Nohl Ranch Elederly Care

Allegation investigated: Resident claimed staff touched her inappropriately.

Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to conduct subsequent interviews that could not be completed during the original visit February 8, 2023. LPA Haley identified himself and explained the reason for the visit with staff. During the visit LPA Haley interview Resident 3 (R3) and Resident 5 (R5). LPA Haley was emaild copies of R5's medical documentation. Documentation for R3 was provided after the initial visit in February. After both interviews were conducted, it was determined the complaint will remain unsubstantiated. Complaint findings delivered May 4, 2023 will not be changed. An exit interview was conducted, and a copy of this report was provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 9, 2023 · control 22-AS-20230206155919

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Allegation investigated: Resident claimed staff touched her inappropriately.

Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to deliver the findings on the complaint allegation above. LPA Haley identified himself and explained the reason for the visit with staff. Regarding the allegation, “Resident claimed staff touched her inappropriately.” The investigation revealed the following: LPA Haley made the initial unannounced complaint visit February 8, 2023. During the visit, LPA Haley interviewed facility Licensee/Administrator (AD) Mariana Corches, and 2 of 4 facility residents. 2 residents were sleep during the visit and could not be interviewed. Following the initial visit, LPA Haley interviewed a facility staff member, a former facility resident, and six additional individuals. During the investigation a total of 11 interviews were conducted. 10 of 11 interviews were used to make a determination on the complaint allegation, and 1 interview was used for informational purposes only. Continued on LIC9099C Unsubstantiated 2 of 11 individuals interviewed believe/support the complaint allegation based on hearsay, 3 of 11 individuals denied the complaint allegation, and 5 of 11 individuals provided information that was incompatible with the complaint allegation. 1 of 11 individuals interviewed did not provide information that would support or deny the complaint allegation. LPA Haley was provided evidence that would support the complaint allegation; however, the evidence requested could not change the outcome of the complaint findings. Based on the information gathered during the investigation, document review and interviews, the Department is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, May 4, 2023 · control 22-AS-20230206155919

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced case management visit. LPA Haley was greeted, granted entry and explained the reason for today visit. LPA Haley met with Licensee/Administrator (AD) Mariana Corches. The purpose of today's visit was to speak with resident and staff regarding the Unusual Incident Report (LIC 624) that was sent to the Orange County Adult and Senior Care Program Regional Office December 5, 2022 that involved Resident 1 (R1). During the visit LPA Haley interviewed AD Mariana Corches, Staff 1 (S1), Resident 2 (R2), and Resident 3 (R3). LPA Haley received copies of R1 and R2's Physician's Report, Appraisal Needs and Service Plan, Emergency Contact Information, and Individualized Service Plan. No deficiencies are being cited during today's Case Management visit. An exit interview was conducted and a copy of this report and LIC811s was provided to AD Mariana Corches.the state’s words, verbatim · CDSS document, Dec 13, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived at Nohl Ranch Elderly Care III to conduct an unannounced Required 1 Year Inspection with an emphasis on Infection Control. At 2:35pm, LPA Cho was greeted and granted entry by Caregiver Raquel Guevara followed by Administrator Mariana Corches. LPA completed the Coronavirus 2019 (COVID-19) screening procedure upon entry. There are no active COVID-19 cases as of today. LPA observed a thermometer at the check-in station and the required COVID-19 precautionary signs posted on the entrance door and throughout the facility. Approximately 2:48pm, LPA began the tour with Administrator Corches. There are a total of six resident bedrooms and five resident bathrooms. There is one private staff bedroom. LPA checked the resident bedrooms. The resident bedrooms had the required furnishings. The resident bathrooms were checked. The toilets worked properly, showers were free of mold/mildew, grab bars were secure, slip mats were in place, and bathrooms were adequately stocked with hand soaps and paper towels. Hand washing signs were observed in the bathrooms. The hot water temperature in the resident bathrooms measured at 106.5 degrees Fahrenheit in Bathroom #1, 108.6 degrees Fahrenheit in Bathroom #2, 110.3 degrees Fahrenheit in Bathroom #3, 109.4 degrees Fahrenheit in Bathroom #4, and 108.8 degrees Fahrenheit in Bathroom #5. Perishable and non-perishable food supplies were checked and adequately stocked at the time of the visit. Smoke/carbon monoxide detectors and auditory devices were tested and operational. Medications, toxins, and sharps were locked and inaccessible to the residents. LPA Cho toured the outside grounds. There was shading and sufficient seating for residents. The exit gate was not self-closing and self-latching. LPA observed sufficient supply of emergency food/water and PPEs. Based on the observations made during today's visit, no deficiency is being cited as per Title 22 Division 6 Chapter 2 of the California Code of Regulations. Advisory Notes (LIC9102s) were issued during the visit. An exit interview was conducted with Administrator Mariana Corches, and a copy of this report was provided during this visit.the state’s words, verbatim · CDSS document, Dec 13, 2022

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Allegation investigated: Resident sustained an injury from a fall while in care Staff did not provide adequate supervision for a resident

Licensing Program Analyst (LPA) Shobhana Frank conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility by Licensee Mariana Corches. During the course of the investigation, LPA toured the facility, interviews of RP, R1’s daughter in-law, staff 1, R 2and R 3, reviewed and obtained pertinent documentation such as physicians report LIC 603 and admission agreement, VTAS Hospice file. Based on the reviews of Admission Agreements, daily notes, Physician’s report LIC 602, observation and interview of R 1, R1’s daughter in-law, VITAS caseworker and staff 1 this complaint found to be unfounded. During the interviewed R 2 She stated she resides at the facility for more then 4 years and she couldn't be anywere else. R 3 said that she resides at the facility for one year, she like the facility the licensee takes good care of her. R 1 stated there is nothing to report, she resides at the facility for over 3 years and she is well taking care off by staff. Also interviewed R1’s daughter In-law she said that she did not file a complaint. She Unfounded said that family always found R1 well-being at this board and care to be very good. R1 is well attended to and has never felt neglected and had not fallen before under her care there. It was an accident that is difficult to avoid in someone her age and decreased mobility. She believes that she is a very good advocate for her mother-in-law and she is confident that her mother in-law gets good care at this facility. VITAS caseworker said Licensee and her staff are good caregivers and the home is very a esthetically pleasing! R1 well cared for. Based on the collective information, the above allegations are determined unfounded. This agency has investigated the complaint alleging. Resident sustained an injury from a fall while in care and Staff did not provide adequate supervision for a resident, We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.the state’s words, verbatim · CDSS document, Jul 28, 2022 · control 22-AS-20220405100815

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Ruth Martinez and Kevin Saborit-Guasch conducted an unannounced visit for the purpose of conducting a required annual inspection. LPAs were greeted and granted entry into the facility by caregiver. LPAs met with Mariana Corche, Administrator and explained the nature of the visit. LPAs accompanied by Administrators began the tour of the inside and outside of the facility. There are five residents in care and there are no active covid-19 cases in the facility. LPAs observed residents in their bedrooms relaxing. All resident appeared to be clean and well taken care of. LPAs observed required department postings, covid-19 precautionary postings in the facility as well as hand washing signs throughout the facility. All restrooms observed to have supply of soap and they appeared to be clean. LPAs inspected residents’ bedrooms and appeared to be clean and sanitary. All bedrooms were observed to have all required components. Residents bedrooms are four private and one shared bedroom. Facility has an empty room to be used as necessary. LPA observed a check in station in the main entry of the facility. Facility is taking temperatures daily and documenting the results. LPA observed the emergency disaster and evacuation plan. Facility has an emergency food and water supply located in kitchen and in attached garage. Facility has PPE supply stored in caregiver room and attached garage. LPAs toured the outside of the facility and observed a shaded seating area for resident’s enjoyment. Administrator advised LPAs that residents and staff have received their covid booster shot. The facility has completed the LIC808 Mitigation Plan, the Department approved the Mitigation plan on April 27, 2021. Based on the observation made during today’s visit, no deficiencies were noted today per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with Administrator and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Dec 14, 2021