Diamond Senior Care

Allegation investigated: Staff used hot water to clean resident. Staff spoke inappropriately to resident. Staff refused to assist resident with incontinence needs.

Licensing Program Analyst (LPA) Jessica Cho arrived unannounced to conclude the investigation and deliver the findings. LPA was allowed entry and explained the nature of the visit to Caregiver Ghergina Lupu. Administrator (Admin) Adela Albu was informed of the allegations by telephone and consented Caregiver Lupu to sign the report on her behalf. On June 20, 2023, LPA initiated the complaint investigation which consisted of interviews with residents and staff and obtaining copies of pertinent resident records. Additional staff interviews were conducted on today’s date, and the following was revealed during the course of the investigation: It is alleged that the staff used hot water to clean the resident. One out of the five residents interviewed indicated that the water temperature was too hot during a bath provided by Staff #1 (S1), while two out of the five residents expressed that the water temperature was comfortable. The remaining two residents could not be interviewed. Unsubstantiated Additionally, four out of the four staff interviewed denied the allegation indicating that the temperature of the water was tested using the inside of the wrist and by verbally asking if the temperature was comfortable. It was determined based on the interviews that there was insufficient evidence to prove that the hot water was allegedly being used to clean the resident. It is alleged that the staff spoke inappropriately to resident. One out of the three individuals interviewed witnessed an incident that occurred on June 12, 2023. The individual observed Staff #2 (S2) had an accent from their native language which made it sound that S2 appeared “aggressive and forceful.” Four out of the four staff refuted the allegation indicating that S1 and S2 speaking nicely to all residents. Two out of the five residents stated that S2 has spoken kindly and denied any knowledge or observation of staff speaking to resident inappropriately. The remaining two residents could not be interviewed. It is alleged that staff refused to assist resident with incontinence needs. One out of the five residents indicated that they were not changed on one occasion but was unable to recall the details and time of the incident. Two out of the five residents stated that they were satisfied with the care that was being provided, and the last two remaining residents could not be interviewed. Four out of the four staff interviewed denied the allegation stating that the resident was changed multiple times a day and on occasions denied getting their diapers changed. Due to the conflicting details, LPA is unable to corroborate the allegations. Based on the interviews which were conducted and the records that were reviewed, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations: Staff used hot water to clean the resident, Staff spoke inappropriately to resident, and Staff refused to assist resident with incontinence needs are deemed UNSUBSTANTIATED. An exit interview was conducted with Administrator Adela Albu via a telephone call at 11:17am. Caregiver Ghergina Lupu was also present at this time. A copy of this report along with the LIC9099-C and LIC811 were emailed to Administrator Adela Albu at the end of the visit.the state’s words, verbatim · CDSS document, Aug 30, 2023 · control 22-AS-20230613133043

Type of visit: Required - 1 Year

On 07/22/2022 at 9:45pm, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility in order to conduct a required annual inspection. LPA arrived at facility, was greeted and granted entry by Stephanie Ilk and Ghergina Lupu, caregivers. Administrator Abela Albu was notified by telephone and arrived later to assist with the visit. One of the two staff present is adequately cleared and associated to the facility while the second one is cleared but is found to have been separated by mistake. LPA provides consultation and indicates that the staff member in question will need to be associated back to the facility. At approximately 10:05am, LPA accompanied by caregiver toured the physical plant of the facility. There are currently six (6) residents in care, one (1) of which is receiving hospice care. Residents are observed relaxing in their respective bedrooms and appear clean and well taken care of. The six (6) bedrooms include all necessary components. The three (3) bathrooms are equipped with grab bars and slip mats. During the visit, LPA observes cleaning supplies left accessible in one of the shared bathrooms as well as in one en-suite bathroom. Caregiving staff put cleaning supplies away during the visit. The facility is clean, sanitary and free of odors in all areas inspected. Physician orders for postural supports were found to be present for all residents with bed rails. Sharp instruments are stored in a kitchen drawer with a functional key lock. LPA observed a sufficient supply of food and water. The central storage of medication is located in a locked cabinet next to the kitchen. Cleaning supplies are secured in two cabinets located in the laundry room. A sufficient supply of linen is observed. LPA observed required department postings and COVID precaution posters on display. Facility has an adequate supply of PPE available. CONTINUED ON LIC809-C CONTINUED FROM FORM LIC809 LPA toured the outside of the facility and observed outdoor furniture in a shaded area on the patio for the enjoyment of residents and visitors. Gardening shears are observed to be left out and put away by caregiving staff during the visit. The two perimeter gates are self-latching and can easily be opened in an evacuation. There are no bodies of water on the premises. Based on the observations made during today’s visit, two deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with facility representative and a copy of this report along with appeal rights was provided and left at facility.the state’s words, verbatim · CDSS document, Jul 26, 2022

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

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 Staff member #1 (S1) Stefan Ilk and discussed the purpose of the inspection. Administrator (AD) Adela Albu was also present during the course of the inspection. During the inspection, LPA and S1 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 S1 observed there were 2 staff present, wearing PPE. LPA observed 6 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 storage, visitation, outings, and 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, Sep 20, 2021

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.