Aboutlife Care Facility

Type of visit: Case Management - Legal/Non-compliance

On 11/30/22, Licensing Program Analyst (LPA) Kevin Mknelly, met with designee, Tatiana Danu. The purpose of this inspection was to conduct a health and safety check related to licensee's increased monitoring during probation. LPA and Tatiana discussed process to designate a new Administrator, resolving a Admin renewal and the 18 month period where the probation length may be reconsidered. LPA confirmed that licensee met all current probation conditions. LPA toured the home. The home is well maintained and residents appeared to have needs met. Alarms and staffing meet the facilities plan of correction for the incident that lead to the probation. As a result of this inspection, no deficiencies were found. Report reviewed and copy provided.the state’s words, verbatim · CDSS document, Sep 20, 2023

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a quarterly on-site case management inspection pursuant to a Stipulation and Waiver and Order adopted on 6/10/2022. LPA met with Tatiana Danu,Administrator, and explained purpose of inspection. Also present was Elizaveta "Eliza" Scutaru, Co-Administrator and Olena Dymytresku, volunteer staff. LPA observed (3) residents in the common area and (2) residents in their rooms and a podiatrist to be on site during the inspection. During today's inspection, LPA reviewed the "Compliance Binder" and observed it to be organized and to contain tab dividers for each requirement as set forth in in the Stipulation. LPA observed a copy of the probationary license to be posted as well as the Stipulation. LPA observed the Elopement Policy and Procedure and Elopement Prevention Policy to be in the binder along with documentation for elopement drills conducted in October 2022 and April 2023. Also in the binder were staff training certificates from October 2022 and April 2023 addressing elopement. The next scheduled training is in October 2023. LPA observed additional training certificates in each staff's binder. LPA and Administrator toured the interior and exterior of the home. Several exit door alarms were tested and found to be in working order. Specifically, there are (3) alarms on each exit door that were added in May 2021. Each alarm sounds to a different device, including the system monitor, Alexa device and staff cell phones. Batteries are checked quarterly to ensure they are always in working order. Additionally, there are non-audio cameras throughout the common areas only and around the outside perimeter of the facility. The home is well-maintained and residents appear to have their needs met. Exit interview. Copy of report given to the Administrator.the state’s words, verbatim · CDSS document, Jun 21, 2023

Type of visit: Required - 1 Year

On 05/25/2023, Licensing Program Analysts (LPA) Ivan Avila, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Tatiana Danu and explained the purpose of the visit. LPA Avila and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, five (5) resident bedrooms, backyard, two (2) sheds, and common restrooms. LPA observed the facility to be clean, in good repair and odor-free and each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, trash can with lids and 20-second hand-washing poster. Facility has a 2-day perishable and a 7-day non-perishable amount of food and sharps to be locked. Hot water temperature was measured at 110 F. LPA observed one (1) fire extinguishers, fire detectors, and carbon monoxide detectors. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA reviewed a total of five (5) residents' files and one (1) staff files. Several topics were discussed. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, May 25, 2023

Type of visit: Case Management - Other

On 11/30/22, Licensing Program Analyst (LPA) Kevin Mknelly, met with licensee, Tatiana Danu. Prior to the inspection, LPA followed department Covid precautions. LPA was screened upon entering the home. The purpose of this inspection was to conduct a health and safety check related to licensee's increased monitoring during probation. LPA confirmed that licensee met all current probation conditions. LPA toured the home. The home is well maintained and residents appeared to have needs met. Alarms and staffing meet the facilities plan of correction for the incident that lead to the probation. As a result of this inspection, no deficiencies were found. Report reviewed and copy provided.the state’s words, verbatim · CDSS document, Nov 30, 2022

Type of visit: Office

On 06/24/2022, a Non-Compliance Conference was conducted today in the Sacramento North Regional Office via Microsoft Teams, due to COVID-19 precautions. Present in the meeting is Regional Manager (RM) Alycia Berryman, Licensing Program Manager (LPM) Anthony Perez, Licensing Program Analyst (LPA) Sarena Keosavang, and facility’s Administrator Tatiana Danu and Administrator Elizaveta Scutaru. The purpose of this meeting is to discuss the Stipulation and Waiver; and Order issued by the California Department of Social Services was adopted on June 10, 2022. The stipulation and waiver and order were discussed, to all present in the meeting. Tatiana Danu and Elizaveta Scutaru acknowledges document and agrees to abide by the contents set forth in said stipulation and waiver and order. The Stipulation, Waiver & Order details are as follows: 1. Standard conditions for licensee- 2 years probation with 18-months early termination and admit allegations. 2. Ensure that there is a written procedure on responding to client elopements. (This was completed with the Plan of Correction). Within (90) days, provide training to all staff on the procedure on responding to client elopements. Within thirty (30) days after completing the training, submit to the licensing office a copy of the procedures, training materials, and attendance list. 3. Elizaveta Scutaru continues to hold her administrator certificate. She must obey all laws, regulations and meeting the regulatory requirements related to the position of administrator of an RCFE. An exit interview was conducted and a copy of this report will be emailed to Administrator. Administrator is to sign the report and email it back to LPA.the state’s words, verbatim · CDSS document, Jun 24, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 04/13/2022 to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with Administrator , Tatiana Danu , and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, the daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms, and contacted facility to complete a facility risk assessment. LPA wore the following Personal Protective Equipment (PPE) during today's visit: surgical mask. LPA was screened by facility staff before entry to facility. LPA and Administrator toured facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to: kitchen, common areas, five (5) bedrooms , three (3) bathrooms, medication closet , staff break room, laundry area and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Administrator completed the infection control domain together and facility was found to be in substantial compliance at this time. No deficiencies are being cited as a result of today's inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Apr 13, 2022

Type of visit: Case Management - Legal/Non-compliance

On November 22, 2021, Licensing Program Analyst (LPA) Bethany Mirlohi and Jacob Williams met with Administrator of facility Aboutlife Care Facility, Tatiana Danu, at approximately 10 AM. 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. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Masks. Additionally, LPA was screened by staff upon entering the facility. This report is for a case management visit to follow up on a deficiency cited at the facility regarding an incident that occurred on April 16, 2021, in which a resident needing assistance to leave the facility, left the facility grounds unassisted resulting in the resident sustaining an injury. On April 28, 2021, at 10:00 a.m., the Community Care Licensing Division (CCLD) conducted a case management visit. LPA Jasmine McCrory reviewed documentation at the facility, including resident R1’s needs and services plan, hospital discharge paperwork, staff training, Personnel Report (LIC 500), and resident files. Continuation on 809-C. According to incident report provided to the Department on April 19, 2021, R1 left the facility grounds unassisted on April 16, 2021. It is notated that R1 has a diagnosis of Alzheimer’s and, based on medical assessment, is unable to leave the facility unassisted. According to interviews, once staff realized R1 was missing from the facility at 7:49 a.m., staff searched the backyard and nearby streets but could not locate R1. Facility contacted local law enforcement to report R1’s elopement. At 8:20 a.m., local law enforcement reported to the facility that R1 was found by a pedestrian lying on the ground approximately 1.4 miles away from the facility. R1 appeared to be injured and the pedestrian called for an emergency ambulance. R1 was transported to a local hospital where R1 was treated for an injury with lacerations that required sutures. R1 was admitted to the hospital for injuries on April 16, 2021, and was discharged back to the facility on April 17, 2021. Based on the investigation findings, the facility did not provide proper care and supervision to R1 in accordance with R1s’ needs and service plan, resulting in R1 sustaining injuries while eloping from the facility. A deficiency was cited for violating California Code of Regulations, Title 22 Division 6, Chapter 8, regulation § 87468.2(a)(4) - In addition to the rights listed in § 87468.1, Personal Rights of Residents in All Facilities, resident in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. Continuation on 809-C. At the time of the complaint visit, an immediate civil penalty of $500 was issued and the licensee was informed that an additional civil penalty was still being determined and might be assessed based on Health and Safety Code § 1569.49. Today, 11/22/21, the Department will be issuing a civil penalty per Health and Safety Code 1569.49, in the amount of $9,500 ($10,000.00 less $500.00 previously issued on April 28, 2021). An exit interview was conducted and a copy of the report of the report was issued. Appeal rights provided. Tatiana Danu signature on this report acknowledges receipt of these rights, found on page 2 of the LIC 421D.the state’s words, verbatim · CDSS document, Nov 22, 2021

Type of visit: Case Management - Legal/Non-compliance

A non-compliance conference was conducted today via Webex due to COVID-19 and precautionary measures. The purpose of this conference meeting was to discuss a recent case management visit which resulted in 1 Type A citation and 1 civil penalty. Present in the meeting was CCLD staff, including Regional Manager Alycia Berryman, Licensing Program Manager Laura Munoz, Licensing Program Manager Troy Ordonez, and Licensing Program Analyst Michael Hood, and facility staff, including the Licensee Elizaveta Scutaru, Administrator Tatiana Danu, and Caregiver Mihai Danu. The conference process was explained during this meeting. Issues discussed during this meeting were: · Incident report indicating that a resident had left the facility unassisted despite being unable to leave the facility unassisted. Incident resulted in injury to the resident which required medical treatment for a head injury with lacerations that required sutures. The facility has stated that they will do the following to achieve continued and substantial compliance: · Added an additional alarm to backyard gate which sends signals to staff member pagers along with adding a security camera near backyard exit. Facility has also increased the volume to alarms. · Hire on-call or part-time staff to ensure there are sufficient staff available at all times. · Develop a written plan to address elopements. An exit interview was conducted and a copy of this report will be provided to the facility via email. A copy must be signed and returned to CCLD.the state’s words, verbatim · CDSS document, Jul 9, 2021