Royal Palms

This is an ammended report to the complaint investigation conducted by Licensing Program Analyst (LPA) Abeye Duguma pertaining to the above allegation. The findings were unsubstantiated but erroneously marked substantiated. Licensee, John Mallon, designated staff Astrid Bautista to sign and accept the report. LPA Abeye Duguma conducted an unannounced subsequent complaint visit to this facility to investigate the above allegation. LPA met with caregiver, John Mallon, and explained the reason for the visit. --- Staff are not providing night time supervision to the residents. It was alleged that the facility does not have awake staff member 24/7. To investigate the allegation, on 12/14/2022 at around 3:15 PM, LPA Martinez interviewed two (02) staff and on 01/05/2024, LPA Duguma interviewed two (02) staff from 10:30 AM – 11:30 AM and three (03) out of six (06) residents from 3:30 PM – 4:30 PM. During interviews with staff, Staff #1 (S1) stated they are live-in staff, work one twelve (12) hRead the full finding— CDSS inspection report, January 5, 2024 · control 31-AS-20221205172017

At 12:15pm Licensing Program Analyst (LPA) Angela Panushkina conducted an unannounced subsequent visit to deliver final report. LPA met with Staff #1 (S1), who granted access to the facility. LPA contacted the Administrator and explained the reason for the visit. Administrator was unable to come and designated S1 to sign for today's report. During the initial visit conducted by LPA Panushkina on 08/30/23, interviews and record review were made. LPA requested resident and staff roster and copies of pertinent information which include, but not limited to Admission Agreement, Physician’s report, Appraisal Needs and Services Plan, Resident Appraisal and Staff training, etc., relevant to the investigation. In addition, between 10:00am – 12:00pm, LPA interviewed the Administrator, two (2) staff members and five (5) out of six (6) residents. The Administrator was informed that additional visit will follow to render final findings. Continue on LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, September 29, 2023 · control 31-AS-20230824085032

At 9:00am Licensing Program Analyst (LPA) Angela Panushkina conducted an unannounced complaint visit to investigate the above stated allegations. LPA met with Staff #1 (S1) who granted access to the facility. Administrator arrived shortly after and LPA explained the reason for the visit. During course of the investigation, interviews and record review were made. At 9:20am, LPA requested resident and staff roster. At 9:30am, LPA requested copies of pertinent information which include, but not limited to Admission Agreement, Physician’s report, Appraisal Needs and Services Plan, Resident Appraisal and Staff training, etc., relevant to the investigation. At approximately 9:40am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected and physical plant is in compliance with Title 22 Regulations. Between 10:00am – 12:00pm, LPA interviewed the Administrator, two (2) staff members and five (5) out of six (6) residents. Continue on LIC9099-C UnsubstantiRead the full finding— CDSS inspection report, August 30, 2023 · control 31-AS-20230824085032

Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility to investigate the above allegation. LPA met with the administrator, John Mallon, and explained the reason for the visit. It was alleged that Staff #1 (S1) physically and verbally abused Resident #1 (R1). To investigate the allegation, on 03/23/2022, LPA Gary Tan requested documents and interviewed staff and the Administrator between 12:30 PM to 2:30 PM. On 05/23/2023, LPA Duguma conducted a physical plant tour at 10:00 AM and interviewed residents and additional staff between 11:30 AM – 1:30 PM. During interviews with staff, S1 denied physically or verbally abusing R1 or other residents. Staff #2 (S2) revealed that S1 has never physically, or verbally abused residents. S2 also stated that R1 was very abusive to S1 and that R1 would hit, scratch and bite S1. (CONT. on LIC 9099) UnsubstantiatedRead the full finding— CDSS inspection report, May 23, 2023 · control 31-AS-20220321162147

On 10/19/22 Licensing Program Analyst (LPA Joscelyn Martinez arrived at the facility to conduct an unannounced complaint investigation visit. Upon arrival LPA met with staff and then with administrator John Mallon. The purpose of the visit was conducted. Allegation: Staff threatens a resident with eviction while in care It is alleged that staff threaten R1 with an eviction due to R1 complaints. To investigate this allegation, LPA conducted interview with R1 and administrator. Interview with R1 revealed that R1 has not received a letter of eviction. R1 stated the administrator verbally told R1 they will be evicted. Interview with administrator revealed R1 refused to sign an itemized form that needs to be submitted to R1’s insurance every end-of-month in order to receive payment for R1’s board and care. Administrator stated they told R1 if the form is not signed the facility will not get paid and can warrant a cause for eviction in the future. Administrator stated the facility has neverRead the full finding— CDSS inspection report, October 19, 2022 · control 31-AS-20221011142733