Grace Garden Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct an annual inspection. LPA met with administrator Mary Bot during today's inspection. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Masks. LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured 4 resident rooms, 1 staff room, 1 bathroom, kitchen, common living spaces, backyard and the garage area. In the areas toured no immediate health, safety, or personal rights violations were observed. Administrator stated there has been no positive COVID cases at the facility, but have an isolation room and additional PPE will be purchased. LPA toured the backyard and all exits are accessible and unlocked. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete. Administrator to send CCL a copy of liability insurance, LIC308, and administrator certificate. No deficiencies are being cited as a result of todays inspection. Exit interview conducted.the state’s words, verbatim · CDSS document, Jan 18, 2023

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Allegation investigated: Staff did not provide adequate wound care causing resident's wound to worsen Facility doors are not secured or equipped with an auditory device or other alert feature to monitor exits

On November 8 2022, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived unannounced to deliver findings for the allegations above. LPA met with Mary Bot, Administrator and informed her the reason for the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms and completed a facility risk assessment. LPA ensured she applied hand sanitizer before entering the facility and a N-95 mask was worn for Personal Protective Equipment. Staff did not provide adequate wound care causing resident's wound to worse The Hospice Nurse (HN) confirmed that she is a Registered Nurse (RN) Case Manager and was interviewed. HN stated R1 wounds never progressed past stage 2 wounds and are now healing. Hospice records were obtained and document wound care for stage 1 and stage 2 wounds. The resident’s wounds never progressed past stage 2 and the resident is on hospice care. Based on the information obtained, the allegation that staff did not provide adequate wound care causing resident's wound to worse is UNFOUNDED, meaning the allegation was false, could not have happened and/or is without a reasonable basis. To continue see 9099-C... Unfounded Insufficient staffing to meet resident needs This investigation included interviews with 5 residents, 3 facility licensee, facility administrator and direct care staff. LPA reviewed service hours and compared the level of care for residents. The facility does have a contract with a caregiver agency that will send over caregivers upon request to ensure the staffing level is met. Based on the information obtained, the allegation that there is Insufficient staffing to meet resident needs is deemed UNFOUNDED at this time, meaning, that the allegation was false, could not have happened and/or is without a reasonable basis. Facility doors are not secured or equipped with an auditory device or other alert feature to monitor exits LPA arrived at the facility unannounced to conclude the complaint visit for the above allegations. LPA met with Administrator Mary Bot. Over the course of the investigation, LPA reviewed facility documents, conducted interviews, obtained copies of facility documents, and inspected facility grounds. The facility is equipped with an Auditory System on the doors which are used to notify staff. This signal system in the facility does meet guidelines for Title 22. This agency has investigated the complaint alleging residents not given alarm devices. Based on LPA’s observation and records reviewed, we have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. To continue see 9099-C2 C-2 Staff do not ensure that residents are fed nutritious meals with a sufficient quantity It was alleged that facility staff failed to provide residents with nutritious meals. Staff and residents interviewed stated the food they receive was nutritious. LPA reviewed records, conducted interviews, and toured the facility in regard to the allegation. It was stated in interviews with 5 residents and 3 staff that fruits and vegetables are provided to residents "every day". LPA toured the facility and observed a large number of fruits and vegetables as well as eggs and dairy, and a large amount of fresh and frozen meat. LPA obtained the facility menu and observed that meals regularly include fruits and vegetables and appear to be nutritious and of the quality and in the quantity necessary to meet the needs of the residents. Based on information obtained, the allegation may have happened or is valid, however, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Administrator's designated substitute is not available to manage the facility in the Administrators absence. LPA interviewed staff members and reviewed documentation. Regarding the allegation that residents are not being properly supervised, and the substitute administrator is not available to manage the facility in the administrator’s absence all staff and residents interviewed expressed that they believe there is sufficient staff coverage. There are plans in place when staff call in sick to call extra staff or use a staffing agency if needed to stay fully staffed. Residents who require constant supervision are kept busy with in activities room in common areas. ADM2 stated never received any calls after hours or during hours when ADM2 was working. Regarding facility administrator, it was found that ADM2 has a current Administrator Certificate and has been acting as the main administrator until the parents (Licensees/Administrators) return from vacation. Based on LPA’s observation and records reviewed, the allegation is UNSUBSTANTIATED, meaning although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur.the state’s words, verbatim · CDSS document, Nov 8, 2022 · control 25-AS-20220805160406

Allegation investigated: Personal Rights: Staff lifting resident improperly. Personal Rights: Staff verbal abuse to resident.

On March 9, 2022, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived unannounced to deliver findings for Complaint # 25-AS-.20211207144615. LPA met with Mary Bot, Licensee and explained the purpose of the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of g COVID-19 infection to affirm no COVID-19 related symptoms and completed a facility risk assessment. LPA ensured she applied hand sanitizer before entering the facility and a N-95 mask was worn for Personal Protective Equipment.. During the investigation, LPA interviewed 4 residents and 4 facility staff. LPA obtained and reviewed the following documents: Admission Agreements, Physician’s Reports, Bill of Rights, Dec 2021 Staffing Schedule, Staff Roster, and Resident Roster. To continue see 9099 -C... Unsubstantiated Allegation: Facility staff lifted resident improperly and staff verbally abused resident. On 2/24/2022, LPA conducted interviews regarding the allegations listed above. During staff interviews, 4 of 4 staff stated they had never verbally abused a resident. During resident interviews 4 of 4 residents stated that staff treats them with dignity. It was also alleged facility staff improperly lifted resident. Residents stated in interviews that staff do not injure them during lifts or transfers. All residents stated that staff have never lifted them improperly during transfers. The Licensee/Administrator conducted an internal investigation and found no information which suggests facility staff lifted resident improperly and staff verbally abused resident. LPA was unable to interview the accused staff due to no contact information available. LPA was also unable to interview hospice aid worker after multiple attempts to contact. Based on information gathered, the allegations that facility staff lifted resident improperly and staff verbally abused resident are UNSUBSTANTIATED, meaning, although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the above allegations did or did not occur. Per California Code of Regulations, Title 22, no deficiencies were cited regarding the above allegations. Exit interview was conducted and a copy of this report was given to Mary Bot.the state’s words, verbatim · CDSS document, Mar 9, 2022 · control 25-AS-20211207144615

Type of visit: Annual/Random

On February 3, 2022, Licensing Program Analyst DeAnna Williams-Lyons arrived unannounced to conduct and Annual inspection. LPA met with Mary Bot, the administrator, and informed her the reason for the visit. Prior to the visit, Prior to visit, LPA completed the required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 and completed a facility risk assessment. LPA ensured she applied hand sanitizer before entering the facility and worn a mask for Personal Protective Equipment (PPE). LPA completed the inspection tool questionnaire with Mary no issues or advisories to report. LPA observed the following: This is a 6 bedroom 3 bathroom home. Administrator certificate is valid and expires 12/7/2022. First aid kit fully stocked and ready for emergency use. Fire extinguishers fully charged. Smoke alarms and Carbon Monoxide detector are working Hot water temperature measured 105 degrees F. Common areas were clean and in good repair. Bedrooms had required furniture and lighting. Facility has required (2) day perishable supply of food and (7) supply of non-perishable food. Medication was properly stored and locked away. There are no bodies of water on the premises. As a result of this visit, no deficiencies were cited, per Title 22 Regulations, Division 6. Exit interview conducted and a copy of this report given to Mary Botthe state’s words, verbatim · CDSS document, Feb 3, 2022

Type of visit: Required - 1 Year

On September 14 2021, at 11am, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived unannounced to conduct a required 1 year inspection. LPA met with Shevon Witter, caregiver. and explained purpose of inspection. The administrator was unavailable at this time. Prior to initiating the inspection LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; and completed a facility risk assessment. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: mask. Additionally, LPA was screened by the front desk personnel upon arrival. LPA completed the inspection tool questionnaire with Shevon no issues or advisories to report. LPA observed the following: This is a 6 bedroom 3 bathroom home. Administrator certificate is valid and expires 1/16/2022. First aid kit fully stocked and ready for emergency use. Fire extinguishers fully charged. Smoke alarms and Carbon Monoxide detector are working Hot water temperature measured 105 degrees F. Common areas were clean and in good repair. Bedrooms had required furniture and lighting. Facility has required (2) day perishable supply of food and (7) supply of non-perishable food. Medication was properly stored and locked away. There are no bodies of water on the premises. As a result of this visit, no deficiencies were cited, per Title 22 Regulations, Division 6. Exit interview conducted and a copy of this report given to Shevon Witterthe state’s words, verbatim · CDSS document, Sep 14, 2021