Danias Senior Home

Type of visit: Required - 1 Year

At 2:00pm Licensing Program Analysts (LPAs), Angela Panushkina and Mariana Agban conducted an unannounced annual inspection at the facility mentioned above. LPAs were greeted by the staff, Josephina Vazquez, who granted access to the facility. Later, LPAs met with the Administrator and LPAs explained the reason for the visit. At 2:10am, LPAs conducted a tour of the facility and the following was observed: Infection control: The facility had submitted and approved Mitigation Plan and Infection Control Plan. Proper signage was observed inside along the hallway and in the restrooms. Hand sanitizer was also observed. Administrator stated they have sufficient PPE supplies for residents and staff. LPAs observed all trash can throughout the facility have fitted lids. Kitchen: At approximately, 2:15pm LPAs toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. All knives and sharps are observed to be locked in a kitchen cabinet and inaccessible to residents. There is a fire extinguisher in the kitchen and it was last purchased on 12/12/22. Medications: At approximately, 2:28pm LPAs observed First Aid Kit complete with the required items as per Title 22 Regulations. LPAs also observed medications are centrally stored, unlocked in a kitchen cabinet and accessible to residents in care. LPAs asked S1 to lock the medication cabinet and S1 immediately complied. Bedrooms: There are four (4) bedrooms designated for residents use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Auditory alarms were Continue on LIC809-C tested and observed to be operational. Staff bedroom is located by the living room. Bathrooms: At 2:30pm LPAs observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. The hot water temperature measured at 111.5°F. LPAs observed appropriate grab bar and non-skid mat. LPAs observed appropriate hand washing signs posted in each bathroom. All trash cans in bathrooms had fitted lids to protect from cross contamination. Common Areas: The facility maintains a comfortable temperature at 75°F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. Outside areas: At approximately, 2:45pm LPAs toured the outside area of the facility. LPAs also observed a clean covered patio and backyard furniture to accommodate the six (6) residents. LPAs discussed the importance of maintaining the care and supervision to meet the needs of residents. The garage: The detached garage is being used for an extra storage and was observed to be locked. Laundry: Laundry area is located by the kitchen/dining area and was observed to be locked and inaccessible to residents. Smoke detectors/carbon monoxide. Dual smoke and carbon monoxide detectors were located throughout the facility, and at 3:50pm they were tested and observed to be operational. Between 3:00pm to 3:45pm, LPAs reviewed records of five (5) residents and two (2) staff. Resident and staff records appeared to be complete and updated. Administrative: LPAs collected Certificate of Liability Insurance and LIC500. Citations issued on LIC809-D during this visit. Exit interview conducted, appeal rights explained and copy of report emailed to Licensee.the state’s words, verbatim · CDSS document, Apr 24, 2023

From the deficiency page — Deficiency type: Type A · Plan of correction due date: Apr 26, 2023

87465 Incidental Medical and Dental Care. (h)The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place... This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above by keeping centrally stored medication cabinet unlocked, which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 24, 2023

Allegation investigated: Resident was unkempt

At approximately 5:30 p.m. on 05/12/2022 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced subsequent complaint visit. LPA met with Administrator and disclosed the reason for the visit. Regarding the allegation “Resident was unkempt”, it was alleged Resident #1 (R1) was in poor condition due to being unchanged. To investigate the allegation, LPA conducted a physical plant tour and interviews. At approximately 12:15 p.m. LPA observed R1 in their room. R1 was sitting in a wheelchair and in good condition. LPA conducted interviews with complainant on 01/12/2022 at 4:08 p.m. and with facility staff on 01/20/2022 at 12:40 p.m. Based on interviews, there is not sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Exit interview conducted. Copy of report provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 12, 2022 · control 31-AS-20220112143232

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87625(b)(1) · Plan of correction due date: Jun 10, 2022

87625 Managed Incontinence (b the licensee shall be responsible for the following: (1) Ensuring that residents who can benefit from scheduled toileting are assisted or reminded to go to the bathroom at regular intervals rather than being diapered. This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above in 1 out of 5 residents which poses a potential Health, Safety, and Personal Rights risk to residents in care.the state’s words, verbatim · CDSS document, May 12, 2022

Plan of correction: Licensee will provide in-service training for all staff on the cited section and submit proof to LPA by POC due date.

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced annual required visit. LPA met with the administrator and explained the reason for this visit. A tour of the physical plant was conducted. The facility has applied for a license to service elderly residents. The facility has a fire clearance for six non-ambulatory residents, one of which may be bedridden in room 1 or 2. The facility has four resident bedrooms two of which are intended for double occupancy (rooms 4 & 5). All resident rooms designated for resident use have direct exits to the outside. There are six residents in the facility, all resident rooms have appropriate lighting, furniture, bedding, and linens. There is one room designated as a staff room. At the time of the visit, all exit doors had functional auditory alarms. There are two bathrooms designated for resident use. Room 5 has an attached bathroom. The other rooms share a bathroom located in the hall. There were appropriate grab bars for both showers. There are non-skid mats in both showers. The common areas were appropriately furnished and lighting was adequate. Resident and staff records are stored in a locked cabinet in the kitchen. Medications are stored in a locked cabinet in the kitchen. The first aid supplies are stored in the same cabinet as the medications. First aid kit is compliant with regulations at the time of the visit. Kitchen knives are stored in a secured cabinet in the kitchen. Stove burners are functional. The supply of perishable and nonperishable food is adequate. The supply of dining and cook ware is adequate. Appliances in the kitchen were clean and functional. Kitchen and house cleaning supplies are stored in a locked cabinet under the kitchen sink and the garage. Laundry supplies are stored in a locked cabinet above the washer. The facility smoke alarm system is hard wired and functional. There is one fire extinguisher in the kitchen area. The fire extinguisher is fully charged. There is a functional carbon monoxide detector in the hallway. Hot water was tested; it measured at 117 degrees Fahrenheit. The laundry area is located just outside the kitchen in the hall. The supply of extra bed and bath linens is adequate. Personal hygiene items will be provided for residents. Extra incontinency supplies are stored in the hall. Telephone service for the facility is functional. Emergency exiting sketch is posted on the wall in the entry area. Required postings are posted in the dining area. No deficiencies cited during this visit. Exit Interview conducted.the state’s words, verbatim · CDSS document, Mar 18, 2022

Allegation investigated: Resident was left in soiled diapers Resident was restrained

At approximately 11:59 PM on 01/20/22, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced, initial 10-day visit for Complaint Control Number 31-AS-20220112143232. LPA met with the Licensee and disclosed the reason for the visit. Census: 5 Regarding the allegation “Resident was left in soiled diapers”, it was alleged Resident #1 (R1) was soaked and unchanged. LPA conducted interviews on 01/12/22 at 4:08 PM and on 01/20 from approximately 12:40 PM to approximately 1:40 PM. Based on interviews, LPA learned R1 may have been left in soiled diapers. On 01/20/22 at approximately 1:40 PM, LPA viewed photographs taken on 01/12/22 of R1. Based on observation of photographs, LPA could not determine any evidence of saturation or defecation. LPA observed the resident during a physical plant tour on 01/20/22 at approximately 12:15 PM and detected no evidence of soiled diapers. Unsubstantiated Based on interviews and observations, LPA did not encounter sufficient evidence to determine R1 was left in soiled diapers. Therefore, the above allegation is deemed unsubstantiated at this time. Exit interview conducted and report issued. Regarding the allegation “Resident was restrained”, it was alleged the wheelchair of Resident #1 (R1) was tied to the bed, restricting R1’s movement. LPA conducted interviews on 01/12/22 at 4:08 PM and on 01/20/22 from approximately 12:40 PM to approximately 1:40 PM. Based on interviews, LPA did not find sufficient evidence to support the allegation. LPA observed R1 during a physical plant tour on 01/20/22 at approximately 12:15 PM. Based on observation, LPA determined R1 was not restrained and unrestricted. Based on observations and interviews, the above allegation is deemed unsubstantiated at this time. Exit interview conducted and report issued.the state’s words, verbatim · CDSS document, Jan 20, 2022 · control 31-AS-20220112143232

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.