met with Administrator, Joan Aquino and discussed the purpose of the visit. LPA Williams has conducted interviews and record reviews. LPA Williams checked Guardian facility roster and did not see any names matching the alleged suspect name. According to the Administrator, no one has worked at the facility that goes by the alleged suspects name. LPA Williams attempted to interviewed Resident 1 (R1) at their day program. R1 could not recall an incident of staff mistreating him or another person in care. R1 reported the facility has tough rules and when LPA Williams asked what the rules where, R1 replied, "They say we can't fight each other." *Continued on LIC 9099C* Unsubstantiated LPA Williams attempted to interview Resident 2 and Resident 3, with no success, and Resident 4 declined to talk. According to Witness 1 (W1), R1 occasionally will discuss watched t.v. shows or movies as their own life. W1 reported they will have to ask R1, "Is this something you saw on t.v.,movie, or your life?" W1 reported R1 did not clarify which one it was. Although the allegation may have happened or is valid, based on the alleged suspects name not matching an employee that works at the facility and LPA Williams unable to obtain clarifying information, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted and a copy of this report will be provided via e-mail.the state’s words, verbatim · CDSS document, Sep 13, 2023 · control 24-AS-20230612164835

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Darius Wiliams conducted an unannounced Annual Inspection visit. LPA Williams met with Co Administrator, Joan Aquino and discussed the purpose of the visit. No residents were present in the facility. LPA Williams toured the facility with Co- Administrator. LPA Williams observed a visitor/temperature log at the front entrance. Facility has one entry and exit point. Social distancing is maintained in the common areas. Hand washing and other various Covid-19 related signs were observed in the common areas. LPA Williams observed a two day supply of perishable food and seven day supply of non-perishable food. Cleaning supplies and medications were observed behind a locked door. LPA Williams observed the following personal protective equipment in storage; gowns, face shield, gloves, and masks. Staff have received training regarding Covid-19 infection control and mitigation. 4 of 4 resident's files had updated emergency contact information. LPA Williams requested the following updated documents be sent to the Department by 3/1/2023 ; personnel report (LIC 500) ,designation of facility responsibility (LIC 308),and administrator certificate. No deficiencies were observed or cited at this time. Exit interview was conducted and a copy of this report will be provided via e-mail.the state’s words, verbatim · CDSS document, Feb 23, 2023

Allegation investigated: Staff member is physically abusing residents in care.

On 12/30/22 at 8:35 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct a complaint inspection. LPA explained reason for inspection and was granted entry. LPA met with Co-Administrators Morris Santamena and Joan Aquino. LPA conducted interviews and reviewed records. Based on interviews, LPA found that there was not sufficient evidence to show staff member is physically abusing residents in care. The above allegation is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted. A copy of this report was given to Co-Administrator Joan Aquino, whose signature confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 30, 2022 · control 24-AS-20220927174248

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Case Management - Deficiencies

On 10/4/22 at 9:00 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct a case management - deficiency inspection. LPA explained reason for inspection and was granted entry. LPA met with Co-Administrator (ADM) Joan Aquino. During record review for complaint #24-AS-20220927174248, LPA found that R1 did not have a complete medical assessment. The medical assessment on file was missing the primary diagnosis, secondary diagnosis (if any), prior medical services/history, indication of whether medication should be centrally stored, identification of physical limitations, ambulatory status, and was not signed by a physician, or any information applicable to the pre-admission appraisal. R1 was admitted to the facility on 10/12/21. ADM advised the medical assessment on file was given by Kern Regional Center as a part of the placement into the facility. ADM stated the facility waits one year before obtaining another medical assessment. A deficiency is being cited based on LPA interview conducted and record review in accordance with the California Code of Regulations, Title 22, see LIC809D. Exit interview conducted and a Plan of Correction was developed and reviewed with Co-Administrator Joan Aquino. A copy of this report and appeal rights were given to Co-Administrator Joan Aquino, whose signature confirms receipt of this report.the state’s words, verbatim · CDSS document, Oct 4, 2022

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87458(a) · Plan of correction due date: Oct 25, 2022

87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year... This requirement is not met as evidenced by: LPA found that R1 did not have a complete medical assessment. The medical assessment on file was missing the primary diagnosis, secondary diagnosis (if any), prior medical services/history, indication of whether medication should be centrally stored, identification of physical limitations, ambulatory status, and was not signed by a physician, or any information applicable to the pre-admission appraisal, which poses a potential health, safety, or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Oct 4, 2022

Plan of correction: Licensee will submit proof of a completed medical assessment for R1 to CCL by POC due date.

Type of visit: Required - 1 Year

On 2/17/22 at 8:55 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and was granted entry. LPA met with Co-Administrator (S1) Joan Aquino. Administrator was unavailable for the inspection. There was one resident present during the inspection. LPA toured inside and outside of the facility with S1. Hand sanitizer was available to residents and visitors. Social distancing is maintained in the common and dining areas. Hand washing posters were observed next to the sinks. Bedrooms were checked and no residents share a room. LPA checked residents’ medications and observed the month's supply. Food supply was observed in adequate supply. Cleaning and PPE supplies were checked. There were no fire clearance issues. Administrator certification is valid. The following deficiencies were observed: 1. S1 and S2 both do not have health screenings. S1 started 1/2/21 and S2 started 7/12/19. 2. S2 first aid training certification expired 9/27/21. The following updated forms to be sent to CCL within 2 weeks: LIC500, LIC610E, LIC400, LIC402, LIC308, proof of liability insurance Deficiencies are being cited based on LPAs' observations, interview, and records review in accordance with the California Code of Regulations, Title 22, see LIC809D. Exit interview conducted. Due to COVID-19 precautionary measures, a copy of this report and appeal rights were emailed to email on record with "Read receipt" to confirm receipt of this report. LPA verified email on record is correct.the state’s words, verbatim · CDSS document, Feb 17, 2022

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.