Fountainview At Eisenberg Village

At 10:00 A.M, Licensing Program Analyst (LPA) Valeria Conway conducted an unannounced 10-day complaint investigation visit to the facility listedabove. LPA met with Executive Director (ED), Kahtleen Glass and Director of Health Care Services, Clarissa Townes and the reason for the visit was explained. Entrance interview conducted. During today's visit, the LPA conducted a physical plant tour of the community starting at approximately 10:50 A.M. Between 10:15 A.M. and 1:30 P.M. LPA interviewed the the ED, the Director of Heath Care Services, the Med Tech on duty, Resident #1’s (R1’s) family members, a private caregiver and the Kaiser Hospice Registered Nurse (RN). Additionally, LPA gathered copies of pertinent documents. Throughout the course of the investigation, the LPA reviewed all documents obtained and the following was then determined: Continued from LIC 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, June 10, 2026 · control 29-AS-20260602181714

Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit regarding above allegation. Upon arrival LPA met with Administrator Adam Pena and Director of Health Services Clarissa Townes. Reason for visit was stated. Following is a summary of the allegations and investigation findings: Regarding allegation, “Facility staff are not ensuring that an appropriately skilled professional is assisting the resident with injections” – It was alleged that a caregiver is providing medication injection to resident #1. On 04/24/20224, Community Care Licensing Division (CCLD) received a complaint with the above allegation. Investigation was initiated on 05/01/2024, a physical plant tour was conducted, and allegation was discussed with administrator. Resident roster and private caregiver list was obtained. A subsequent visit was conducted on 07/17/2024 and 11/21/2024. Interviews were conducted with (10) residents, (3) staff and potential witnesses. Additional interviews wereRead the full finding— CDSS inspection report, November 21, 2024 · control 29-AS-20240424152441

Licensing Program Analyst (LPA), Valeria Conway conducted unannounced subsequent complaint investigation for the above allegation. LPA met with Executive Director (ED), Adam Pena, and Director of Health Service, Maria Ronna Perez, and explained the reason for the visit. During the initial complaint visit conducted on 7/25/24, LPA conducted interviews with the Executive Director and Nurse Director at 11:15 a.m. and 11:30 a.m.,. Additionally, during the visit LPA obtained resident records and other pertinent documents relevant to the investigation. On 08/16/2024, between 9:00 A.M. and 11 A.M, LPA conducted interviews and gathered other relevant documentation. On 8/16 at 9:59 a.m, LPA also interviewed Resident #1 (R1) and R1’s Responsible Parties (RPs). Conitinues on LIC 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, August 26, 2024 · control 29-AS-20240719154743

Licensing Program Analyst (LPA), Patrick Shanahan, arrived at the facility in order to complete the investigation for the above mentioned allegation. LPA was greeted by the facility administrator and was allowed entry into the facility once all covid protocols were completed. Allegation - Resident was financially abused while in care. It was reported that facility staff financially abused a resident in care (R1). The LPA was able to interview staff, R1, and R1's responsible party in order to come to the findings. During the course of the investigation, interviews and facility documentation showed that R1 was financially abused, however the staff in question was a private care giver and not a facility staff. The care giver in question was hired independently of the facility and through a private staffing agency. On 6/10/2021, the care giver in question and this allegation were cross reported to local law enforcement as well as the Long Term Care Ombudsman. Based on documentation receiveRead the full finding— CDSS inspection report, February 4, 2022 · control 31-AS-20210610165203