Happy Home Care For Elderly

On 10/17/24, Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit. The purpose of the visit is to add additional information not included on the reported dated 9/5/24 and to issue an additional deficiency observed during the course of the investigation. The investigation consisted of: Interviews with staff and the alleged perpetrator and record reviews including but not limited to, police reports and 911 calls conducted by DSS Investigation Branch (IB) Investigator Ryan Miles and Community Care Licensing (CCL) staff. Allegations: Staff suffocated residents resulting in death of residents. Resident sustained an unexplained injury while in care. Facility staff not fingerprinted. It was alleged: Staff 1 (S1) suffocated the resident by placing a plastic bag over the Resident 1 (R1) head and taping around the R1’s neck. Injury was observed on R1’s head. SubstantiatedRead the full finding— CDSS inspection report, October 17, 2024 · control 28-AS-20240605153844

Licensing Program Analyst (LPA) Nune Margaryan conducted a subsequent visit to deliver findings on above allegations. LPA met with Kim Gi Soung. Shortly after Kim Eunice, Administrator arrived. LPA explained the purpose of the visit. The investigation consisted of: Interviews and record reviews conducted by DSS Investigation Branch (IB) Investigator and Community Care Licensing (CCL) staff. Allegations: Staff suffocated residents resulting in death of residents and Resident sustained an unexplained injury while in care. Facility staff not fingerprinted. It was alleged: Staff 1 (S1) suffocated the resident by placing a plastic bag over the Resident 1 (R1) head and taping around the R1’s neck. Injury was observed on R1’s head. Reporting Party (RP) reported that the S1 member also placed a bag over Residents 2 (R2) head as well and placed tape around the neck also murdering R2. RP reported that the residents were found in the bathroom of the facility by Staff 2 (S2). RP also reported thatRead the full finding— CDSS inspection report, September 5, 2024 · control 28-AS-20240605153844

On 02/07/2024 at 9:43 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an initial complaint visit to investigate the above listed allegation. Upon arrival, LPA met with Staff #2. Shortly after the licensee Eunice Kim arrived and the purpose of the visit was discussed. During today’s visit, LPA Baptiste obtained a copy of the staff roster, resident roster, formal request from R1’s legal representative, and a copy of the receipt with a date the documents was sent to R1’s legal representative. LPA conducted a tour of the buildings and grounds with Staff #1. LPA Baptiste interviewed the licensee and a total of one (1) staff, who shall be referred to as staff #1(S1). LPA also interviewed R1’s legal representative who shall be referred to as witness #1. Report continued on 9099c UnsubstantiatedRead the full finding— CDSS inspection report, February 7, 2024 · control 28-AS-20240131160707

Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation for the allegation listed above. LPA was granted entry by staff, Yun Kim. Licensee, Eunice Kim, arrived shortly after to assist with the visit. LPA toured the facility, interviewed the licensee, and reviewed Resident #1’s (R-1) file. Regarding allegation – Facility failed to provide resident records. It is alleged on November 13, 2023, the facility was sent a formal request via federal express to make available the records of Resident #1 (R-1). The formal request was made by R-1’s legal representative to arrange for photocopies within 2 working days. As of today, the documents had not been provided. SubstantiatedRead the full finding— CDSS inspection report, November 17, 2023 · control 28-AS-20231115131734

Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation regarding the allegations listed above. LPA arrived unannounced and met with Administrator, Eunice Kim. The purpose of the visit was explained. LPA toured the facility and obtained a list of residents and staff. LPA also reviewed residents files and obtained copies of Resident #1 (R-1) documents. Interviews were held with the Administrator, 1 Staff, 2 Residents, and family member. R-1 is not longer residing at the facility. In regards to allegation - Facility staff did not allow resident to have visitors. It is alleged that a family member was denied visitation inside the facility. LPA interviewed the Administrator and another staff during the visit today. The Administrator and staff both denied not allowing any visitations to the facility. Administrator Ms. Kim stated that R-1's family members had visited the facility on different days while R-1 was residing at the facility. UnsubstantiatedRead the full finding— CDSS inspection report, March 9, 2023 · control 28-AS-20230303152941

Licensing Program Analyst(s) (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegations. The investigation consisted of the following: On 12/31/20 LPA Flores conducted telephone interview with the administrator,and requested copies of Staff and Resident roster, Admissions Agreement, Face Sheet, Physician's Report, Needs and Care Assestment Plan, Financial and Admission Policies for 2 residents currently residing at facility and 1 resident who resided at facility until 2 weeks ago, and a Copy of Refund to be emailed to the LPA. On 7/12/21 LPA Flores reviewed resident #1's(R1) file, and requested copies of Admission agreement, resident record, resident property and values, eviction procedure, admission policy and procedure, resident appraisal, appraisal needs and services plan, centrally stored medication, medication administration record, physician's report, assisted living waiver information notice (ALW), admission record from Alcott RehabiRead the full finding— CDSS inspection report, July 12, 2021 · control 28-AS-20201224141659

Licensing Program Analyst (LPA) Elizabeth Irra conducted a subsequent visit to investigate the above allegations. LPA met with the Facility Administrator and discussed the pupose of today's visit. On 05/20/2020, LPA initiated this investigation. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, LPA conducted this investigation telephonically with the Facility Administrator. LPA obtained relevant documentation for this complaint investigation During this investigation, LPA interviewed the Facility Administrator and Staff #1 (S-1). LPA was unable to interview R-1 as R-1 is no longer residing at this facility (discharged on 05/01/2020 as R-1 required a higher level of care). LPA also obtained relevant documentation. ***Refer to LIC 9099C for the continuation of this report** SubstantiatedRead the full finding— CDSS inspection report, July 12, 2021 · control 28-AS-20200513100445