Advanced Healthcare - RCFE

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct an annual inspection. LPA met with Administrator Carmen Urzeala during today's inspection. LPA ensured they applied hand sanitizer before entering the facility. LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured 5 resident rooms, 1 staff room, 4 bathrooms, kitchen, common living spaces, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. 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. Administrator stated activities are being provided daily. LPA observed an adequate amount of linens and found the first aid kit to be complete. LPA reviewed 3 of 6 resident files and 2 staff files. LPA reviewed medications of three residents comparing with Centrally Stored Medication Record and physician orders. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current first aid certificates and training completed. LPA observed a copy of current liability insurance. No deficiencies are being cited as a result of todays inspection. Exit interview conducted.the state’s words, verbatim · CDSS document, Jun 28, 2023

Allegation investigated: Staff refused to provide a refund to residents authorized representative.

On 9/12/22, Licensing Program Analyst (LPA) Kevin Mknelly spoke to Carmen Urzeala, Licensee/Administrator. LPA adheared to department covid guidance, was screened at the facility ad wore a surgical mask. LPA reviewed R1 resident records, and conducted interview with the licensee. LPA finds that the allegations cited above are substantiated. R1 had a change of condition in the time between a deposit at the facility and eventual admission. This caused a delay in admission and increase in level of care. Licensee did not reimburse prorated funds through an oversight and R1's responsible party did not request reimbursment. The licensee acknowledged the error and will reimburse moneys owed following R1's passing. As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard Substantiated has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed with Licensee . Copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Sep 12, 2022 · control 25-AS-20220907081744

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87507(g)(5)(A) · Plan of correction due date: Oct 10, 2022

Admission Agreements(5) Refund conditions.(A) Facility policy concerning refunds, including the conditions under which a refund for advanced monthly fees will be returned in the event of a resident’s death, pursuant to Health and Safety Code section 1569.652 This requirement was not met based on interview and records that found R1's family was not reimbursed within 15 days of R1's passing and belongings removed. This posed a potential risk to R1's personal rights.the state’s words, verbatim · CDSS document, Sep 12, 2022

Plan of correction: Licensee will provide proof that the reimbursment was made to R1's representative's satisfaction by the POC date of 10/10/22. The amount owed the representative will not excede 24 prorated days.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 5/24/22 to conduct a Annual Inspection utilizing the infection control domain. LPA met with staff and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPA were screened by facility staff upon entering the facility. LPA requested for staff to notify Administrator that LPA is present at the facility to conduct an annual inspection. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. LPA and licensee completed the infection control domain. Home is in significant compliance. Water temperature was adjusted while LPA was present LPA received the following records: Resident roster, staff roster lic 500, proof of insurqnce and LIC 308 (for designees if applicable). As a result of this visit, no deficiencies were observed. Exit interview conducted and copy of report providedthe state’s words, verbatim · CDSS document, May 24, 2022