Meison La Paz IV Elderly Care Home

Allegation investigated: Staff confiscated resident’s personal cell phone Staff did not allow resident to have visitors during reasonable hours

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of delivering finding into the investigation of the allegations listed above. LPA was greeted and granted entry by caregiving staff after introducing himself, stating the purpose of the visit and listing the allegations. Administrator Hermelinda Perez was notified of the visit and presented the detailed findings via telephone. On July 21, 2023, an initial complaint investigation visit was conducted at the facility. LPA accompanied by administrator toured the physical plant. LPA requested and obtained resident records for all residents currently admitted in addition to one resident that had been recently discharged from the facility. Staff records were additionally requested and reviewed. Four resident interviews and three staff interviews were conducted during the visit. Additional witness interviews were led as a follow-up after the visit. CONTINUED ON FORM LIC9099-C Unfounded CONTINUED FROM FORM LIC9099-A Regarding the allegation that Staff are not providing residents with activities while in care, the following has been concluded: LPA observed residents relaxing in the facility's television room or in their bedroom. Staff interviewed stated that focused activities were offered based on the resident's personal preferences. Resident interviews conducted were inconclusive on that due to residents' various degrees of cognitive impairment. One witness interviewed stated that "They offer [my mother] activities but they don't push her to participate." Given the facility's licensed capacity, no formal activity schedule is required and there wasn't one on file for LPA to review. As a result, this allegation is deemed to be Unsubstantiated, meaning that although the allegation may have happened or may be valid; there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to a facility representative. CONTINUED FROM FROM LIC9099 Regarding the allegation that Staff confiscated resident personal cell phone, the following has been concluded: Residents R1, R2, R3 and R4 all stated during confidential interviews that they did not utilize personal cell phones at the facility and that they typically received phone calls on the facility's phone line. Resident R1 additionally stated that she had the ability to request staff to call her family members for her and was confirmed to make the request on a frequent basis by two out of three staff members interviewed. An additional witness interview determined that R1 was initially provided with a phone with a simplified interface by her daughter but that usage was terminated after the device was shown to create distress for the resident. As a result, the allegation is found to be Unfounded, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. Regarding the allegation that Staff did not allow resident to have visitors during reasonable hours, the following has been concluded: Admission agreements reviewed are shown to include the following provision regarding the facility's visit policy: "Visiting hours: The facility encourages regular visits from family, friends and clergy. Facility visitors or volunteers and others may be subject to criminal records clearance. (The facility is allowed to make the final determination.) Please feel free to visit from 8:00am until 7:00pm every day. Should you require other visiting times, please contact the facility administrator in advance to make arrangements. We are flexible regarding visitation." Interviews conducted with staff, residents and witnesses all corroborated the fact that visits are facilitated in accordance with the policy quoted above. Therefore the allegation is found to be Unfounded, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy of this report was provided to a facility representative.the state’s words, verbatim · CDSS document, Jul 26, 2023 · control 22-AS-20230719125355

Allegation investigated: Staff handled residents in a rough manner. Staff injured resident while in care. Staff yell at residents in care. Staff not meeting resident(s) needs.

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of delivering finding into the investigation of the allegations listed above. LPA was greeted and granted entry by caregiving staff after introducing himself, stating the purpose of the visit and listing the allegations. Administrator Hermelinda Perez was notified of the visit and presented the detailed findings via telephone. On July 21, 2023, an initial complaint investigation visit was conducted at the facility. LPA accompanied by administrator toured the physical plant. LPA requested and obtained resident records for all residents currently admitted in addition to one resident that had been recently discharged from the facility. Staff records were additionally requested and reviewed. Four resident interviews and three staff interviews were conducted during the visit. Additional witness interviews were led as a follow-up after the visit. CONTINUED ON FORM LIC9099-C Unsubstantiated CONTINUED FROM FORM LIC9099 - Regarding the allegation that Staff handled residents in a rough manner, the following has been concluded: The evidence gathered based on interviews conducted with staff and residents as well as observation conducted during the facility visit was insufficient to establish a pattern or habits of rough handling. Four residents interviewed confirmed that they were being treated well. The account was corroborated by additional witness interviews. As a result, the allegation is Unsubstantiated, meaning that although the allegation may have happened or may be valid; there is not a preponderance of evidence to prove that the alleged violation occurred. Regarding the allegation that Staff injured resident while in care, the following has been concluded: Resident R1 was alleged to have received injuries as a result of their treatment by facility staff. A review of the resident's records kept at the facility showed that the resident was seen at least twice a week by a hospice nurse for a full assessment following R1's admission into hospice on or around April 14, 2023. Twenty-three (23) reports were reviewed, with no mention of an injury caused by staff. Photographs of bruising on the resident's hands was provided but could not directly be linked to a known cause. An instance of a fall was mentioned, but did not appear to involve staff responsibility. Therefore the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or may be valid; there is not a preponderance of evidence to prove that the alleged violation occurred. A Technical Violation Advisory Note is however issued to the facility as the fall was not reported to the Department. Regarding the allegation that Staff yell at residents in care, the following has been concluded: All residents present at the facility were interviewed and denied ever witnessing instances of staff yelling at themselves or other residents in care. Residents are however all diagnosed with varying levels of cognitive impairment making a definitive assessment difficult. Their account were corroborated by additional witness interviews by individuals with frequent knowledge of the facility. The allegation is therefore found to be Unsubstantiated, meaning that although the allegation may have happened or may be valid; there is not a preponderance of evidence to prove that the alleged violation occurred. Regarding the allegation that Staff is not meeting residents' needs, the following has been concluded. Allegation was made in regard to resident R2 not receiving adequate assistance during meals to receive sufficient nutrition in regard to her needs. CONTINUED ON LIC9099-C CONTINUED FROM FORM LIC9099-C Resident R2 was interviewed at the facility and stated that she was receiving sufficient assistance and enough food according to her hunger levels. She was additionally observed asking staff about mealtime on multiple occasions by LPA during the visit, as well as receiving sufficient attention and nutrition during the lunch served in the presence of LPA. Additional witness W1 confirmed that she had observed multiple meals and corroborated the observation. The allegation is therefore also found to be Unsubstantiated, meaning that although the allegation may have happened or may be valid; there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to a facility representative.the state’s words, verbatim · CDSS document, Jul 26, 2023 · control 22-AS-20230718085922

Type of visit: Required - 1 Year

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting an Annual Inspection. LPA met with Administrator (AD) Hermelinda Perez and discussed the purpose of the inspection. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: During the inspection, LPA and AD observed there were 2 staff present, wearing PPE. LPA observed 4 residents were present. LPA confirmed residents were doing well and observed no health and safety issues. LPA inspected common areas, resident rooms, kitchen, and garage and observed they were clean and organized, and found no health and safety issues. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. LPA observed hallways and walkways were free of obstruction. LPA reviewed and confirmed facility policies and practices regarding resident screening, staff screening, visitation, COVID-19 surveillance testing, COVID-19 clearance testing, quarantine, isolation, cohorting, staffing, infection control/lead/training, PPE, staffing and staffing shortages, communication and emergency plan, and dementia. LPA provided technical assistance regarding N95 fit testing. There were no health and safety concerns observed in the areas inspected. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Feb 18, 2022