Rossmoor Sunshine Villa-Kensington

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Shobhana Frank made an unannounced visit to the facility today to conduct required 1 year inspection. During today’s visit, LPA met with Licensee Flormine Resurreccion and explain the purpose of today's visit. LPA Frank toured the facility, inspected resident rooms and bathrooms. There are 6 residents residing in the facility and no active COVID-19 cases. LPA observed 6 of 6 residents on site appeared clean and well taken care of. LPA Frank reviewed centrally stored medications and records, reviewed food services, and inspected the kitchen. In addition, LPA Frank tested the hot water temperature, which measured 107.8 degrees F in resident bathroom. Resident areas were noted to be a comfortable temperature. Smoke detectors and carbon monoxide detectors were tested and found to be operational. The facility also has fire extinguisher that was mounted and charged. LPA Frank confirmed food supply 2 day supply of perishables and 7 day supply of non-perishable food is available for the number of residents present. Hygiene supplies and supply of linen were observed in quantities for the number of residents in care. LPA observed locked areas for toxins and hazardous items. Medication were observed locked in cabinet. LPA observed COVID - visitation station equipped with hand sanitizer, thermometer, Gloves, visitors log, COVID posters throughout the facility. LPA observe the facility to be clean and in good repair. Physical Plant and Safety of Environment/Operational Requirements. LPA Frank reviewed : 1.) Designation of Administrative Responsibility (LIC308) 2.) Personnel Report (LIC500); 3.) Emergency Disaster Plan (LIC610E); 4.) LIC 9020A Client Roster; LIC 808) Mitigation Plan; Current Liability Insurance, Infection Control Plan. Based on the observations made during today’s visit, no deficiencies are being cited in area inspected. This report was discussed with the facility representative and a copy was provided.the state’s words, verbatim · CDSS document, Jul 11, 2022

Allegation investigated: Personal Rights Medication

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Shobhana Frank for the purpose of delivering findings for the investigation into the above identified complaint allegations. LPA met with Administrator, Minnie Resurreccion and explained the reason for today’s inspection. On 5/20/2021, 10 day visit was conducted by Valarie Cook During the course of investigation LPA Shobhana Frank conducted interview at facility with Licensee/Administrator, S 1, S 2, reviewed facility Medication Administration Medication Record (MAR) all staff schedules for all facilities (Foster, Kensington, Wembley, Oak Way, and Ruth Elaine). LPA toured the facility, resident rooms and observed medication locked in cabinet near dining area. The investigation into allegations that Administrator is touching the residents inappropriately during visits, revealed following. Unfounded LPA interviewed Administrator (AD 1) he explained his role at the facility to be primarily as administrative. He denied being involved with any resident care. he does not provide care. He denied having any personnel issues with any of the staff. AD 1 adamantly denied ever touching or being inappropriate with any resident or staff. He added that he has always treated everyone as a professional. S1 Stated she has worked for company 20 years and is familiar with AD 1. S 2 stated she has Worked for Six years. Both staff stated that Administrator don’t interact with them and Never seen him being inappropriate with anyone. S1 and s 2 stated that they calls for house maintenance, payroll issues but doesn't stat long and doesn't get involved with any of the residents. S1 and S 2 denied having knowledge of any staff working at all 5 houses. S1 and S2 stated that AD 1 is quiet and available if needed. AD 2 reported handling all staff schedules for all facilities (Foster, Kensington, Wembley, Oak Way, and Ruth Elaine) She denied employing a staff that floats between all five facilities) She admitted that facilities have relief staff that might work three days a week but they work specifically at one or two facilities but not all five. AD 2 reported handling all staff schedules for all facilities (Foster, Kensington, Wembley, Oak Way, and Ruth Elaine) She denied employing a staff that floats between all five facilities) She admitted that facilities have relief staff that might work three days a week but they work specifically at one or two facilities but not all five. The investigation into allegations of 1) Facility not following medications as prescribed, 2) Medications are not locked and 3) Medications that are the same are being shared among residents, revealed the following: LPA Frank inspected all resident rooms and medications storage during visit. LPA observed each resident room clean and clear of any medication. Medication was observed to centrally stored, locked and separated by resident name and picture. medication records reflect all pertaining medication was dispensed accordingly. LPA reviewed centrally stored medication logs, medication records and copy of scabies medication prescription for all involved residents. LPA noted any and all medication dispensed to appropriate resident. Based on reviews of documents, interviews and observation We have found that the complaint allegations are unfounded, meaning that the allegation was false, could not have happened and/or is without reasonable basis. Therefore, the allegations are deemed UNFOUNDED, meaning the allegations are false, could not have happened and/or is without a reasonable basis. An exit interview was conducted with facility representative and a copy of this report providedthe state’s words, verbatim · CDSS document, Apr 22, 2022 · control 22-AS-20210511164300

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Shobhana Frank made an unannounced visit to the facility today to conduct required 1 year inspection. During today’s visit, LPA met with Licensee Flormine Resurreccion and explain the purpose of today's visit. LPA Frank toured the facility, inspected resident rooms and bathrooms, reviewed resident and staff records. LPA Frank reviewed centrally stored medications and records, reviewed food services, and inspected the kitchen. In addition, LPA Frank tested the hot water temperature, which measured 117.8 degrees F in resident bathroom. Resident areas were noted to be a comfortable temperature. Smoke detectors and carbon monoxide detectors were tested and found to be operational. The facility also has fire extinguisher that was mounted and charged. LPA Frank confirmed food supply: 2 day supply of perishables and 7 day supply of non-perishable food is available for the number of residents present. Hygiene supplies and supply of linen were observed in quantities for the number of residents in care. LPA observed locked areas for toxins and hazardous items. Medication were observed locked in cabinet. LPA observed COVID - visitation station equipped with hand sanitizer, thermometer, Gloves, visitors log, COVID posters throughout the facility. LPA observe the facility to be clean and in good repair. Physical Plant and Safety of Environment/Operational Requirements. LPA Frank reviewed : 1.) Designation of Administrative Responsibility (LIC308) 2.) Personnel Report (LIC500); 3.) Emergency Disaster Plan (LIC610E); 4.) LIC 9020A Client Roster; LIC 808) Mitigation Plan; Current Liability Insurance. Based on the observations made during today’s visit, no deficiencies are being cited in area inspected. This report was discussed with the facility representative and a copy was provided.the state’s words, verbatim · CDSS document, Aug 3, 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.