Pointe At Summit Hills, The

Licensing Program Analyst (LPA) Darius Williams conducted an unannounced complaint visit. LPA Williams met with Administrator, Perla Pena. LPA Williams interviewed the Administrator. According to the Administrator on 2/7/2024, the Administrator took a phone call to Resident 1 (R1). The Administrator reported she stayed for approximately three minutes with the resident, as R1 has difficulties holding items and due to the possible nature of the call. Administrator also stated recieiving permission from Witness 1 and Witness 2 to be present during the call, however not receiving permission from R1. According to crecord review of order appointing probate conservator, dated 9/22/2021, the conservator does not have authority to dictate R1's calls. *Continued on LIC 9099C* SubstantiatedRead the full finding— CDSS inspection report, February 14, 2024 · control 24-AS-20240206103955

Licensing Program Analyst (LPA) Shawna Doucette and Miriam Flores conducted a visit to commence a complaint investigation and deliver findings. LPAs identified themselves and discussed the purpose of the visit and the elements of the allegations with Administrator, Perla Pena. The Department has investigated the above allegations. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. During the course of the investigation a deficiency was discovered. Refer to 809/809d. A copy of this report was provided. UnsubstantiatedRead the full finding— CDSS inspection report, January 25, 2024 · control 24-AS-20231009150017

Licensing Program Analysts (LPAs) Shawna Doucette and Miriam Flores conducted a visit to commence a complaint investigation and deliver findings. LPAs identified themselves and discussed the purpose of the visit and the elements of the allegations with Administrator, Perla Pena. Based on interviews and records review, R1's responsible party was emailed an eviction notice on 10/16/23. Facility issued a check and mailed the check to the responsible party. Based on interviews and record review, LPA was unable to determine whether or not staff safeguarded residents belongings. LPA observed a hat and a shoe which Administrator advised they belong to R1. Since the items have not been picked up, the facility will mail the items to the responsible party. UnsubstantiatedRead the full finding— CDSS inspection report, January 25, 2024 · control 24-AS-20240108120556

Licensing Program Analyst (LPA) Shawna Doucette arrived unannounced to conduct a complaint investigation. LPA explained reason for inspection and was granted entry by Staff Lily Contreras. LPA contacted Administrator Perla Pena who gave permission for Assistant Administrator Griselda "Gracie" Ramirez to sign for this report. LPA met with Administrator Griselda "Gracie" Ramirez. LPA conducted interviews and reviewed R1's file. Based on photos and interviews, there was a sign on R1's store that stated to "keep door locked at all times". Based on records review, on 8/16/23 the MARS log was signed twice for R1's PRN of morphine however there were no times logged as to when the morphine was administered to R1. SubstantiatedRead the full finding— CDSS inspection report, January 13, 2024 · control 24-AS-20231030081312

Licensing Program Analyst (LPA) Shawna Doucette and Miriam Flores conducted a visit to commence a complaint investigation and deliver findings. LPAs identified themselves and discussed the purpose of the visit and the elements of the allegations with Assistant Administrator, Griselda Gracie Ramirez. Based on interviews and photos resident's room was not properly maintained. LPA observed dirty carpet and there was an odor of urine. Cited on 24-AS-20230627144600 Based on photos and interviews, facility staff did not put the top sheet on R1's bed. Based on interviews facility staff did not put the protective bed liner on R1's bed. Based on photos of overflowing laundry basket of soiled bedding, staff did not provide adequate laundry services. Cited on 24-AS-20230627144600 SubstantiatedRead the full finding— CDSS inspection report, September 26, 2023 · control 24-AS-20230724100115

Licensing Program Analyst (LPA) Shawna Doucette and Miriam Flores conducted a visit to commence a complaint investigation and deliver findings. LPAs identified themselves and discussed the purpose of the visit and the elements of the allegations with Administrator, Perla Pena. The Department has investigated the allegation: Neglect/ Lack of Care and Supervision Resident suffered from multiple falls causing injury due to lack of staff supervision. Based on medical record review, facility documents, interviews, and photos, R1 suffered from multiple falls causing several injuries, which resulted in hospitalization. Based on interviews and photos, staff did not ensure resident’s room was clean and did not ensure resident’s room was free from clutter. Residents room photos showed items scattered all over the floors and counters in the residents living quarters, obstructing passageways. Resident bathroom counters were dirty. Based on interviews and photos, staff did not provide adequate launRead the full finding— CDSS inspection report, September 8, 2023 · control 24-AS-20230627144600

Licensing Program Analyst (LPA) Shawna Doucette and Miriam Flores conducted a visit to commence a complaint investigation and deliver findings. LPAs identified themselves and discussed the purpose of the visit and the elements of the allegations with Administrator, Perla Pena. LPAs reviewed signal system logs, resident records, and conducted interviews. Based on record review of signal system logs, LPA's found on 03/13/23 staff took over 6 hours to respond to R1's signal system call bell, on 03/16/23 staff did not to respond to R1's signal system call bell. This call was never acknowledged. LPA observed several other days where the reponse time is over 15 minutes or unanswered for the month of March 2023. Based on records review of staff notes and interviews, R1 developed a rash due to being left soiled. On 04/14/23, staff notes state R1 and R1's husband notified staff during a 7:30 AM check that staff never came to change R1. On 4/19/23, staff notes state R1 developed a rash. SubstantRead the full finding— CDSS inspection report, September 1, 2023 · control 24-AS-20230601095537

Licensing Program Analyst (LPA) Shawna Doucette conducted a visit to commence a complaint investigation and deliver findings. LPA identified herself and discussed the purpose of the visit and the elements of the allegations with Administrator Griselda "Gracie" Ramirez. LPA interviewed staff. LPA reviewed photos. Based on interviews and photos the preponderance of evidence standard has been met; therefore, the above allegations are found to be Substantiated. Per California Code of Regulations, Title 22, deficiencies are being cited on the attached 9099-D. An exit interview was conducted with Administrator Administrator Griselda "Gracie" Ramirez and a copy of this report along with appeal rights and plans of correction were provided. SubstantiatedRead the full finding— CDSS inspection report, July 20, 2023 · control 24-AS-20230526095728

Licensing Program Analyst (LPA) Shawna Doucette conducted a visit to commence a complaint investigation and deliver findings. LPA identified herself and discussed the purpose of the visit and the elements of the allegations with Administrator Griselda "Gracie" Ramirez. LPA reviewed records and interviewed staff and resident. Based on r interviews the preponderance of evidence standard has been met; therefore, the above allegations are found to be Substantiated. Facility was cited and issued plan of correction on Control Number 24-AS-20230516085639. An exit interview was conducted with Administrator Griselda "Gracie" Ramirez and a copy of this report was provided with appeal rights. SubstantiatedRead the full finding— CDSS inspection report, July 19, 2023 · control 24-AS-20230526124350

Licensing Program Analyst (LPA) Shawna Doucette conducted a visit to commence a complaint investigation and deliver findings. LPA identified herself and discussed the purpose of the visit and the elements of the allegations with Administrator Griselda "Gracie" Ramirez. LPA reviewed records and interviewed staff and resident. On 05/20/23, LPA interviewed staff. During the course of investigation, it was found R1 was originally placed in memory care due to dementia diagnosis. On 03/01/23, R1 was moved from memory care back to assisted living. On 04/29/23, R1 eloped from the facility. On 07/18/23, LPA reviewed records. R1's LIC602 states R1 cannot leave the faciity without supervision. On 05/20/23 at 1:05 PM, while touring the facility, LPA observed a soiled diaper along with used gloves in an open overflowing trash can with no cover in residents bathroom. Photo was taken. SubstantiatedRead the full finding— CDSS inspection report, July 18, 2023 · control 24-AS-20230516085639

Licensing Program Analyst (LPA) Shawna Doucette arrived unannounced to conduct a complaint investigation. LPA explained reason for inspection and was granted entry by Staff Monica Ramirez. LPA met with Administrator Griselda "Gracie" Ramirez. LPA conducted interviews, reviewed court orders and R1's file. LPA obtained copies of documents. This agency has investigated the complaint alleging, Staff denied resident to have in-person visitation. Based on interviews and records review, We have found that the complaint was UNFOUNDED, which means the the allegation could not have happened, and/or is without reasonable basis, therefore we have dismissed the complaint. An exit interview was conducted with Administrator Griselda "Gracie" Ramirez and a copy of this report was provided. UnfoundedRead the full finding— CDSS inspection report, June 27, 2023 · control 24-AS-20230622125625

The Department investigated the above allegations and based on interviews and observation, there is not a preponderance of evidence to prove or disprove the allegations occurred therefore the complaint is unsubstantiated. R2's room was toured and no passageway obstructions were observed or reported by R2 or R2's spouse, whom R2 shares a room. R3's room was toured and no pests were observed and pest control records indicate that service was conducted in December 2022, and January and February 2023 in the kitchen, common, and perimeter areas. S1 stated that R4 refuses assistance with showering and will not allow staff in the room. Interview with R4 was unsuccessful in obtaining information regarding this allegation. It was reported and observed that facility reported this concern to the Long-term Care Ombudsman. Based on interviews with the Medication Technician, R5 and R5's responsible party (RP), R5 did not miss any medications when R5's insulin pen broke on 3/2/23. R5's regular pharmaRead the full finding— CDSS inspection report, April 12, 2023 · control 24-AS-20230217092817

On 03/09/23, Licensing Program Analyst (LPA) L. Salazar and Nurse Evaluator II, (NEII) Lori Kopplinger, arrived at the facility unannounced to conduct the required 10 day site visit. LPA was greeted by receptionist, stated the purpose and was allowed entry into the facility. Medication was reviewed and facility was toured. The above allegation that staff mismanaged resident's medication was addressed on 02/27/23 during the course of another site visit. Facility was cited at that time based on records review and interviews. Based on the information received, the preponderance of evidence standard has been met, therefore, the above allegation is found to be Substantiated. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is not being cited on today's visit, as the deficiency was already cited. A copy of this report will be provided to facility via email. SubstantiatedRead the full finding— CDSS inspection report, March 9, 2023 · control 24-AS-20230307143407

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Assistant Administrator, Gracie Ramirez and informed her the purpose of the visit. During the course of this investigation LPA reviewed facility files and interview of persons relevant to the complaint investigation. It was determined that the above allegations: Staff not properly trained emergency procedures and Facility does not have disaster plan posted are UNFOUNDED. During the investigation, it was discovered all staff were trained on emergency procedure during time of hired and emergency diaster plan were posted at all exits. This agency has investigated the complaint alleging (Staff not properly trained emergency procedures and Facility does not have disaster plan posted). We have found that the complaint was unfounded, therefore we have dismissed the complaint. UnfoundedRead the full finding— CDSS inspection report, February 2, 2023 · control 24-AS-20220504141759

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Assistant Administrator, Gracie Ramirez and informed her the purpose of the visit. During the course of this investigation LPA reviewed facility files and interview of persons relevant to the complaint investigation. It was determined that the above allegations: Staff is restricting residents visits, Staff are not allowing resident to have privacy during visits and Facility charged resident for services not agreed upon are UNFOUNDED. During the investigation, it was discovered Resident R1 visitations were determined by court order and additional services were approved by her conservator and power of attorney. This agency has investigated the complaint alleging (Staff is restricting residents visits, Staff are not allowing resident to have privacy during visits and Facility charged resident for services not agreed upon). We have found that the complaint was unfounded, therefoRead the full finding— CDSS inspection report, February 2, 2023 · control 24-AS-20221005142542

Licensing Program Analyst (LPA) L. Cabrera conducted the complaint investigation visit to the facility. LPA met with Gracie Ramirez, Interim Adminisitrator. During the course of this investigation LPA reviewed facility file relevant to the complaint investigation. It was determined that the above allegation: Staff denied resident to have in-person visitation is UNFOUNDED. Per Court Order, records reviewed and interviews, Resident’s (R1) Conservator has the power to restrict visitations if the person visiting is not following the reasonable requirements of the facility or reasonable rules imposed by the conservator. Facility followed the Conservator's visitation restrictions. This agency has investigated the complaint alleging (Staff denied resident to have in-person visitation). We have found that the complaint was unfounded, therefore we have dismissed the complaint. Exit interview conducted. Appeal Rights UnfoundedRead the full finding— CDSS inspection report, December 12, 2022 · control 24-AS-20221206090724

Licensing Program Analyst (LPA) L. Cabrera conducted the complaint investigation visit to the facility. LPA met with Gracie Ramirez, Interim Administrator. During this visit LPA delivered investigation findings regarding the above allegations. The Department has investigated the complaint alleging: Residents are left in soiled diapers, Residents are not being showered timely, and Residents are being left in dirty clothes. Per records reviewed and interviews, hospice assisted with bathing and would visit hospice residents often. Hospice reported no concerns regarding the care of the residents at the facility. Per resident and staff interviews, residents were checked by facility staff and assisted residents with their incontinence needs. Per records reviewed and interviews, residents would sometimes refuse baths/showers and facility staff would assist them with changing of their clothes. It was reported that facility used Around the Clock Caregivers when staff called out of work. LPA wasRead the full finding— CDSS inspection report, November 29, 2022 · control 24-AS-20220808110307

Licensing Program Analyst (LPA) L. Cabrera conducted the subsequent complaint investigation visit to the facility. LPA met Gracie Ramirez, Interim Administrator. During the course of this complaint investigation LPA interviewed staff on duty and obtained and reviewed facility records. It was determined based on the interviews and records review that the above allegation is SUBSTANTIATED. Per records reviewed and interviews, facility did not administer Resident’s (R1) prescribed medication on 11/04/2022-11/06/2022 a total of three days. Facility staff received R6's medication on 9/16/2022, however, did not administered R6's medication until 10/01/2022. Facility administered incorrect medication for R7's on 11/09/2022.R7 notified facility on 11/10/2022 regarding the medication error. Based on LPAs observations and interviews which were conducted, and record reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. CalifornRead the full finding— CDSS inspection report, November 29, 2022 · control 24-AS-20221110085240

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Gracie Ramirez, Office Manager and informed her the purpose of the visit. During the course of this investigation LPA reviewed facility files and spoke to staff and individuals relevant to the complaint investigation. It was determined that the above allegations: Resident sustained unexplained bruising while in care, Resident sustained a fracture while in care, and Facility staff do not treat resident with dignity and respect are UNFOUNDED. Resident R1 had an incident and was sent to the hospital for treatment timely. There was no evidence of neglect or abuse or any disrespectful toward R1. This agency has investigated the complaint alleging (Lack of supervision resulting in resident's fall). We have found that the complaint was unfounded, therefore we have dismissed the complaint. UnfoundedRead the full finding— CDSS inspection report, September 19, 2022 · control 24-AS-20210928173223

LPA, L. Xiong was at the above facility conducting a complaint investigation. I met with Administrator, Benny Farillas and informed him the purpose of the visit. During the course of this investigation LPA reviewed facility files relevant to the complaint investigation. It was determined that the above allegation: Staff yelled in the present of residents, and staff spoke inappropriately in the present of resident are UNFOUNDED. During a visit with R1, B was not following facility visitation protocol, so S1 asked for B to leave and reschedule the visit. During the incident, S1 did not yelled at R1, B and/or use inappropriate language. This agency has investigated the complaint alleging (Lack of supervision resulting in resident's fall). We have found that the complaint was unfounded, therefore we have dismissed the complaint. UnfoundedRead the full finding— CDSS inspection report, September 6, 2022 · control 24-AS-20220831155532

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct a complaint investigation and to deliver investigation findings to the facility. LPA met with and explained the purpose of the visit with Administrator Benny Farillas. LPA interviewed the staff and reviewed records. The Department has investigated the allegation: Staff denied resident to have in-person visitation. Based on the interviews and Records Review conducted it was found that during this time the facility had Covid positive cases. It has been determined that the Licensee did not deny resident to have in person visitation and the complaint was UNFOUNDED, therefore we have dismissed the complaint. An exit interview and a copy of this report has been provided to the Administrator Benny Farillas . UnfoundedRead the full finding— CDSS inspection report, April 21, 2022 · control 24-AS-20211103101239

Licensing Program Analysts (LPA) Shawna Doucette contacted the facility to commence a complaint investigation and deliver findings. LPA explained the purpose of the visit and met with Administrator Benny Farillas. Although the Facility may have retaliated due to complaints filed against facility, LPA was unable to determine if the accusation occured after interviewing staff. Although the allegations Facility is retaliating due to complaints filed against facility may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. UnsubstantiatedRead the full finding— CDSS inspection report, April 21, 2022 · control 24-AS-20211109145920

Licensing Program Analyst (LPA) L. Xiong conducted the subsequent complaint investigation visit to the facility. LPA met with staff Dawn Dewees and spoke to Administrator, Benny Farillas over the phone and informed him the purpose of the visit. During the course of this complaint investigation, LPA interviewed staff and obtained and/or reviewed facility records. It was determined based on the interviews and records review that the above allegations are SUBSTANTIATED. Facility did mismanaged resident R1’s medication. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.”) SubstantiatedRead the full finding— CDSS inspection report, March 11, 2022 · control 24-AS-20220214154055