Cura Amore

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility, as a case management visit, to have the Administrator Vito sign an amended complaint #56-AS-20220502165138. LPA Prieto toured the facility with Administrator. The facility has 6 clients at the home during this visit. LPA Prieto and Ms Vito signed the complaint report and a copy with the facility.the state’s words, verbatim · CDSS document, Oct 23, 2023

Allegation investigated: Staff do not assist the resident with incontinence care. Staff do not provide activities. Staff yell at the resident. Staff misplaced the resident's belongings. Staff do not assist the resident with hygiene.

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to investigate and deliver findings for the allegations listed above. LPA stated the purpose of the visit and was granted entry and met with Administrator Anna Bella Vito. The investigation consisted of a facility tour, resident interviews, staff interviews, and document review. For allegation, Staff do not assist the resident with incontinence care: Interviews with residents and the staff revealed that there are no issues with the staff providing incontinence care to the residents. The staff denied neglecting the resident’s incontinence needs. The staff stated that the resident’s diapers are changed when the residents wake up, after each meal, before bed, as well as more often on an as needed basis. The residents do not have any concerns with their incontinence care being provided by the staff. Unsubstantiated For allegation, Staff do not provide activities: LPA toured the facility and found a supply of activities and games in the main living area. Interviews with residents and the staff revealed that the staff provide activities for the residents. The facility has activities such as watching movies together, eating meals outside together, puzzles, bingo, coloring, balloon toss, and hand/leg exercising. The residents do not have any concerns with the number of activities available at the facility. For allegation, Staff yell at the resident: Interviews with residents and the staff revealed that the staff do not yell at the residents. The staff denied yelling at the residents. The residents denied that the staff yell at them. For allegation, Staff misplaced the resident's belongings: Interviews with residents and the staff revealed that there was no evidence of the staff misplacing a resident’s belongings. The staff denied taking or moving personal items from the resident’s bedrooms. If a resident misplaces a personal belonging, the staff will help the resident look for the item. The residents denied having any issues with staff misplacing their personal belongings. For allegation, Staff do not assist the resident with hygiene: Interviews with residents and the staff revealed that there are no issues with resident hygiene. The staff denied neglecting the resident’s hygiene needs. The residents stated that the staff helps them with their hygiene needs. Overall, there was not enough evidence to collaborate the allegations listed above. Based on evidence obtained during the investigation, the five (5) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Anna Bella Vito, along with a copy of the appeal rights.the state’s words, verbatim · CDSS document, Oct 16, 2023 · control 18-AS-20210316130446

Allegation investigated: Resident speaks inappropriate to other residents in care. Staff not providing adequate services to resident Staff not able to communicate with residents Facility is malodorous. Illegally eviction

Licensing Program Analyst (LPA) Javier Prieto made an unannounced visit to investigate and deliver findings for the allegations listed above. LPA stated the purpose of the visit and was granted entry and met with Administrator Anna Bella Vito. The investigation consisted of a facility tour, resident interviews, staff interviews, and document review. For allegation, Resident speaks inappropriate to other residents in care: Interviews with residents and the staff revealed that there are no issues with the resident #2 (R2) speaking inappropriate to other residents. R2 was clam and alert and occasionally yell out loud due to a dementia diagnosis. For allegation, Staff not providing adequate services to resident: Interviews with residents and the staff revealed that there are no issues the services provided. The facility clean, meals are being given at the appropriate times and medications are dispensed according to doctor's orders. For allegation, Staff not able to communicate with residents: Interviews with residents and the staff revealed that there are no issues communication. Questions were answered clearly and accurately. For allegation, Facility is malodorous : Tour of the facility revealed a clean, neat facility and free of odors. For allegation, illegally eviction: Interviews with resident #1 (R1) and staff revealed that there was no eviction notice given at time of investigation. R1 left the facility cooperatively after issued of a 30 day notice. Overall, there was not enough evidence to collaborate the allegations listed above. Based on evidence obtained during the investigation, the five (5) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. A copy of this report was signed by LPA Prieto and Ms Vito. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 11, 2023 · control 56-AS-20220502165138

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: Case Management - Other

Licensing Program Analyst (LPA) Victoria Chitgian made an unannounced visit to the facility to conduct a case management visit to follow up on a past complaint. LPA met with licensee Annabella Vito. The case management visit consisted of conducting staff and resident interviews in regards to complaint #18-AS-20210318100048. Interviews with staff revealed no inappropriate behavior has been seen or heard of towards the residents from staff. Interviews with residents confirm they enjoy living here. Resident 1(R1) stated they are given excellent care. Resident 2 (R2) stated he has not seen or heard any concerning or inappropriate acts from staff toward resident. Resident 4 (R4) stated the staff are very nice, helpful people. Staff 1(S1) stated he has not seen, heard or witnessed a staff inappropriately handle a resident. During this visit, LPA observed deficiencies not related to the case management visit. During the visit LPA completed a walk through the facility and reviewed documentation. While investigating records, LPA observed Staff 2 (S2) did not have fingerprint clearance. This poses an immediate health and safety risk to residents in care. LPA reviewed documents that showed S2 worked at the facility for two (2) days. Documentation of Personnel Records (LIC 501) for S2 show the date of employment began November 15, 2022. One(1) deficiency was issued per Title 22 Division 6 of the California Code of Regulations. A Civil Penalty of $200 was assessed on 11/17/2022. Refer to LIC809-D for deficiencies cited. An exit interview was conducted, and copy of this report (LIC809), LIC 809-D, LIC421BG, and appeal rights was provided to licensee Annabella Vito.the state’s words, verbatim · CDSS document, Nov 17, 2022

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(1) · Plan of correction due date: Nov 17, 2022

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: The licensee did not comply with the section cited above as:the state’s words, verbatim · CDSS document, Nov 17, 2022

Plan of correction: Licensee shall submit a Criminal Record Clearance to Community Care Licensing for Staff 2 by the Plan of Correction (POC) date of 11/18/2022. Proof of submission to be submitted to LPA Chitgian.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(1) · Plan of correction due date: Nov 17, 2022

Staff 2 did not have criminal clearance to work at the facility which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Nov 17, 2022

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Jennifer Semin conducted an unannounced case management visit to obtain additional information pertaining to complaint control number 18-AS-20200515090558. LPA met with Red Santos. LPA obtains additional information and an exit interview was conducted where this report was discussed and provided to Mr. Santosthe state’s words, verbatim · CDSS document, Jul 21, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Amy Goldenberg made an announced visit to the facility. The purpose of the visit was to conduct a required annual inspection, with an emphasis on infection control due to the COVID-19 pandemic. LPA was met at the door by caregivers and granted entry into the home. The staff are wearing masks. LPA is informed that there are no COVID positive individuals in the home. Precautionary Covid-19 postings are present at the front door and at the entry point. There is one entry point designated where sign in procedures and screening will occur. The staff temperature screen visitors upon entry into the facility. LPA is informed that there are currently five (5) residents in the home. LPA conducted a brief tour of the facility and made observations pertaining to the facility's infection control measures. The facility was equipped with sufficient hand hygiene supplies, sufficient cleaning and disinfecting provisions, and has a limited supply of Personal Protective Equipment (PPE). LPA discussed the availability of additional PPE supplies to the facility at the time of this visit and advised the facility representatives to contact our office in the event additional supplies are necessary. Based on observations made during today’s inspection, there are no deficiencies being cited per Title 22, Division 6, of the California Code of Regulations. LPA reviewed this report with and a copy was provided to the facility representative.the state’s words, verbatim · CDSS document, Mar 14, 2022

Allegation investigated: Facility is retaining resident requiring a higher level of care

Licensing Program Analyst (LPA) Jennifer Semin conducted an unannounced visit to the facility to deliver the findings for the above complaint allegation. LPA met with Caregiver, Eddie Dabu. Administrator Anna Bella Vito was notified via telephone. The investigation consisted of interviews and record review. The allegation, Facility is retaining resident requiring a higher level of care. Facility staff stated staff did give R1 their medication and did check their blood sugar. Staff stated staff did not take R1 to any doctor or lab appointments. Staff stated R1 was transported to the hospital per physician’s request and admitted to a higher level of care. R1 could not corroborate or refute the allegation. Based on interviews and documentation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 & Chapter 1) is being cited on the attached LIC9099D. An exit interview was conducted where this report, LIC9099D, and appeal rights were discussed and provided to Ms.Vito via telephone and Mr. Dabu Substantiatedthe state’s words, verbatim · CDSS document, Feb 15, 2022 · control 18-AS-20200515090558

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.2(a)(4) · Plan of correction due date: Feb 16, 2022

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. This regulation was not met as evidence by: staff did not notify doctor or representative when R1 had a change in condition that required a higher level of care for R1. This poses an immediate risk to residents in care.the state’s words, verbatim · CDSS document, Feb 15, 2022

Plan of correction: Licesnee shall read the reguakltion in its entirety and submit a statement of understandiing to CCL by the POC due date of 2/16/2022.

Allegation investigated: Staff member inappropriately handled resident.

Licensing Program Analyst (LPA) Jennifer Semin conducted an unannounced visit to the facility to deliver the findings for the above complaint allegation. LPA met with Administrator Anna Bella Vito. The investigation consisted of interviews and record review. The allegation, Staff member inappropriately handled resident. All staff stated they do not handle residents roughly or inapproprioately. Staff 1 stated Resident 1 (R1) did not report anything to her nor did R1 have any sign of injury. Relevant party stated Resident 1 (R1) did not have any signs or symptoms of injury, complaint of any staff mistreatment and was R1 was on pain management medication. R1 stated the staff were very nice and never hurt her. Based on interviews and although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED at this time. An exit interview was conducted where this report was discussed and provided to Ms. Vito. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 8, 2021 · control 18-AS-20210318100048

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Jennifer Semin conducted a case management visit while conducting a visit to deliver findings for complaint # 18-AS-20210318100048. LPA met with Administrator Anna Bella Vito. At 2:03pm, LPA observed the backyard to have a unfilled in ground swimming pool with the gate open and unlocked and accessible to residents in care. Facilities providing services to residents who have physical or mental disabilities shall assure the inaccessibility of fishponds, wading pools, hot tubs, swimming pools, or similar bodies of water, when not in active use by residents, through fencing, covering or other means. This requirement was not met as evidence by LPA observed the unfilled in ground swimming pool in the backyard to have the gate open and unlocked. This poses an immediate health and safety risk to residents in care. A deficiency will be cited. At 2:49 pm Ms. Vito stated Resident 1 had refused 911 assistance but did not report this incident to CCLD. A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met as evidence by administrator admitted to Resident 1 requiring 911 assistance but did not report the incident to CCLD. This poses an immediate health and safety risk to residents in care. A deficiency will be cited. An exit interview was conducted where is report was discussed and provided to Ms. Vito.the state’s words, verbatim · CDSS document, Nov 8, 2021

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87307(e) · Plan of correction due date: Nov 9, 2021

Personal Accommodations and Services: Facilities providing services to residents who have physical or mental disabilities shall assure the inaccessibility of fishponds, wading pools, hot tubs, swimming pools, or similar bodies of water, when not in active use by residents, through fencing, covering or other means. This requirement was not met as evidence by LPA observed the unfilled swimming pool in the backyard to have the gate open and unlocked. This poses an immediate health and safety risk to residents in carethe state’s words, verbatim · CDSS document, Nov 8, 2021

Plan of correction: LIcensee shall read the regulation in it's entirety, train staff on this regulation, submiot a statemwent of understanding and trasining log to CCL by the POC due date of 11/9/2021. Staff locked and secured the pool while LPA was present.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87211(a)(1)(D) · Plan of correction due date: Nov 9, 2021

Reporting Requirements: Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below... ....Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.his requirement was not met as evidence by administrator admitted to Resident 1 requiring 911 assistance but did not report the incident to CCLD. This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Nov 8, 2021

Plan of correction: LIcensee shall read the regulation in it's entirety, train staff on this regulation, submit a statemwent of understanding and trasining log to CCL by the POC due date of 11/9/2021