Hampton Guest Home

Allegation investigated: Resident sustained severe fracture while in care Staff did not seek medical attention for resident

*This report is a corrected version of report created on 6/6/23. The purpose of this report is to correct information on report.* On 6/6/23 Licensing Program Analyst(s)(LPA) Mary Flores conducted an unannounced subsequent complaint visit regarding the above allegation(s) to deliver findings. LPA met with and explained the reason for the visit. The investigation consisted of the following: On 2/17/22 LPA Flores conducted a Health and Safety Check tour with staff #4(S4) around 9:50am deficiencies were cited on a case management. On 2/16/22 Investigation was assigned to Investigator Tiffany Brunelli from the Investigator Bureau Department. On 3/28/22 LPA Flores, and IB investigator conducted an unannounced visit to review medication for current residents and resident #1(R1). (CONTINUED LIC 9099C) Substantiated IB investigator conducted interviews with staff #1(S1) and #2(S2) and requested copies of documents in R1's file. On 4/4/22 IB investigator interviewed staff #3(S3). On 4/8/22 IB investigator interviewed resident #2(R2), administrator, and S4. On 11/4/22 a clinical consult referral was submitted to the department's clinical program. On 6/6/23 LPA conducted interviews with 3 additional residents. The investigation revealed the following: Regarding allegations: Resident sustained severe fracture while in care and staff did not seek medical attention for resident. On 1/19/22 at approximately 10:00 am, R1 fell in R1’s bedroom. Staff contacted administrator and notified administrator of R1's fall. R1 was assisted by staff and administrator to seat in a stool. R1 was then transferred to a wheelchair to assist R1 to move to a sofa located in the family room. R1’s responsible party was notified of the fall that day. On 1/21/22, R1's responsible party visited R1 and noticed R1 was in pain. Responsible party communicated with administrator about obtaining an x-ray for R1. On 1/22/22, physician visited R1 and requested a mobile x-ray unit. X-ray confirmed R1 had sustained a moderately displaced subcapital left hip fracture. R1 was placed on hospice per responsible party's request. On 1/29/22, R1 passed away at the facility. Interviews conducted revealed administrator did not believe R1 obtained an injury at the time of the fall. On 1/19/22 around noon, administrator contacted R1's responsible party to notify them of R1's fall and bruising to the knee. Administrator noticed R1 could no longer bare weight on leg and transferred R1 into a wheelchair. Administrator did not assist with contacting physician until R1's responsible party requested on 1/21/22. S4 was interviewed and stated R1 was observed in bed, in pain, and moaning when moved to provide care. While providing a shower, staff noticed a bruise on R1's knee and noticed R1 moaned during the shower. S3 stated R1 fell on 1/19/22 around 9:30am. Staff responded and noticed R1 was crying but did not appear to have injuries. S2 stated the morning prior to the fall, R1 was able to ambulate with supervision to R1's room. About 15 minutes later S2 heard S3 request additional assistance to assist R1 in the bedroom. On 1/20/22, S2 began the morning shift and went to assist R1 with care and noticed R1 was in pain. S2 asked R1, "are you in pain?" to which R1 responded "a little bit," and pointed to the top of his/her leg. R1’s last physician's report dated 4/26/19 notes resident does not have any motor impairment. Needs and care service plan dated 7/18/18 notes resident is able to ambulate with some assistance, no updates are noted in most recent needs and care plan dated 1/3/22. Hospice admission and nursing home notes dated 1/22/22 indicates R1 was admitted to hospice due to hip pain and a possible hip fracture. Based on interviews conducted and documents reviewed, R1 suffered a fracture while in care and administrator failed to obtain medical care for R1 in a timely manner. (CONTINUED ON LIC 9099C) Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met. Therefore, the allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 8), are being cited on the attached LIC 9099D. ***An immediate Civil Penalty of $500.00 is being issued today, due to resident sustained a subcapital left hip fracture while in care. Refer to LIC 421IM*** The issuance of a civil penalty is being considered based on Health & Safety Code 1569.49 (f); if the department determines the serious bodily injury was due to neglect. Exit interview held with Jeffrey Yang Assistant Administrator. A copy of the report, civil penalties, and appeal rights were provided. IB investigator conducted interviews with staff #1(S1) and #2(S2) and requested copies of documents in R1's file. On 4/4/22 IB investigator interviewed staff #3(S3). On 4/8/22 IB investigator interviewed resident #2(R2), administrator, and S4. On 11/4/22 a clinical consult referral was submitted to the department's clinical program. On 6/6/23 LPA conducted interviews with 3 additional residents. The investigation revealed the following: Regarding allegation: Staff are force feeding residents. It is alleged facility's staff is force feeding resident at facility. Interviews conducted revealed, resident #2 (R2) interviewed on 4/8/22 stated staff does not force feed residents. Interviews conducted on 6/6/23 with 3 additional residents revealed staff do not force feed the residents. Interviews with staff revealed 4 out of 5 staff interviewed stated staff do not force feed residents and followed instructions of not feeding R1 if resident did not want to eat. Administrator stated facility staff does not force feed residents. Based on interviews conducted there are no witnesses to this allegation, and nobody corroborated the allegation. Based on interviews, the preponderance of evidence standard has been met. 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 was conducted with Jeffrey Yang Assistant Administrator and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jun 15, 2023 · control 28-AS-20220216120626

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(2) · Plan of correction due date: Jun 16, 2023

87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities shall...:(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidence by: Based on interviews and document review R1 obtained a hip fracture after a fall while in care at the facility which poses an immediate personal rights, safety, or health risk to the persons in care.the state’s words, verbatim · CDSS document, Jun 15, 2023

Plan of correction: Administrator will schedule in-service training for staff and notify the department by POC due date 6/7/23. Administrator will provide copies of in-service training by 6/14/23. Administrator provided in-service training on 6/13/23. Deficiency cleared as of 6/14/23.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(1) · Plan of correction due date: Jun 16, 2023

Incidental Medical and Dental: (a) A plan for incidental medical...shall be developed... and provide for assistance... (1) The licensee shall arrange, or assist in arranging, for medical...care appropriate to the conditions... of residents. This requirement is not met as evidence by: Based on interviews and document review licensee did not ensure to obtain medical care for R1 in a timely manner which poses an immediate risk to the health, safety, or personal rights to the persons in care.the state’s words, verbatim · CDSS document, Jun 15, 2023

Plan of correction: Administrator will schedule in-service training for staff by and notify the department by POC due date 6/7/23. Administrator will provide copies of in-service training by 6/14/23. Administrator provided in-service training on 6/13/23. Deficiency cleared as of 6/14/23.

Allegation investigated: Resident sustained severe fracture while in care Staff did not seek medical attention for resident

Licensing Program Analyst(s)(LPA) Mary Flores conducted an unannounced subsequent complaint visit regarding the above allegation(s) to deliver findings. LPA met with and explained the reason for the visit. The investigation consisted of the following: On 2/17/22 LPA Flores conducted a Health and Safety Check tour with staff #4(S4) around 9:50am deficiencies were cited on a case management. On 2/16/22 Investigation was assigned to Investigator Tiffany Brunelli from the Investigator Bureau Department. On 3/28/22 LPA Flores,and IB investigator conducted an unannouced visit to review medication for current residents and resident #1(R1). IB investigator conducted interviews with staff #1(S1) and #2(S2) and requested copies of documents in R1's file. On 4/4/22 IB investisgator interviewed staff #3(S3). On 4/8/22 IB investigator interviewed resident #2(R2), administrator, and S4. On 11/4/22 a clinical consult referral was submitted to the department's clinical program. On 6/6/23 LPA conducted interviews with 3 additional residents. (CONTINUED LIC 9099C) Substantiated The investigation revealed the following: Regarding allegations: Resident sustained severe fracture while in care and staff did not seek medical attention for resident. On 1/19/22 at approximately 10:00 am, R1 fell in R1’s bedroom. Staff contacted administrator and notified administrator of R1's fall. R1 was assisted by staff and administrator to seat in a stool. R1 was then transferred to a wheelchair to assist R1 to move to a sofa located in the family room. R1’s responsible party was notified of the fall that day. On 1/21/22, R1's responsible party visited R1 and noticed R1 was in pain. Responsible party communicated with administrator about obtaining an x-ray for R1. On 1/22/22, physician visited R1 and requested a mobile x-ray unit. X-ray confirmed R1 had sustained a moderately displaced subcapital left hip fracture. R1 was placed on hospice per responsible party's request. On 1/29/22, R1 passed away at the facility. Interviews conducted revealed administrator did not believe R1 obtained an injury at the time of the fall. On 1/19/22 around noon, administrator contacted R1's responsible party to notify them of R1's fall and bruising to the knee. Administrator noticed R1 could no longer bare weight on leg and transferred R1 into a wheelchair. Administrator did not assist with contacting physician until R1's responsible party requested on 1/21/22. S4 was interviewed and stated R1 was observed in bed, in pain, and moaning when moved to provide care. While providing a shower, staff noticed a bruise on R1's knee and noticed R1 moaned during the shower. S3 stated R1 fell on 1/19/22 around 9:30am. Staff responded and noticed R1 was crying but did not appear to have injuries. S2 stated the morning prior to the fall, R1 was able to ambulate with supervision to R1's room. About 15 minutes later S2 heard S3 request additional assistance to assist R1 in the bedroom. On 1/20/22, S2 began the morning shift and went to assist R1 with care and noticed R1 was in pain. S2 asked R1, "are you in pain?" to which R1 responded "a little bit," and pointed to the top of his/her leg. R1’s last physician's report dated 4/26/19 notes resident does not have any motor impairment. Needs and care service plan dated 7/18/18 notes resident is able to ambulate with some assistance, no updates are noted in most recent needs and care plan dated 1/3/22. Hospice admission and nursing home notes dated 1/22/22 indicates R1 was admitted to hospice due to hip pain and a possible hip fracture. Based on interviews conducted and documents reviewed, R1 suffered a fracture while in care and administrator failed to obtain a hip fracture while in care and failed to obtain medical care for R1 in a timely manner. Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met. Therefore, the allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 8), are being cited on the attached LIC 9099D. (CONTINUED ON LIC 9099C) The investigation revealed the following: Regarding allegation: Staff are force feeding residents. It is alleged facility's staff is force feeding resident at facility. Interviews conducted revealed, resident #2 (R2) interviewed on 4/8/22 stated staff does not force feed residents. Interviews conducted on 6/6/23 with 3 additional residents revealed staff do not force feed the residents. Interviews with staff revealed 4 out of 5 staff interviewed stated staff do not force feed residents and followed instructions of not feeding R1 if resident did not want to eat. Administrator stated facility staff does not force feed residents. Based on interviews conducted there are no witnesses to this allegation, and nobody corroborated the allegation. Based on interviews, the preponderance of evidence standard has been met. 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 was conducted with Jeffrey Yang Assistant Administrator and a copy of this report was provided. ***An immediate Civil Penalty of $500.00 is being issued today, due to resident sustained a subcapital left hip fracture while in care. Refer to LIC 421IM*** The issuance of a civil penalty is being considered based on Health & Safety Code 1569.49 (f); if the department determines the serious bodily injury was due to neglect. Exit interview held with Jeffrey Yang Assistant Administrator. A copy of the report, civil penalties, and appeal rights were provided.the state’s words, verbatim · CDSS document, Jun 6, 2023 · control 28-AS-20220216120626

From the deficiency page — Deficiency type: Type A · Section cited: CCR 47468.1(a)(2) · Plan of correction due date: Jun 7, 2023

87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities shall...:(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidence by: Based on interviews and document review R1 obtained a hip fracture after a fall while in care at the facility which poses an immediate personal rights, safety, or health risk to the persons in care.the state’s words, verbatim · CDSS document, Jun 6, 2023

Plan of correction: Administrator will schedule in-service training for staff and notify the department by POC due date 6/7/23. Administrator will provide copies of in-service training by 6/14/23.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(1) · Plan of correction due date: Jun 7, 2023

Incidental Medical and Dental: (a) A plan for incidental medical...shall be developed... and provide for assistance... (1) The licensee shall arrange, or assist in arranging, for medical...care appropriate to the conditions... of residents. This requirement is not met as evidence by: Based on interviews and document review licensee did not ensure to obtain medical care for R1 in a timely manner which poses an immediate risk to the health, safety, or personal rights to the persons in care.the state’s words, verbatim · CDSS document, Jun 6, 2023

Plan of correction: Administrator will schedule in-service training for staff by and notify the department by POC due date 6/7/23. Administrator will provide copies of in-service training by 6/14/23.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst(s)(LPA) Mary Flores conducted a case management visit at the facility to give deficiencies found during a complaint investigation. LPA met with Jeffrey Yang and explained the reason for the visit. During file review for a complaint investigation conducted on 6/6/23, LPA discovered annual medical assessment for resident #1(R1) was last conducted on 4/26/19. Per Title 22 Regulations residents with dementia are to have an annual assessment. The facility failed to obtain an annual medical assessment for R1. Therefore, deficiencies are being noted on LIC 809D per Title 22 Regulations. Exit interview was conducted with and a copy of this report, LIC 809D, and appeal rights were provided.the state’s words, verbatim · CDSS document, Jun 6, 2023

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87705(c)(5) · Plan of correction due date: Jun 13, 2023

Care of Persons with Dementia: (c) Licensees who accept and retain residents with dementia shall...: (5) ... have an annual medical assessment as specified in Section 87458, Medical Assessment,... done at least annually... This requirement is not met as evidence by: Based on documents review licensee failed to obtain an annual medical assessment for R1 which poses a potential risk to the health, safety, or personal rights to the persons in care.the state’s words, verbatim · CDSS document, Jun 6, 2023

Plan of correction: Administrator will ensure to conduct annual medical assessments for residents with dementia and will certify this on a LIC 9098, and will submit current residents medical assessments to the department by POC due date 6/13/23.

Type of visit: Required - 1 Year

Licensing Program Analyst(s) (LPA) Mary Flores conducted an unannounced annual visit at the facility using the CARE tool. LPA Flores met with Jeffrey Yang Assistant Administrator and explained the reason for the visit. The facility is licensed to serve 6 non-ambulatory residents age 60 and above. Facility has a dementia waiver and are allowed to care for 1 resident on hospice at any one time. The facility is a single-story home, located in a residential area. It consist of; an administrator office room, kitchen, living room, family room, dining room, 6 resident bedrooms, 1 staff bedroom, 3 resident bathrooms, 1 staff bathroom, a detached garage, a front yard and backyard. LPA Flores conducted a tour of the facility with Fresmida Vizcarra Caregiver and observed the following: Facility is in clean and good repair indoors and outdoors. Kitchen is clean, sharps were locked in drawer next to dishwasher. Sufficient food supplies were observed sufficient for at least 2 days of perishables and 7 days of non-perishables. (6) Resident's bedrooms were observed with sufficient lighting, furniture, and bedding supplies. (3) Resident's bathrooms were observed in working condition with grab bars, skid mats, and water temperature was tested between 112.7 - 113.7 which is within the required 105-120 degrees F. Dining room, living room, and family room were observed with sufficient sitting area. Smoke/Carbon monoxide detectors were tested and in working condition. Backyard was observed with covered sitting area, a 5ft fence was observed around the pool. Cleaning supplies are maintain in the garage inaccessible to the residents. Complaint poster is posted on kitchen board printed in 8x11 size poster which is not the required 20x26 size. Last emergency drill was conducted on 8/1/21. Per Title 22 drills should be conducted at least quarterly. LPA Flores reviewed medication and files for 5 residents. Resident #4(R4) last physician's report was dated 3/20/19, annual assessment is required. Resident #1(R1) has a request for special diet. Per staff there are no special diets instructions currently being followed. Each resident file reviewed did not have an admission agreement available in the resident's files at the time of the visit. Staff files were reviewed for (5) staff. File for staff #5(S5) was not available at the time of review. (CONTINUED LIC 809C) Annual training for staff was not available during the visit. An administrator certificate was reviewed for Jeffrey Yang #6009748740 exp: 12/1/23. Deficiencies have been noted on 809D per Title 22 Regulations. Exit interview was conducted with Fresmida Vizcarra Caregiver. Report, and LIC 809D were email for signature due to technical issues. A copy of report, LIC 809D, and appeal rights were email.the state’s words, verbatim · CDSS document, Mar 18, 2023

The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Luis Mora, Mary Flores and Investigator Tiffany Brunelli from Investigation Bureau (IB) conducted an unannounced annual visit at the facility with focus on the infection control domain, medication and food review. LPA Mora met with Caregiver Fresmida Vizcarra and explained the reason for the visit. The facility is licensed to serve 6 non-ambulatory residents age 60 and above. Facility has a dementia waiver and are allowed to care for 1 resident on hospice at any one time. The facility is located in a residential area. A tour of the single-story facility included: administrator office room, kitchen, living room, family room, dining room, 6 resident rooms, caregiver room, 3 resident bathrooms, 1 staff bathroom, attached garage, front yard and backyard. LPA and Fresmida Vizcarra toured the facility and the following was observed: The front and backyard are well maintained. There is a pool in the backyard surrounded with a locked fence. There is a shaded seating area for the residents located in the backyard. Passageways and exits are free of obstruction. Auditory devices were seen on exit doors which are required for dementia residents and were operating at the time of the visit. The water temperature was tested in the all 3 of the residents’ bathroom and measured at 109.4, 110.5, 105.6 degrees F which is within the required 105 - 120 degrees F. The bathrooms are clean and have the required grab bars in the shower and near the toilet for non-ambulatory residents. Showers also have non-skid materials. Resident bedrooms have the required furniture such as bed frames, dressers, lamps and chairs. Bedrooms also have enough closet space. Resident beds have the required linen and the linen is in good condition. There is extra clean linen in a closet located in the family room. There are extra clean towels in each bathroom. There are extra hygiene products in a hallway closet. Two bottles of Lysol spray, a Clorox wipe container, and a bottle of hydrogen peroxide were observed with the hygiene products in the closet which is not locked. Smoke detectors were observed in each room and throughout the facility and are properly operating. There are 2 carbon monoxides in each hallway and are properly operating. There is 1 fire extinguisher located in the kitchen which are fully charged. Kitchen appliances are clean and were operating at the time of the visit. (CONTINUED TO LIC 809C) Sharps are kept locked in a kitchen cabinet and are inaccessible to residents. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen and in a refrigerator located in the garage. Cleaning supplies and toxins are kept locked in the garage and are inaccessible to residents. First Aid kit was fully stocked with current manual and it is kept locked in the residents’ medication cabinet in the family room. Residents medication are centrally stored in a locked cabinet in the family room. Residents and staff files are centrally stored in the administrator office room. LPAs reviewed all 6 of the residents’ medication and files, and 6 staff files. LPA observed 3 out of the 6 resident files did not have a current physician report. LPA observed 1 of the residents did not have a physician written request for the PRN medication and 2 of the residents PRN medication did not have labels on them. LPA observed all 6 of the staff did not have a valid First Aid/CPR certificate in their file. Facility is following COVID 19 recommendations regarding screening visitors, staff, and residents. Signs are posted throughout the facility, and hand-washing signs were observed in bathroom. Sufficient hand soap, hand sanitizer, and paper towels were observed. Supply of 30-day Personal Protective Equipment (PPE) was observed in the administrator office room. Per California Code of Regulations, Title 22, and California Health and Safety Code, there were deficiencies observed during the visit and a civil penalty was assessed (refer to LIC 809D & LIC 421FC). Exit interview held and a copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Mar 28, 2022

Type of visit: Case Management - Health Checks

Licensing Program Analyst(s) (LPA) Flores conducted a case management visit -health check during a complaint investigation visit on 2/17/22 due to deficiencies observed. LPA Flores met with Remedios Villanueva caregiver and explain the reason for the visit. Administrator Jeff Yang arrived 45 minutes later. LPA Flores conducted a Health and Safety Check tour with Remedios Villanueva caregiver around 9:50am and observed the following: Kitchen has sufficient food for at least 2 days of perishables and 7 days of non perishables supplies. Medication prepared for the day in label ziplock bags and large scissors were observed in a kitchen drawer to the right of the stove with no lock. Ajax and bleach solution was observed under the sink without lock, lysol spray and cleaning solutions in hallway closet without lock. All bedrooms have sufficient lighting, furniture and bedding required. Each resident's bedroom was observed to have a video/camera monitor. Cameras were observed throughout the facility. Room #3 is currently under renovation. LPA observed PRN medication in bedroom #4 in resident's night stand. Water temperature was tested at 123.1 degrees F. in bathroom #1, tested at 119.8 degrees F. in bathroom #2, and tested at 120.6 degrees F. in bathroom #3 which is not within the required temperature. Smoke/carbon monoxide detectors were tested and in working condition. Fire extinguisher was observed on hallway wall by kitchen and bathroom #1 last checked on October 2021. Facility is following COVID recommendations. Pool was observed to have a 5ft fence. Deficiencies were noted on LIC 809D per Title 22 Regulations Division 6 Chapter 8. Exit interview was conducted with Jeff Yang and a copy of this report, LIC 809D, and appeal rights were provided.the state’s words, verbatim · CDSS document, Feb 17, 2022

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(f)(2) · Plan of correction due date: Feb 18, 2022

87705 Care of Persons with Dementia: (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins,... cleaning supplies and disinfectants. This requirement is not met as evidence by: Based on observation licensee did not ensure that PRN medications for Resident #2 in bedroom #4 were not in nightstand, bleach solution and ajax were not kept under kitchen sink, and lysol, cleaning solutions in hallyway withou lock which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 17, 2022

Plan of correction: Administrator will ensure that all cleaning, disinfecting supplies, and PRN medication are stored inaccessible at all times, will provided in-service training to staff, and submit a copy of sign-in sheet, agenda to the department by 2/18/22

From the deficiency page — Deficiency type: Type A · Section cited: CCR87303(e)(2) · Plan of correction due date: Feb 18, 2022

87303 Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained...: (2) Faucets used by residents for personal care... Hot water temperature ... of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidence by: Based on observation licensee did not ensure water temperature was within the required temperature in bathroom #1 which tested at 123.1 degrees which poses an immediate health, safety, or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 17, 2022

Plan of correction: Administrator will ensure that water temperature is withing the required 105 - 120 degrees F at all times by certifying in LIC 9098 will submit form to the department by 2/18/22.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(1) · Plan of correction due date: Feb 18, 2022

87468.1 Personal Rights of Residents in all Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidence by: Based on observation administrator did not ensure residents were treated with dignity and the residents rights to privacy by keeping a video survellaince monitor in each resident's rooms and monitor through an app in administrator's cellphone which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 17, 2022

Plan of correction: Administrator removed all camera monitors from each room during the visit. Deficiency cleared 2/17/22.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87705(f)(1) · Plan of correction due date: Feb 18, 2022

Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirements is not met as evidence by: Based on observation licenseee did not ensure large scissors were not kept in drawer by stove which poses an immediate health, safety, or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 17, 2022

Plan of correction: Administrator will ensure that all sharps, tools, are kept locked at all times and will provide in-service training to staff, will submit copy of sign-in sheet, and agenda by 2/18/22.