Creekview Assisted Living

Type of visit: Case Management - Other

On 12/14/22 at 10:19AM, Licensing Program Analyst (LPA) Kelly Nguyen conducted an unannounced case management visit as a result of receiving SOC341 self-reported incidents dated 10/ 28/22 submitted to CCLD regarding staff stuck a resident hand. LPA explained the purpose of the visit with Patrick Administrator (ADM). Routine COVID-19 symptom checks were done to LPA by staff wearing face mask at the front entrance. LPA interviewed Administrator, reviewed training documents, and video footage of the incident indicating S1 have been fully trained on staff personal rights. R1 son spoke with ADM/ review the footage of the incident, and states that he doesn’t have any question or concern regarding the incident. No deficiencies cited during visit. Exit interview conducted and a copy of the report is provided to Administrator.the state’s words, verbatim · CDSS document, Dec 14, 2022

Allegation investigated: Staff are interfering with a resident's medical record while in care

On 9/07/2022 at 11:40AM Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct initial 10-day complaint investigation for the above allegations. LPA met with Assisted Living Administrator, Patrick Mcelroy, and explained the purpose of the visit. It was alleged that staff are interfering with a resident's medical record while in care. LPA review resident file; interview Administrator. It was found that the resident is not in assisted living nor memory care, and staff did not interfere with resident’s medical record. Therefore, the allegation is Unfounded. Per records review and interviews, the Department has investigated this complaint and has determined it to be Unfounded, meaning that the allegation was false, could not have happened and/or is without reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted, and a copy of this report was provided. Unfoundedthe state’s words, verbatim · CDSS document, Sep 7, 2022 · control 15-AS-20220830110619

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.

Allegation investigated: Facility air conditioning unit is in disrepair.

On 7/21/2022 at 9:45AM Licensing Program Analyst (LPA) K. Nguyen, arrived unannounced to conduct investigation on the above allegations. LPA met with Assisted Living Administrator, Patrick Mcelroy, and explained the purpose of the visit. It was alleged that facility air conditioning unit is in disrepair. During the course of investigation, LPA reviewed invoices, communication log, and visitation log to determine the timeline of facility responsiveness to the alligation. LPA tour the facility, sample four room in AL and MC. LPA interview two resident and attempted to interview two other residents, and interview 6 staffs. It was found that the facility air conditioning unit is in disrepair, however the facility being responsive to resident’s needs and their accomidation. The facility is in the process of getting the air condition repair. Unsubstantiated: although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of the report of given to the Administrator. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 21, 2022 · control 15-AS-20220719161226

Allegation investigated: Facility Staff financially abused a resident in care.

On 6/24/2022 at 1PM Licensing Program Analyst (LPA) K. Nguyen, and Licensing Program Manger J. Fong (LPM) arrived unannounced to conduct investigation on the above allegations. LPA and LPM met with Assisted Living Administrator, Patrick Mcelroy, and explained the purpose of the visit. It was alleged that a staff person had financially abused a resident. LPA KN and LPM JF reviewed randomly selected 10 resident files to review; reviewed the full staff roster, and interviewed R1 & Administrator. It was found that the alleged abuser is not a staff person of the facility. Therefore the allegation is Unfounded. Per records review and interviews, the Department has investigated this complaint and has determined it to be Unfounded, meaning that the allegation was false, could not have happened and/or is without reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted and a copy of this report was provided. Unfoundedthe state’s words, verbatim · CDSS document, Jun 24, 2022 · control 15-AS-20220614110708

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: Required - 1 Year

On 5/13/22 starting at 9:25AM, Licensing Program Analysts (LPAs) K. Nguyen, and L. Francisco arrived unannounced to conduct Infection Control Inspection. LPAs met with Administrator, Patrick McElroy and explained the purpose of the visit. During the Infection Control Inspection, LPAs toured Assisted Living Unit and Memory Care unit with Administrator including but not limited to front entrance, screening station, hand washing stations, random apartments, common areas, multiple activity rooms, kitchen and courtyard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. Visitors policy is posted on the front entrance. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Facility has a mitigation plan and maintains record of routine screening for residents and staff. Record review, LPAs reviewed a sample of 4 staff records and observed 4 of 4 have health screening with TB test result on file. Report continues on 809C Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 5/23/2022: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, May 13, 2022