Love & Light

Allegation investigated: Staff yelled at resident Staff spoke inappropriately to resident

On 10/19/23, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with the licensee. LPA conducted extensive interviews. LPA is unable to find and or meet the preponderance, per policy. LPA conducted interviews with R1, R2 and R3, licensee, administrator and home health personnel. No interviewee could significantly corroborate the incident alleged personal rights violations. Residents interviewed stated that their care needs are met by caregivers. As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview with administrator. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 19, 2023 · control 59-AS-20230927111558

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Sabrina Calzada arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the full inspection care tool. This report is being created in the system to clear the post-licensing inspection that was not previously conducted. A separate report was created to document the required annual inspection. Administrator confirmed the first resident moved in around July 2022. There are no deficiencies cited in this report. Exit interview. Copy of report provided to Administrator.the state’s words, verbatim · CDSS document, Apr 28, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the full inspection care tool. LPA met with Larisa Romanova, Administrator, and Doru Juganaru, Administrator, and explained the purpose of today's inspection. LPA observed (2) clients in the common areas and (3) resident in their rooms at the start of the inspection. One resident had (2) visitors with him in his room. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver for (2). Currently, there are (0) residents on hospice. LPA and Administrators toured the interior and exterior of the facility including the common areas, (4) private resident bedrooms, (1) shared resident bedroom, (3) resident bathrooms, staff room, kitchen, laundry and garage. LPA observed the facility to be clean, in good repair and odor-free. LPA observed each bathroom to have the necessary grab bars, non-skid flooring, paper towels, trash can with lid and 20-second hand-washing poster. LPA observed sufficient 2+day perishable and 7+day non-perishable supply of food and sharps and medications to be locked in the kitchen. All toxins are locked in the laundry area. LPA observed sufficient PPE supplies.. The inside temperature measured 78*F. The smoke/monoxide alarms were working and the fire door closed automatically when alarm was sounded. There is (1) unlocked gate on the inside back patio and outside seating. LPA reviewed (1) of (5) resident files and found it to contain current documentation. LPA reviewed (2) staff files and found them to contain current documentation with current First Aid/CPR certification and current/pending RCFE Administrator certificates. Hot water measured 110*F in one bathroom. LPA observed all required postings to be posted and several Covid posters. Facility has an approved Infection Control Plan. Emergency Disaster Plan was updated 3/1/23. Both staff are cleared and associated to the facility. An updated copy of liability insurance was obtained. LPA requested an updated copy of LIC308 and LIC500 be sent to the Department by 5/5/23. There are no citations issued; however, there is a Technical Advisory Note during today's inspection. Exit interview. Copy of report provided to Administrators.the state’s words, verbatim · CDSS document, Apr 28, 2023

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility announced on 2/2/22 to conduct a Pre-licensing referencing the infection control domain. LPA met with staff designee and explained the purpose of the visit. Prior to initiating the pre-licensing 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 contacted licensee and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical Mask. 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. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Duru completed the infection control recommendations and facility was found to be in substantial compliance at this time. Component III review completed. Facility is in significant compliance License pending approval. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Apr 7, 2022