Allora Senior Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced required annual inspection focusing primarily on the Infection Control. LPA De Perio explained reason for visit and was greeted and granted entry by staff on duty who checked temperature prior to entering facility. During the visit, 2 staff were on duty, who contacted facility administrator (AD) Kevin Ismaili about visit. AD Ismaili arrived to facility at 10:00 AM. As of 11/18/22, there are 0 active COVID-19 cases in the facility as verified. LPA De Perio observed the COVID-19 precautionary signs posted at the entrance of the facility. The PUB475 "See Something, Say Something" poster was also observed at the main entrance. LPA De Perio observed the Administrator's Certificate for Kevin Ismaili, which expires on 4/20/2023. LPA De Perio toured the interior and exterior portions of the facility with staff on duty. The facility is a single level structure and is licensed for residents 60 years and over of which 6 may be non-ambulatory, 1 may be bedridden and a hospice waiver for 4. For this visit, there are a total of 6 residents in care of which 2 are on hospice, and 0 bedridden. There are a total of 5 bedrooms, of which 2 are private resident rooms, and 2 shared resident rooms and 1 for staff. LPA De Perio toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of 2 restrooms of which were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature in restrooms were measured to be at 109.9 degrees Fahrenheit and hand washing signs were also posted in each restroom. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care and located in a kitchen drawer. Fire extinguisher was charged, mounted and located in the kitchen. LPA De Perio observed the emergency disaster and evacuation plan, which is posted at the main entrance of the facility and also in a binder located in the medication cabinet. Facility had back-up emergency food and water supply, located in the kitchen and in the garage. LPA De Perio observed that First Aid Kit had all the required components. The facility had an adequate supply of PPE that was located in the medication cabinet. Medications were locked and inaccessible to residents in care and located in the living room in a locked cabinet. Toxins were also observed to be locked and inaccessible to residents and located in the garage. For the exterior portion, LPA De Perio observed patio furniture under shading, and the grounds were free of any hazards. There is one gate in the backyard, which was self-closing and self-latching. No bodies of water were observed. LPA De Perio verified the Coronavirus 2019 (COVID 19) mitigation plan of the facility with AD Ismaili. LPA De Perio discussed Assembly Bill 665 requires that a licensee of any adult or senior care residential facility that has internet service provide at least one internet access device, such as a computer, smart phone, tablet or other device, that: can support real-time interactive applications; is equipped with video conferencing technology, including microphone and camera functions; and is dedicated for client or resident use. LPA De Perio discussed with AD Ismaili to review, and subscribe for emails regarding the Provider Information Notices (PINs) as well as to attend the CCLD Informational Calls to ensure that facility and staff are up to date. The PINs can be accessed at: www.ccld.ca.gov. LPA De Perio discussed the California Code of Regulations Section 87466 Observation of the Resident and Section 87211 Reporting Requirements with AD Ismaili. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. No citations were issued. LPA De Perio advised AD Ismaili to use the general email address: CCLASCPOrangeCountyRO@dss.ca.gov for any inquiries and to specify attention to the assigned LPA. LPA De Perio conducted an exit interview with AD Ismaili and a copy of this report and copies of the regulations discussed were provided to the facility.the state’s words, verbatim · CDSS document, Nov 18, 2022

Allegation investigated: Staff do not provide appropriate care and supervision to the residents while in care. Residents are being forced to sleep.

Licensing Program Analyst (LPA) Albert Marin made an unannounced visit to deliver the findings for the complaint filed against this facility last August 24, 2021. LPA met with Administrator (AD) Kevin Ismaili and stated the purpose of this visit. On allegation that staff do not provide appropriate care and supervision to the residents while in care, the following are the findings. Based on observation, file review and interviews, two staff members start in the morning assisting the residents with their needs which included but not limited to bathing, meals, and medications. After the regular working hours, one staff member stays behind to assist residents on as needed basis. Per interviews, Four out of four witnesses stated that they did not observe any issues with the care and services being provided by the facility. LPA 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 the evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED. Page 1/2 Unsubstantiated On allegation that residents are being forced to sleep, the following are the findings. Based on observation and interviews, the facility is regularly serving dinner between 4:30 PM to 5:00 PM. After dinner residents are assisted per need and are prepared for the night. Per interviews, some residents preferred to stay in the common area and were supervised by on call staff member. Four out of four witnesses denied that residents were forced to sleep. Thus the allegation is deemed UNSUBSTANTIATED. LPA Marin conducted an exit interview with Administrator Kevin Ismaili and copy of this report was left in the facility. Page 2/2the state’s words, verbatim · CDSS document, Nov 15, 2021 · control 22-AS-20210824100223

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Albert Marin made an unannounced required annual inspection in this facility. LPA met with Administrator (AD) Kevin Ismaili and stated the purpose of this visit. The facility is a single level structure and licensed for six non-ambulatory of which one may be bedridden and with hospice waiver for four. During this visit, there was one resident under hospice care. About 12:58 PM , LPA Marin was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. For this visit, LPA observed five residents in care and two staff members on the floor. LPA toured the interior and exterior portions of the facility. There were two shared and two private resident’s rooms. Rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke, carbon monoxide and auditory exit alarms were tested to be operational. Bathrooms were observed to be in good repair and provided with grab bars and not skid floor mats. Hot water was measured at 105 degrees Fahrenheit. Facility met the minimum two day supply of perishable and seven day supply of 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 had outside furniture in good repair; and grounds were free of tripping hazards. Main exterior exit door was self closing and self latching. LPA Marin reviewed the COVID 19 mitigation plan of the facility. For this visit, the facility was observed to be in substantial compliance with Title 22 Division 6 of the California Code of Regulations. LPA Marin conducted an exit interview with AD; and copy of this report was left in the facility.the state’s words, verbatim · CDSS document, Nov 15, 2021