Maryknoll Senior Care

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Licensee does not ensure facility is adequately staffed to meet resident's needs

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez regarding the allegation mentioned above. LPA met with Administrator (AD) Frances Amanda Umali and explained the purpose of the inspection. It is alleged residents are left alone in the facility. Upon arrival, LPA observed two staff presently working at the facility. LPA obtained and reviewed a copy of Personnel Report (LIC500) and observed there to be staff coverage at all times. Interviews were conducted with four facility staff and four residents. During their interview, four of four residents denied the facility or residents being left alone or unattended, and stated staff is always present to assist. Four of four staff interviewed also denied facility or residents ever being left alone or unattended by staff. Per all four staff, in the event that staff need to run an errand or leave the facility, there is always an additional staff to stay at the facility to supervthe state’s words, verbatim · CDSS document, Mar 26, 2025 · control 22-AS-20250324161418

Allegation investigated: Staff did not prevent resident from exposing herself while in the presence of other residents in care Staff did not prevent resident from having physical altercations with other residents in care

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analysts (LPAs) Claudia Gutierrez and Samer Haddadin regarding the allegations mentioned above. LPAs met with Administrator (AD) Frances Amanda Umali and explained the purpose of the inspection. Interviews were conducted with three facility staff, and three residents, regarding the allegation staff did not prevent resident from exposing herself while in the presence of other residents in care. Three of three staff interviewed denied any resident exposes themselves in the presence of other residents. Three of three residents interviewed denied exposing themselves to other residents and denied witnessing other residents exposing themselves. Interviews were conducted with three facility staff, and three residents, regarding allegation staff did not prevent resident from having physical altercations with other residents in care. (Cont. LIC9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 22, 2024 · control 22-AS-20240813083750

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility lacked supervision resulting in resident sustaining multiple fractures.

Licensing Program Analyst (LPA) Jessica Cho arrived unannounced and met with Administrator Frances Umali for the purpose of delivering the findings into the above allegation. On November 3, 2023, the Department received the complaint, and the investigation was initiated by LPA Joseph Alejandre on November 6, 2023. LPA Alejandre obtained records pertaining to Resident #1 (R1) during the initial visit. The investigation completed by the Department revealed the following: It is alleged that the facility lacked supervision resulting in the resident sustaining multiple fractures. Based on record review, R1 was admitted to the facility on August 14, 2019. The initial assessment for R1 documented the following conditions on the Physician’s Report dated August 23, 2019: Mild Cognitive Impairment, ambulatory without physical assistance, and requiring minimal assistance with their Activities of Daily Living (ADLs). Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 15, 2024 · control 22-AS-20231103161201

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff took photos of resident without consent.

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced 10-day visit to the facility for the complaint received on 12/11/23 and to deliver the findings. LPA De Perio explained the purpose of today's visit, was greeted, and granted entry by staff on duty (S1), and met with facility administrator (AD) Amanda Umali. During the investigation, LPA De Perio toured the physical plant of the facility, conducted interviews, and requested copies of pertinent records reviewed. It was alleged that staff took photos of resident without consent. Per record review, it was observed that all 4 residents (R1, R2, R3, R4) and/or their responsible party signed a "Permission to Photograph" form upon admission. The document stated that R1, R2, R3, and R4, may be photographed for the following reasons: resident file, activities/parties, accidents/injuries. Unfoundedthe state’s words, verbatim · CDSS document, Dec 14, 2023 · control 22-AS-20231211163815

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff do not treat resident(s) in care with dignity. Staff do not ensure that resident(s) in care are provided with a sufficient amount of food. Staff discriminate against resident(s) in care.

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of delivering findings into the investigation of the three allegations listed. LPA was greeted and granted entry by facility staff after explaining the reason for the visit. Facility administrator Amanda Umali was notified of the visit by telephone and read the report. An initial complaint investigation visit was conducted on September 13, 2023. LPA conducted or attempted interviews with the four residents present at the facility at the time of the visit. Resident records were requested, obtained and reviewed at the facility. A tour of the physical plant was conducted in the company of one of the three caregivers present. Two staff members including facility administrator were additionally interviewed during the visit. Additional witness interviews were later conducted by telephone. CONTINUED ON FORM LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 17, 2023 · control 22-AS-20230908155926