Ampm Comfort Care

Allegation investigated: Staff left resident on floor for an extended period of time. Staff left resident soiled for an extended period of time. Staff did not provide resident with clean linen.

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to deliver findings of the above allegations. LPA met with Russell Aguinaldo, Administrator. The Department’s investigation involved interviews with staff and residents and review of records. It was alleged staff left resident on floor for an extended period of time. According to the information received, Resident #1 (R1) was reportedly found on the floor and soaked in urine. LPA’s record review revealed R1 was admitted in April 2022 with primary diagnosis of a cognitive condition. LPA interviewed R1, who stated they fell while attempting to get out of bed without requesting staff assistance. R1 reported that Staff #1 (S1) entered the room shortly after their fall and found them on the floor. R1 was unable to recall the exact duration they remained on the floor or whether they had been changed prior to their fall incident. R1 stated they were not on the floor for long periods when Staff #1 (S1) came into the room to check on them. Continued on LIC9099-C.... Unsubstantiated LPA conducted interviews with three (3) other residents and their relevant parties, all of whom stated the staff have provided good care for the residents, including regular checks throughout the day and night. LPA conducted an interview with S1 who stated they checked on R1 a few hours before they found R1 on the floor. LPA’s interview with the Administrator corroborated the statements of S1 and the residents. Based on the record review and interviews conducted, there is insufficient evidence to support the allegation that staff left resident on the floor for an extended period of time. The allegation is unsubstantiated. It was alleged that staff left resident soiled for an extended period of time. According to the information received, R1 was found soaked in urine, and their bed had multiple absorbent pads with significant amount of urine. LPA’s file review revealed medical condition affecting R1’s appetite. LPA conducted an interview with R1, who stated staff have provided regular checks and incontinence care throughout the day. LPA conducted an interview with R1’s relevant party (RP), who stated that staff have provided regular checks and incontinence care. RP stated they have visited R1 every other day and have never noticed any issue with staff providing incontinence care. RP also acknowledged R1’s medical condition related to their appetite. LPA conducted interviews with three (3) other residents and their relevant parties, all of whom denied ever being left soiled or experiencing neglect in incontinence care. LPA conducted interviews with two (2) staff members, all of whom stated that all residents receive regular checks and incontinence care throughout the day. Both staff members emphasized that the facility operates as a small home setting, allowing staff to remain in close proximity to residents at all times. Based on the record review and interviews conducted, there is insufficient evidence to support the allegation that staff left resident soiled for an extended period of time. The allegation is unsubstantiated. It was alleged that staff did not provide resident with clean linen. According to the information received, R1’s bed had multiple absorbent pads soaked with significant amount of urine. LPA’s file review revealed that R1 required incontinence care. LPA conducted an interview with R1, who stated that the absorbent pads on the bed are for extra protection in case of any leak from incontinence briefs. R1 stated staff have provided linen change whenever necessary or after bathing. LPA conducted an interview with R1’s relevant party (RP), who stated that staff have provided linen changes regularly. RP has visited R1 every other day and has never noticed soiled linen or bedding. LPA conducted interviews with three (3) other residents and their relevant parties, all of whom stated staff have provided linen change with every bath. Continued on LIC9099-C.... LPA observed that R1 was the only resident who had absorbent pads on their bed. LPA’s interviews with two (2) staff members corroborated the statements from the residents and their relevant parties. Based on the record review and interviews conducted, there is insufficient evidence to support the allegation that staff did not provide resident with clean linen. The allegation is unsubstantiated. A finding of Unsubstantiated means that the allegation may have occurred or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. LPA toured the interior and exterior areas of the facility and did not find any health and safety concerns. An exit interview was conducted where a copy of this report was provided.the state’s words, verbatim · CDSS document, Oct 27, 2025 · control 18-AS-20250929192313

Type of visit: Prelicensing

On 7/24/24 Licensing Program Analyst (LPA) Seo Jeon and Licensing Program Manager (LPM) Rikesha Stamps made an announced visit to the facility for the purpose of conducting a prelicensing inspection. LPA met with Applicant/Administrator Russell Aguinaldo, whom accompanied LPA for the inspection. The Applicant has submitted an application(change of ownership) for 6 residents (6 non ambulatory of which 1 maybe bedridden). On 11/7/23 the Riverside County Fire Department approved a fire clearance for which the applicant has applied for (bedroom #1), is specifically for a bedridden resident and rooms 2, 3, 4 and 5 are for non-ambulatory residents. The facility has an approved hospice waiver for 6. The home is a single story structure consisting of (5) bedrooms, (4) bathrooms, kitchen, formal dining room, family room, garage, backyard with sufficient shaded areas, locked and fenced pool. The bedrooms were observed to have bed, lighting, night stand, chest of drawers and area for sitting. The bathrooms had non-skid mats, and grab bars. There is plenty of extra linen (sheets, blankets, towels) that were observed to be in good repair. The smoke and carbon monoxide detectors are a dual system that were tested and found to be operable. The hot water temperature was tested and was found to be higher than regulatory limits measuring at 125.6 degrees Fahrenheit. The facility has an emergency disaster plan, dementia plan and infection control training plan on file. The facility has a sufficient supply of dishes, cooking and eating utensils, that were observed to be in good repair. The facility food supply was observed to be sufficient as there was 2 day supply of perishable and a 7 day supply of nonperishable food items. The facility has an emergency food and water supply. There is a fully stocked first aid kit. The facility was observed to have activities to encourage socialization such as, (i.e., cards, books and board game as well as a gazebo with plenty of shades in addition to outdoor space for walking) The passageways and inclines are clear and free from obstruction. The home has 1 fully charged fire extinguisher. The facility does not have any known guns or ammunition stored on grounds. The sharps/knives are stored in a locked cabinet next to the refrigerator. The medications will be centrally stored in locked cabinet in dining area. Upon entry to the home in the foyer on the right wall the required postings (facility sketch, resident council, theft and loss policy, personal rights, PUB475 CCL/dept complaint poster and the Long term Care Ombudsman poster were observed to be posted. The applicant is scheduled to complete COMP III orientation on 7-25-2024. Based on today's inspection it is the recommendation that the home be licensed once the following is completed: - hot water temperature to be between 105 and 120 degrees Fahrenheit. - pending completion of Comp III. An exit interview was conducted and a copy of this report was provided to applicantthe state’s words, verbatim · CDSS document, Jul 24, 2024

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census: 4 COMP II Participants: Maria Rebecca V. Aguinaldo, CEO; Russell Aguinaldo, Administrator Interview Method: Telephone interview On 6/26/24, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jun 26, 2024