Above All Care 2

Allegation investigated: Facility staff are allowing Resident #1 to violate other residents rights

Licensing Program Analyst (LPA) Michelle Reed met with Licensee Nicolas Oudinot to discuss the complaint findings for the above allegation. The investigation consisted of interviews with Administrator, staff and witnesses as well as documentation from the facility. LPA attempted to interview residents but due to their diagnosis and cognitive impairment they could not be interviewed.The following was determined: Resident #1(R1) moved into the facility on 11/19/19. R1 is Non-ambulatory, has Dementia and needs assistance with all Activities of Daily Living. R1 has a tendency to get angry when things do not go her way and will yell, scream and throw things. Staff stated that they redirect R1 when she yells and throws tantrums and R1 has never been physically aggressive and hurt other residents. A review of records disclosed that R1’s behaviors have been brought to the attention of R1’s Doctor’s for solutions. Based upon interviews, the allegation is unsubstantiated, meaning that 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. Licensee was reminded that residents’ should not violate other residents’ rights and that the compatibility of residents’ should always be considered before choosing to accept a resident. An exit interview was conducted and a copy of this report was provided to Licensee Nicolas Oudinot. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 12, 2022 · control 22-AS-20200722153753

Allegation investigated: Staff are not adequately supervising residents Staff are retaliating against the resident. Staff are not conducting medication management Administrator is not reporting resident falls

Licensing Program Analyst (LPA) Michelle Reed met with Licensee Nicolas Oudinot to discuss the complaint findings for the above allegations. The investigation consisted of interviews with Administrator, staff and witnesses as well as documentation from the facility. Due to the residents cognitive skills they were not able to be interviewed. The following was determined: Staff are not adequately supervising residents. Resident #1(R1) moved into the facility on 11/19/19. R1 is Non-ambulatory, has Dementia and needs assistance with all Activities of Daily Living. R1 has a tendency to get angry when things do not go her way and will yell, scream and throw things. Staff stated that they redirect R1 when she yells and throws tantrums and R1 has never been physically aggressive and hurt other residents. A review of records disclosed that R1’s behaviors have been brought to the attention of R1’s Doctor’s for solutions. Unsubstantiated Staff are retaliating against the resident On 9/4/20, R2 was observed by staff wandering around the house and entering other residents’ rooms. Staff kept having redirect her due to Covid precautions. Administrator notified R1’s POA via incident report. According to Administrator it was done for reporting purposes only not retaliation. Staff are not conducting medication management According to staff interviewed, R2 did not get her medications on 9/3/20 as she had hid them in a napkin. Staff found the pills in the napkin. Staff immediately brought it to the attention of the Administrator who in turn notified the POA. Administrator is not reporting falls According to the Reporting Party, R1 had a fall sometime in early May. Interviews with staff did not disclose a fall by R2 and no unusual incident report was reported to Licensing regarding a fall. Interviews also did not disclose that R1 had pushed R2. Based upon interviews, the allegation are unsubstantiated, meaning that 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. Licensee and Administrator are reminded of Reporting Requirements and the use of an LIC624. An exit interview was conducted and a copy of this report was provided to Licensee Nicolas Oudinot.the state’s words, verbatim · CDSS document, Jul 12, 2022 · control 22-AS-20200909130749

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Kathrina Chin conducted an unannounced visit for the purpose of conducting a required annual visit. LPA met with Rufel Saluta & Geraldine Aguinaldo, Caregivers and spoke to Nicolas Oudinot, Administrator on the telephone and explained the reason for the visit. LPA Chin toured the facility. There are six residents residing in the facility and no active COVID-19 cases. All residents appeared clean and well taken care of. LPA observed required department postings in the facility as well as hand washing signs in the restrooms. All restrooms observed had ample soap/ sanitizer and appeared clean. Resident bedrooms appeared clean and sanitary and had all required components. LPA observed the emergency disaster and evacuation plans. Facility has back-up emergency food and water supply as well as PPE supplies. LPA reviewed the COVID 19 mitigation plan of the facility. Smoke detectors, carbon monoxide and auditory exit alarms were tested and were operational. Bathrooms were observed to be in good repair; and provided with grab bars and non-skid floor mats. Hot water was measured at 120 degrees Fahrenheit. Facility met the minimum two day perishable and seven day non-perishable food stock requirements. Medications, cleaning supplies and sharp items were inaccessible to residents in care. Fire extinguisher was mounted and charged. For the exterior portion, facility has patio furniture with a gazebo canopy for shade. No deficiencies cited this review as per Title 22 of the California Code of Regulations. An exit interview was conducted and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Mar 29, 2022