Alora's Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an annual inspection. LPA was greeted by caregiver who allowed LPA to enter. LPA explained the reason for the visit. Co-Administrator Christopher Mendoza arrived for the visit. A tour of the physical plant inside and outside was was conducted. The facility has a total of (05) bedrooms, (1) room for staff and two (02) bathrooms. The facility current census is (06) residents. Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. Extra refrigerator in the garage stocked with food. The living and dining room are neat and clean. The facility maintains a comfortable temperature. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located near the kitchen and observed to be fully charged. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility has a swimming pool with required fencing and locking mechanism. The garage is currently being used for storage. Laundry detergents, cleaning agents and other toxins are locked away. The residents' rooms are adequately furnished with appropriate lighting system. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 116.8 F. Towels and soap are available. There was enough clean linen available in the cabinets. Staff and resident files were reviewed. All documents were current and up to date. No errors observed for medication records. LPA observed medication to be locked and inaccessible to residents. Facility maintains a complete first aid kit. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Feb 10, 2026

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced case management visit at this facility to issue a deficiency discovered during the course of the investigation on complaint control no.: 31-AS-20230727160520 wherein during Investigator Zertuche's interview, three (3) staff stated that staff #1 (S1) was sleeping on the sofa at the living room. LPA's record review during the initial visit on 07/28/23 also revealed that the facility did not report the incident occurred on 07/23/23 wherein Resident #1 (R1)'s arm was caught in own bed rail resulting hospitalization and fracture on R1's clavicle. Citation issued. Appeal rights discussed and given. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Jan 7, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(b) · Plan of correction due date: Jan 13, 2025

A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (b) Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision. This requirement is not met as evidenced by: Based on record review, licensee did not report the incident occurred on 07/23/23 which cause R1 to have fracture, this poses a potential health and safety risk to the residents in care.the state’s words, verbatim · CDSS document, Jan 7, 2025

Plan of correction: The administrator agreed to retrain all staff on the provision of this regulation and submit proof of training to CCL on or before the POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87307(a) · Plan of correction due date: Jan 13, 2025

(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. This requirement is not met as evidenced by: Based on record review and interview licensee did not ensure that no staff sleep in the common area such as living room as S1 was reported to sleep on the living room sofa. This poses a potential health, safety and personal rights to the residents in care.the state’s words, verbatim · CDSS document, Jan 7, 2025

Plan of correction: The administrator agreed to provide a statement the facility will no longer allow any staff to sleep in the common areas, including but not limited to living room sofa and submit to CCL on or before the POC date.

Allegation investigated: Resident sustained fracture while in care Staff handled resident in a unsafe manner Staff did not attend to resident in a timely manner Resident is left in soiled diapers for an extended period of time Staff don't treat residents with dignity and respect

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit at this facility to deliver the findings for the above allegations. LPA met with Administrator Chris Mendoza and explained the reason for the visit. On 07/27/23, a complaint was received by the Woodland Hills Adult and Senior Care Regional Office. The complaint was referred to and accepted by Community Care Licensing Division’s Investigations Branch (IB) and assigned to IB investigator Peter Zertuche. On 07/28/2023 at 12:59 PM, LPA initiated the complaint visit. LPA interviewed the administrator and staff and obtained copies of the facility records relevant to the investigation. During the course of the investigation, LPA Tan interviewed the administrator and staff on 07/28/23 between 1:25 PM to 2:37 PM. (continued to LIC 9099-C) Unsubstantiated (continued from LIC 9099-C) Investigator Zertuche interviewed the administrator, staff, family member, hospital and fire department and law enforcement staff on different dates and times on 08/03/23, 08/15/23, 08/29/23, 09/27/23 and 10/10/23. IB Investigator Zertuche also reviewed hospital records on 09/27/23, Los Angeles Police Department (LAPD)’s records on 09/13/23, Los Angeles Fire Department (LAFD)’s record on 09/25/23 and Los Angeles County Coroner’s record on 10/09/23. Regarding the allegation resident sustained fracture while in care, it was alleged that due to staff neglect, R1’s arm got caught in the bedrail and then fell resulting to a fracture in R1’s collarbone. LAPD’s interview with R1 during their investigation on 07/25/23 revealed that while reaching for the remote control, R1’s arm got caught on the bedrail and then fell out the bed. Upon R1’s own admission, R1’s right arm got twisted during the incident, resulting to a fracture on R1’s collarbone. Further interviews by the police on R1 also revealed that the staff arrived quickly, freed R1’s arm and called 911. Paramedics arrived seven (7) minutes later and brought R1 to the hospital. Regarding the allegation that staff handled resident in an unsafe manner, it was alleged that a staff leaned on R1’s right shoulder and broke R1’s collar bone when R1 fell out of bed while their right arm was entangled in the bedrail. LAPD’s interview with R1 during their investigation on 07/25/23 revealed that while reaching for the remote control, R1’s arm got caught on the bedrail and then fell out the bed. Upon R1’s own admission, R1’s right arm got twisted, resulting to a fracture on R1’s collarbone. Investigator Zertuche’s interview with the three (3) staff who were present during the incident on 07/23/23 between at approximately 5:45 AM, revealed that none of the three (3) witnessed any caregiver lean or push R1 while trying to free R1’s arm in the bedrail. (continued to LIC 9099-C) (continuation from LIC 9099-C) Regarding the allegation staff did not attend to the resident in a timely manner, it was alleged that when R1 was screaming for help, it took a very long time for the staff to come. LAPD’s interview with R1 during their investigation on 07/25/23 revealed that the staff arrived quickly when R1 called for help, freed R1 and called 911. Investigator Zertuche’s interview with Staff #1 (S1), the staff on duty on 08/29/23 during the incident, revealed that upon hearing R1 asked for help, the staff immediately saw R1 and asked for assistance of the other two (2) caregivers to help. Regarding the allegation that Resident is left in soiled diapers for an extended period of time, it was alleged that staff leave R1 in wet/soiled diapers too long. LPA's interview with two (2) long-time live-in staff today between 11:30 AM to 12:50 AM, revealed that they check on R1 every hour and change R1's diapers a minimum of four (4) times a day during daytime. Further interview also revealed that R1 is also being turned every hour and never had any bed sore while still living at the facility. Regarding the allegation that Staff don't treat residents with dignity and respect, it was alleged that staff are bringing another resident with dementia into R1's room and offering and encouraging R1 to have sex with another resident. LPA's interview with two (2) long-time live-in staff today between 11:30 AM to 12:50 AM, revealed that they never had any resident that fit the description given by R1. Further, they denied bringing any resident to R1's room nor witnessing any other care staff bringing any resident to R1's room. Based on the information gathered during the course of the investigation, the allegations are deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Dec 18, 2024 · control 31-AS-20230727160520

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with Jocelyn Gavino for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 2:45 PM and the following was noted: There is one entrance being utilized at the facility. The facility has a total of four (04) bedrooms and two (02) bathrooms. The facility is fire cleared for six (06) non-ambulatory of which two (02) may be bedridden and a hospice waiver for two (02). The facility is currently occupying six (06) residents. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility has a swimming pool with required fencing and locking mechanism. The garage is currently being used for storage. Laundry detergents, cleaning agents and other toxins are locked away. Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. The living and dining room are neat and clean. The facility maintains a comfortable temperature at 75°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located near the kitchen and observed to be fully charged and last purchased 11/16/2024. (continued on LIC 809-C) The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 109.8°F. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. LPA observed medication to be locked and inaccessible to residents. Facility maintains a complete first aid kit. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Nov 23, 2024