Centinela Assisted Living Centre

The department conducted an unannounced complaint visit on Monday, January 06, 2025, Upon arrival at the facility, The department conducted a risk assessment. Based on the evaluation, the facility is clear of COVID-19 infection. The department met with Administrator Gwen Craig and explained the purpose of today's visit. The investigation consisted of the following: Interviews were conducted with staff members S1-S2 and residents 1-6 (R1-R6). Residents' records were requested and reviewed. The department requested and reviewed the resident's records and asked for copies of the following documents: Personnel report, Resident Roster, Admission Agreement, Identification and Emergency Information, Physician's Report, Medical Assessment, Medication Administration Records (MARs), Medication Logs, Consent Forms, Functional Capability Assessment, Safeguards for Cash Resources, Preplacement Appraisal Information, Appraisal and Needs Service Plan, Individual Program Plan (IPP), and Citibank bankRead the full finding— CDSS inspection report, January 6, 2025 · control 11-AS-20240415104646

On 5/16/2023 Licensing Program Analyst (LPA) Felisa Shirley and Licensing Program Manager (LPM) Stephanie Cifuentes conducted an initial unannounced complaint visit at this facility. LPA Shirley and LPM Cifuentes arrived at the facility and spoke to Social Services Director Elizabeth Hernandez to explain the purpose of the visit it to investigate the allegation listed above. LPA and LPM were granted access to the facility. Administrator Gwendolyn Craig arrived later to join the visit. The investigation consisted of the following: On 5/16/2023 LPA Shirley and LPM Cifuentes met with Social Services Director Elizabeth Hernandez. LPA and LPM interviewed Resident 1- Resident 5 (R1-R5) and attempted to interview Staff 1-Staff 5(S1-S5). LPA and LPM reviewed and requested copies of the following records: client Roster, staff roster and staff schedule, physicians’ assessments, medication administration records, physicians orders for residents 1-5. Con'd on 9099C UnsubstantiatedRead the full finding— CDSS inspection report, May 16, 2023 · control 11-AS-20230515114039

On 10/26/2022, Licensing Program Analyst (LPA) Troy Agard conducted an unannounced initial complaint visit at the facility above. LPA met with Elizabeth Hernandez, Social Services Director and explained the purposed of the visit is to gather information for the allegation listed above. The investigation consisted of the following: On 10/26/2022, LPA conducted a tour of facility grounds, reviewed records and interviewed staff and residents. LPA Agard requested the following documents which were received at the time of visit: 1) staff roster, 2) resident roster, 3) medication administration for R1. cont on 9099C SubstantiatedRead the full finding— CDSS inspection report, October 26, 2022 · control 11-AS-20221019155514

Investigation Revealed the following. On 10/12/2022 Licensing Program Analyst (LPA) Jeremiah Randle conducted an unannounced subsequent complaint investigation at the facility listed above. LPA arrived at facility and was greeted by Administrator Gwendolyn Craig. LPA explained the purposed of the visit is to deliver findings on the allegations listed above. The investigation consisted of the following: On 9/20/2022 LPA Randle toured facility grounds, reviewed facility files and interviewed staff (S1-S2) and residents (R1). On 10/12/2022 LPA Randle spoke with staff (S1-S4) and residents (R2-R7). LPA requested and received the following files: Staff roster, resident roster, and other documents relevant to the investigation. UnsubstantiatedRead the full finding— CDSS inspection report, October 12, 2022 · control 11-AS-20220912155843

On 9/26/2022 at 10:30 a.m. Licensing Program Analyst (LPA) Jeremiah Randle conducted an unannounced visit to deliver the findings of the complaint with the above allegation. LPA identified himself and discussed the purpose of the visit and the elements of the allegation(s) with Administrator Gwendolyn Craig. LPA conducted interviews with Administrator (S1) and reviewed documents from the facility such as admission agreement, discharge report, and resident's financial detail statement including any other pertinent documents such as undelivered closing check dated 9/14/2022 remaining in the file and not given to resident at discharge. Resident was discharged on 11/18/2021 Findings: Based on interviews and records reviewed, the preponderance of evidence standard has been met. LPA finds the alleged violation did occur; therefore, the allegation is SUBSTANTIATED. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. This poses a potential risk to Health andRead the full finding— CDSS inspection report, September 26, 2022 · control 11-AS-20220921164228

On 6/16/2022, Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced initial complaint visit at this facility. LPA spoke with staff via telephone prior to entering the facility to conduct risk assessment and was informed that facility has no COVID-19 cases nor do any of the clients have symptoms. LPA arrived at facility and explained the purposed of the visit is to investigate the allegation listed above. The investigation consisted of the following: On 6/16/2022 LPA conducted a tour of facility grounds and reviewed records for staff and residents. LPA conducted interviews with staff (S1-S5), and residents (R1-R7). LPA Cifuentes requested and received the following documents: Client roster, staff roster and other documents relevant to the investigation. UnsubstantiatedRead the full finding— CDSS inspection report, June 16, 2022 · control 11-AS-20220614133156

On 5/27/2022, Licensing Pogram Analyst (LPA) Lourdes Montoya conducted an unannounced 10-day complaint visit at this facility. Upon arrival, LPA called the facility to conduct a risk-assessment. LPA spoke with Medication Technician (MedTech) Victoria Calderon who confirmed the facility is Covid-19 free. LPA met with MedTechVictoria Calderon and Administrator Gwendolyn Craig joined the visit shortly after. LPA explained the purpose of today's visit. The investigation consisted of the following: LPA toured the facility with MedTech Calderon, interviewed Administrator Gwendolyn Craig, Medication Technician Victoria Calderon and Receptionist Hailey Garrett. LPA obtaied a copy of the resident roster and staff roster. Report continued in LIC 9099C SubstantiatedRead the full finding— CDSS inspection report, May 27, 2022 · control 11-AS-20220526144438

On 5/17/2022, Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced initial complaint visit at this facility. LPA spoke with Social Services Elizabeth Hernandez via telephone prior to entering the facility to conduct risk assessment and was informed that facility has no COVID-19 cases nor do any of the clients have symptoms. LPA arrived at facility and explained the purposed of the visit is to investigate the allegation listed above. The investigation consisted of the following: On 5/17/2022 LPA conducted a tour of facility grounds and reviewed records for staff and residents. LPA conducted interviews with staff (S1-S7), and residents (R1-R6). LPA Cifuentes requested and received the following documents: Client roster, staff roster, incident reports and other documentation relevant to the investigation. SubstantiatedRead the full finding— CDSS inspection report, May 17, 2022 · control 11-AS-20220512164519

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced complaint visit on Monday, April 18, 2022. Upon arrival at the facility. LPA Bunker called the facility via telephone spoke to Administrator Gwen Craig and conducted a Risk Assessment. Based on the assessment, the facility is clear of COVID-19 infection. LPA Bunker met with Med Tech Cinthia Burgos LPA Bunker explained the purpose of today's visit. The investigation consisted of the following: During the course of the investigation LPA Bunker interviewed staff 1-5 (S1-S5) and residents 1-6 (R1-R6), LPA Bunker asked questions relevant to the nature of the complaint. LPA Bunker requested copies of R1's records, Medications, Admission Agreements, Consent for Emergency Medical Treatment, Identification and Emergency Information, Personal Rights, House Rules, Resident Roster, and Personnel Report. Med Tech Cinthia and LPA Bunker observed the resident's medication and reviewed records. LPA Bunker observed Cinthia dispensinRead the full finding— CDSS inspection report, April 18, 2022 · control 11-AS-20211029152115

On 3/9/2022, Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced initial complaint visit at this facility. LPA spoke with Social Services Elizabeth Hernandez via telephone prior to entering the facility to conduct risk assessment and was informed that facility has no COVID-19 cases nor do any of the clients have symptoms. LPA arrived at facility and explained the purposed of the visit is to investigate the allegations listed above. The investigation consisted of the following: On 3/9/2022 LPA conducted a tour of facility grounds and reviewed facility records. LPA conducted interviews with (5) staff members (S1-S4), and (5) residents (R2-R6). LPA Cifuentes requested and received the following documents: Client roster, staff roster, incident reports and other documentation relevant to the investigation. SubstantiatedRead the full finding— CDSS inspection report, March 9, 2022 · control 11-AS-20220302160402

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced complaint visit on Tuesday, February 22, 2022. Upon arrival at the facility. LPA Bunker called the facility via telephone and conducted a Risk Assessment. Based on the assessment, the facility is clear of COVID-19 infection. LPA Bunker met with Administrator Gwen Craig. LPA Bunker explained the purpose of today's visit. The investigation consisted of the following: LPA Bunker interviewed staff 1-3 (S1-3), and residents 1-6 (R1-6), LPA Bunker asked questions relevant to the nature of the complaint. At 2:00 P.M., Administrator Gwen Craig and LPA Bunker toured the medication room, observed the resident's medication and MARS in the meds room, and reviewed records. Administration records, documentation, and observation of R1's records observed indicated the facility is administering the resident's medications correctly. However, R1 went home for a home visit with his wife and was given one (1) bottle of R2's medication bRead the full finding— CDSS inspection report, February 22, 2022 · control 11-AS-20220215153134