Eternal Life Senior Care Facility

Allegation investigated: Resident is not being bathed

Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced subsequent complaint visit at the facility today to deliver findings. At 9:25 a.m., the LPA met with facility staff and explained the reason for the visit. At 9:44 a.m., the Administrator, Olga Avetikyan arrived at the facility. During the initial visit on 01/12/2023, between 1:28 p.m. and 1:50 p.m., LPA Peraldi conducted a brief physical plant tour, interviewed the Administrator, and requested pertinent documents. On 01/12/2023, between 1:51 p.m. and 3:28 p.m., the LPA conducted one (1) staff interview, one (1) resident interview and two (2) resident family member’s interviews. Additionally, on 01/12/2023, at 3:22 p.m., the LPA attempted to interview three (3) residents. During today’s visit, between 9:45 a.m. and 10:15 a.m., the LPA conducted an interview with the Administrator and conducted a physical plant tour. At 10:22 a.m., the LPA also attempted to interview four (4) residents. Additionally, on 06/14/2023, the LPA reviewed pertinent documents such as resident’s admission agreements and physician’s report. Continued on LIC 9099-C. Substantiated Regarding the allegation: Resident is not being bathed. On 01/04/2023, the Department received a complaint alleging that Resident #1 (R1) had a foul smell and was not being bathed. Staff interviews conducted on 01/12/2023, stated that staff bathe residents twice a week. The staff explained that each resident has a different bathing schedule. On 01/12/2023 and on 06/14/2023, the Administrator stated that residents get a bathed twice a week and sometimes up to four (4) times, depending on the resident. The staff and the Administrator could not provide a bathing log or a documented bathing schedule to the LPA. The LPA conducted a record review on 06/14/2023 and noted the following: R1’s admission agreement states that the “Facility provides the resident with three baths/showers per week.” According to R1’s admission agreement, R1 is supposed to be receiving three baths/showers per week. The LPA was unable to confirm whether the residents, including R1 get bathed twice a week or three times a week. Additionally, interview conducted with R1’s family member confirmed that staff do not bathe R1 three times a week. During today’s visit the LPA had a conversation with the Administrator about the bathing logs and bathing schedule. The Administrator explained that they will work on filling out a bathing log and ensure that residents, including R1 will get bathed three times a week as per the admission agreements. Based on the information gathered during the investigation, the preponderance of evidence standard has been met, therefore the above allegation is deemed Substantiated at this time. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiencies were observed and cited during the visit (See LIC 9099-D). Exit interview conducted. A copy of the report and appeal rights were provided. Regarding the allegations: Staff smoke cigarettes on the premises. Staff failed to provide a comfortable environment for residents. On 01/04/2023, the Department received a complaint alleging that the facility staff smoke cigarettes outside the facility and leave the door open, allowing smoke to enter inside the common areas. The complainant alleged that staff failed to provide a comfortable environment for the residents by allowing the smoke to enter the house. On 01/04/2023, the LPA observed one (1) staff smoking outside in the backyard and the back door was observed to be closed. Staff interviews conducted on 01/12/2023, stated that staff only smoke on their breaks and lunch time and in the facility’s designated smoking area. On 01/12/2023 and on 06/14/2023, the Administrator stated that when staff go smoke outside, that they always close the door, to ensure no smoke enters the facility. During both visits on 01/12/2023 and 06/14/2023, the LPA observed staff cleaning and mopping the common areas and residents’ rooms. The LPA also observed the inside temperature being maintained at a comfortable level. The LPA observed common area to be relatively clean and properly furnished. Additionally interviews with resident’s family members did not bring up concerns regarding the above allegations. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated at this time. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Jun 14, 2023 · control 29-AS-20230104102628

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87464(f)(4) · Plan of correction due date: Jun 15, 2023

87464(f)(4) Basic Services. Basic services shall at a minimum include: (4)Personal assistance and care as needed by the resident...those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications.This requirement is not met as evidenced by: Based on interviews and record review, R1 did not receive three baths/showers a week as indicated in their admission agreement. This poses a immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jun 14, 2023

Plan of correction: Administrator agreed to submit a Statement of Understanding demonstrating how all facility staff, will bathe residents to meet their needs by 06/15/2023.

Allegation investigated: Licensee did not provide 60 days notice of eviction.

Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced subsequent complaint visit at the facility today to deliver findings. At 9:25 a.m., the LPA met with facility staff and explained the reason for the visit. At 9:44 a.m., the Administrator, Olga Avetikyan arrived at the facility. During the initial visit on 01/12/2023, between 1:28 p.m. and 1:50 p.m., LPA Peraldi conducted a brief physical plant tour, interviewed the Administrator, and requested pertinent documents. On 01/12/2023, between 1:51 p.m. and 3:28 p.m., the LPA conducted one (1) staff interview, one (1) resident interview and two (2) resident family member’s interviews. Additionally, on 01/12/2023, at 3:22 p.m., the LPA attempted to interview three (3) residents. During today’s visit, between 9:45 a.m. and 10:15 a.m., the LPA conducted an interview with the Administrator and conducted a physical plant tour. At 10:22 a.m., the LPA also attempted to interview four (4) residents. Additionally, on 06/14/2023, the LPA reviewed pertinent documents such as resident’s admission agreements. Continued on LIC 9099-C. Unsubstantiated Regarding the allegation: Licensee did not provide 60 days’ notice of eviction. On 01/12/2023, the Department received a complaint alleging that Resident #1 (R1) was told by the Administrator that staff had quit, and that the facility was going to close in two (2) weeks. Interview with R1 on 01/12/2023, revealed that the Administrator told R1 that the facility will be closing since facility staff were quitting. The interview conducted with the Administrator on 01/12/2023, revealed that the Administrator did tell R1 that if facility staff quit, then she would be left with no choice but to close the facility. The Administrator stated that she never meant that the facility was going to close immediately and thus why she never served R1 with a proper notice of eviction. The Administrator stated that if the facility were to close, then she will provide a proper 60-day eviction notice. Interview conducted on 06/14/2023 with the Administrator revealed that the Administrator does not remember telling R1 that the facility could close soon, but she does remember telling R1’s family member that the facility could be potentially closing. The LPA reminded the Administrator that verbal eviction notices are not valid. Although, the Administrator told R1 that the facility might potentially close; the facility is not closing therefore there was no need for a 60-day notice of eviction. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated at this time. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Jun 14, 2023 · control 29-AS-20230112141142

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 1:00 p.m., the LPA met with staff and explained the reason for the visit. At 1:13 p.m., the Administrator arrived at the facility. This annual had a specific emphasis on infection control practices and procedures. At 1:24 p.m., the LPA, along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards. BEDROOMS: The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. At 1:30 p.m., the LPA observed inoperable auditory devices in resident room #2 and resident room #4. Upon observation, the Administrator fixed all auditory devices throughout the facility. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. At 1:24 p.m., hot water measured at 112.8-degree Fahrenheit. KITCHEN: The LPA observed the kitchen/dining area. Knives are stored in a locked cabinet. Kitchen appliances appear to be in an operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 1:31 p.m., hot water measured at 108.7-degree Fahrenheit. Medications and first aid kits are located in a locked kitchen cabinet. Laundry units, cleaning solutions, chemicals and hazardous items were inaccessible and locked away inside the staff/ storage room. COMMON AREA: The LPA observed common area to be relatively clean and properly furnished. The LPA observed the fire extinguisher to be fully charged and purchased on 04/04/2022. Signs are posted throughout facility to promote handwashing, and cough/sneeze etiquette. At 1:33 p.m., the fire alarms/carbon monoxide detectors were tested and functioned properly. Flashlights were observed throughout the facility. OUTDOOR SPACE: The LPA observed the back patio which has a covered outdoor area for resident use. There is a gate at the front of the facility designated for an emergency exit. INFECTION CONTROL: During today’s visit, the LPA spoke with the Administrator regarding the facility’s infection control practices. The LPA observed 30 days of Personal Protection Equipment (PPE). No deficiencies were observed at this time. Exit interview conducted. A copy of the report was provided via email and print.the state’s words, verbatim · CDSS document, Feb 28, 2023

Type of visit: Required - 1 Year

At 1:45 p.m., Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. LPA was greeted and screened by staff, Elya Poghosyan. At 2:06 p.m., the Administrator arrived at the facility. This annual had a specific emphasis on infection control practices and procedures. At 2:18 p.m., LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. COMMON AREAS: LPA observed common area to be relatively clean and properly furnished. LPA observed the fire extinguisher to be fully charged and purchased on 06/01/2021. Flashlights were observed throughout the facility. Signs are posted throughout facility to promote handwashing, cough/sneeze etiquette, and physical distancing. At 2:34 p.m., fire alarms and carbon monoxide detectors were tested and functioning properly. BEDROOMS: LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with a grab bar and non-skid mats. At 2:35 p.m., hot water measured at 109.9-degree Fahrenheit. Night lights were present in the hallways and passages. OUTDOOR SPACE: At 2:21 p.m., LPA observed the backyard, which has a covered outdoor area for resident use. There is a gate at the front of the facility designated for an emergency exit. Passageways were free and clear from obstruction. Continued on LIC 809-C. Contiued from LIC 809. KITCHEN: At 2:23 p.m., LPA observed the kitchen/dining area. Knives are stored in a locked cabinet. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 2:33 p.m., hot water measured at 105.2-degree Fahrenheit. Medications and first aid kits are located in a locked kitchen cabinet. STORAGE: The storage room is next to the kitchen. Cleaning solutions, toxins, chemicals and hazardous items were inaccessible and locked away in the storage room. The laundry units are located inside the storage room. INFECTION CONTROL: During today’s visit, the LPA spoke with the Administrator regarding the facility’s infection control practices. Upon entry, the facility has a central entry point for symptom screening, temperature checks, and a sanitation station. LPA observed a 30-day supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The facility has not had a confirmed case of COVID-19 at this time; however, the facility’s policies and procedures as it pertains to infection control are adequate. Between 2:08 p.m. - 2:18 p.m., LPA conducted Infection Control mitigation module with Administrator. The following recommendations were made: - Posting Provider Information Notices (PINs) and educating staff, residents, and families on changing policies and procedures from the Department. No deficiencies were observed at this time. Exit interview conducted. Report issued and a copy of the report will be provided via email.the state’s words, verbatim · CDSS document, Feb 23, 2022