Able & Available Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the administrator, Marina Gazdzhyan and staff Rebecca Cornejo and explained the reason for the visit. At approximately 9:30am, with the assistance of the administrator and staff, LPA took a tour of the physical plant. The smoke alarms and carbon monoxide detectors are dual. They are hardwired and interconnected. There is an operational fire door by resident room #1. The fire extinguisher is located in the kitchen. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Bedrooms: There were six (6) bedrooms designated for residents' use. All six bedrooms are for private use. All six bedrooms were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are two (2) bathrooms designated for residents' use. Both bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 108 degrees Fahrenheit. LPA did not observe any cleaning supplies or toxins in the bathrooms Common Areas: These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. In addition to exit door, facility windows have an auditory alarm as well. Facility also has security cameras and sensors installed at the outside of the home. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The laundry area and storage is located next to the living room. No cleaning supplies and toxins accessible to the residents in care. Laundry room was locked. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: Medications were stored and locked in a closet located by the living room. Medication Records were reviewed for proper documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a copy of the Report Issued.the state’s words, verbatim · CDSS document, May 18, 2023

Allegation investigated: Staff was sarcastic towards resident. Resident clothes were not washed. Resident did not receive proper medication assistance. Resident did not receive an adequate daily food intake. Resident’s belonging were missing or misplaced. Expired medications were not distracted properly.

Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to this facility to investigate the above allegations. LPA met with the Rebecca Cornejo and explained the reason for the visit. The administrator, Marine Gazdzhyan, designated Rebecca Cornejo to sign and accept this report. --- Staff was sarcastic towards resident. It was alleged that Staff (S1) spoke sarcastically to residents. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff do not speak to them sarcastically or in a hurtful way, that they do not use profanity around them and have never been aggressive with them. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). (Cont. on LIC 9099-C) Unsubstantiated During interviews with staff, S1 and Staff #2 (S2) stated that they do not speak to them sarcastically or in a hurtful way and never use profanity around them. S1 and S2 also stated that they do not make fun of or argue with residents. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Resident clothes were not washed. It was alleged that resident did not have any clean clothes to wear and laundry basket was full of dirty clothes. To investigate the allegation, on 02/15/2023, LPA made observations during a physical plant tour at around 08:45 AM, interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During the physical plant tour, LPA observed that all residents had clean clothes and laundry baskets had between two (02) to five (05) items in each basket. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff do laundry very frequently. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 and S2 stated that they do residents’ laundry every day. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Resident did not receive proper medication assistance. It was alleged that resident was not given all medications as prescribed. To investigate the allegation, on 02/15/2023, LPA requested documents at around 9:30AM, interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. Record review shows that all medications were given to Resident #1 (R1) timely. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), they stated that staff distribute all their medications timely. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, Staff #1 (S1) and Staff #2 (S2) stated that they distribute medications timely. Based on record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. (Cont. on LIC 9099-C) --- Resident did not receive adequate daily food intake It was alleged that facility does not serve complete meals. To investigate the allegation, on 02/15/2023, LPA made observations during a physical plant tour at around 08:45 AM, requested documents at around 9:30AM, interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During the investigation, LPA observed staff serving complete and balanced meals to all residents and both pantry and refrigerator were well stocked. Record review shows that facility maintains a sample menu that is complete and well balanced. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that they are satisfied with the food and feel that the meals are complete and well balanced. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, Staff #1 (S1) and Staff #2 (S2) stated that they try their best to cater to each resident’s needs and always serve complete and well-balanced meals. Based on observations, record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. ---Resident’s belongings were missing or misplaced It was alleged that facility misplaces and mixes up resident belongings. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that their belongings have never gone missing and that they have never encountered a time where they were given someone else’s belongings during their stay. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, Staff #1 (S1) and Staff #2 (S2) stated that they do each resident’s laundry separately and store them accordingly. S1 and S2 also stated that none of R1’s belongings were left behind, and the none current residents complained about any missing belongings. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. (Cont. on LIC 9099-C) --- Expired medications were not distracted properly. It was alleged that facility gave resident a bag of expired medications. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that have never been given expired medications. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, Staff #1 (S1) and Staff #2 (S2) stated that they do not give their residents their expired medications. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards observed during the visit. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, May 3, 2023 · control 31-AS-20230207145923

Allegation investigated: Resident fell due to neglect of supervision Staff is harassing resident. Staff used resident’s personal phone Staff did not provide appropriate bathroom assistance to the resident. Staff was recording resident without consent. Resident was not allow to eat isolated in the room during mealtime. Resident was not allowed to eat around a table Resident’s room was not clean.

Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to this facility to investigate the above allegations. LPA met with the co-administrator, Marine Gazdzhyan, and explained the reason for the visit. --- Resident fell due to neglect of supervision It was alleged that Staff (S1) did not help Resident #1 (R1) to the bathroom which led to a fall. To investigate the allegation, on 02/15/2023, LPA requested documents at around 9:30AM, interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. Record review shows that R1 requires assistance for toileting and has motor impairment, but did not find fall incident report in facility file. (CONT. LIC9099-C) Unsubstantiated During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that they do not recall having a fall incident on the way to the toilet and staff assist them to the toilet as needed. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 stated that they do not recall a fall incident with R1. S1 also stated that they stand next to and hold residents that need assistance all the way to the toilet seat and wait with them until finished to return them back to their resting position of choice safely. Based on record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Staff is harassing resident. It was alleged that Staff (S1) harassed Resident #1 (R1). To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that they have never been harassed or mistreated by any staff. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 and Staff #2 (S2) stated that they have never harassed or mistreated any of the residents and that their relationships with the residents are very good. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Staff used resident’s personal phone It was alleged that Staff (S1) uses Resident #1’s (R1) cell phone. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that they have their own cell phones and staff have never used or asked to use their cell phones. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, and Staff #2 (S2) stated that they have their own cell phones and have never used a resident’s phone to make a call or for any other use. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. (CONT. on LIC 9099-C) --- Staff did not provide appropriate bathroom assistance to the resident. It was alleged that Staff (S1) did not help resident to the bathroom in an appropriate position. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff assist them to the toilet as needed safely with enough assistance and support. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 stated that if residents are walking backward into the restroom with a walker, they stand behind supporting them, but if they are walking forward then they enter first and guide them supporting them. S1 also stated that if they are walking without the walker, they can walk them in while supporting them side by side. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Staff was recording resident without consent. It was alleged that Staff (S1) was recording residents. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff have never recorded them. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 and S2 stated that they have never recorded any of their residents. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Resident was not allow to eat isolated in the room during mealtime. It was alleged that Staff (S1) instructed resident to eat in the room. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff do not force them to eat in their rooms and that they have the choice to decide where they eat. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). (CONT. on LIC 9099-C) During interviews with staff, S1 and S2 stated that they do not force residents to eat in their rooms. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Resident was not allowed to eat around a table It was alleged that Staff (S1) did not allow resident to eat at the table. To investigate the allegation, on 02/15/2023, LPA interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff do not tell them that they are not allowed to eat at the table. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 and S2 stated that they do not tell residents that they are not allowed to eat at the table and that they try to encourage them to eat at the table so that they may interact and socialize with one another. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Resident’s room was not clean. It was alleged that resident’s room has spills under the bed and dust on bed frame. To investigate the allegation, on 02/15/2023, LPA made observations during a physical plant tour at around 08:45 AM, interviewed three (03) out of six (06) residents currently residing in the facility and two (02) staff between 10:15 AM to 11:30 AM. During the physical plant tour, LPA observed that all residents’ rooms were clean and free from spills and dust. During interviews with residents, Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4), stated that staff clean frequently and feel that their rooms are clean. LPA was unable to interview R1, Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7). During interviews with staff, S1 and S2 stated that they keep the rooms clean and that whatever the day staff miss, the night shift will clean up during the nightly deep cleaning. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards observed during the visit. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Mar 22, 2023 · control 31-AS-20230207145923

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Patrick Shanahan, arrived at the facility and was greeted by facility staff. The LPA's temperature was taken and covid-19 questions were asked before the LPA was allowed entry. The administrator was called and arrived a short while later. LPA was able to briefly tour the physical plant of the home and no health and safety concerns were observed. All residents have private rooms and they all appeared clean and sanitary. The infection control portion of the annual CARE tool was completed and no deficiencies were observed Exit interview conducted and report issuedthe state’s words, verbatim · CDSS document, Mar 21, 2022