Putters Lane Assisted Living

Type of visit: Required - 1 Year

On 11/9/2023, Licensing Program Analyst (LPA) Chinwe Nwogene arrived unannounced at the facility to conduct an annual inspection. LPA Nwogene was greeted and granted entry by Caregiver, Ramona Carmona. LPA also met with Licensee/ Administrator, Karen Cocchiaro who was informed of the purpose of visit. At the time of visit there was 1 staff and 5 residents present. LPA toured the facility inside and out with Karen Cocchiaro. Tour included: Kitchen; LPA toured the kitchen and observed kitchen to be clean. Food is stored in a safe and healthful manner. Utensils and dishware are sufficient for the capacity. The refrigerator and stove are in working order. Sharps are stored in a locked medication cart located in the dining, available only to authorized individuals. Trash cans has tight-fitting lids. Dishwasher is used to clean and sanitize dishes. All need appliances were present and shown to be in working condition and clean. The fridge was measured at 33 degrees Fahrenheit and Freezer was measures at 0 degrees Fahrenheit. Dining and Livingroom; LPA toured the dinning and Livingroom area. LPA observed area to be clean and furnitures in good condition. Temperature was 71 degrees Fahrenheit. Hallway; LPA toured the hallway and observed hallway to be clean with no pathway obstruction. LPA inspected the fire extinguisher and found it to be in compliance and fully charged. Carbon monoxide & smoke detector were tested and functioning properly. LPA observed additional linens and hygiene items. Medications; LPA observed medications were labeled and stored in separate bins inside of a locked medication cabinet and are distributed according to physician orders. The first aid kit was complete. Continue of LIC809-C Continued from LIC809. Bathroom; LPA toured hall bathroom and observed bathroom to be clean and equipped with grab bar and non-skid floor. There is also a good number of personal toiletries available for the residents in care. The hot water measured at 115 degrees Fahrenheit Bedroom; LPA toured four #4 out of #4 residents bedroom and observed bedrooms to be clean and furnished according to regulation, which includes proper furniture, dressers, chairs and lighting. Night lights were maintained throughout the facility. Resident #1 bedroom has a private bathroom. LPA observed bathroom to be clean and hot water was measured at 115 degrees Fahrenheit. Garage; LPA tour the garage and observed garage to be clean. Laundry; Cleaning supplies are stored away in the laundry room, inaccessible to clients, washing machine and dryer are all in good repair and sufficient for census. Backyard; LPA toured the backyard and observed backyard to be clean and furnitures in good condition. The backyard was free from obstruction and the side gates remain unlocked. No bodies of water were observed. Food Services: There are seven days non-perishable and two days of perishable food supply present, and all food was properly stored and available to residents. Fridge and freezer are larg enough to accommodate required perishable foods. Records: All staff present have a criminal record clearance in file and are confirmed as being associated with the facility. Three staff and three residents' records were reviewed. All required postings, including COVID’s postings, were posted near the entryway and throughout the facility. The administrator certificate expired on 6/28/2023. Karen Cocchiaro informed LPA that Administrator renewal packet has been sent to the department but haven’t received the administrator certificate yet. Interview; Two staff and three residents were interviewed. No deficiencies noted at the time of visit. An exit interview was conducted, and a copy of this report was reviewed and provided to Karen Cocchiaro.the state’s words, verbatim · CDSS document, Nov 9, 2023

Type of visit: Required - 1 Year

On November 01, 2022, Licensing Program Analyst (LPA), Venus Mixson arrived at the above facility for an unannounced required annual with emphasis on infection control. LPA Mixson was greeted and granted entry by Administrator, Karen Cocchiaro introduced self and stated the purpose of the visit. Present in the facility were 5 residents and 2 caregivers. There are currently no cases of COVID-19 within the facility. LPA Mixson toured the facility and made observations pertaining to the facility's infection control measures. LPA Mixson observed sufficient hand hygiene supplies, sufficient cleaning and disinfecting provisions, and the proper use of face coverings. The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring PPE supplies are maintained, and cleaning and disinfection provisions are in adequate quantities. LPA Mixson later discussed infection control practices and procedures with Administrator. An exit interview was conducted and a copy of this report, along with the LIC 811, was provided to Administrator.the state’s words, verbatim · CDSS document, Nov 1, 2022

Allegation investigated: Staff requested money from resident. Staff harassed resident.

On today's date, Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced for the purpose of initiating an investigation with the above allegation. LPA Colvin met with caregiver Deanna Maegillivary and informed her of the purpose of today's inspection. LPA Colvin additionally interviewed Licensee/Administrator Karen Cocchiaro via telephone. Below is a summary of the findings of the investigation: Regarding allegation "Staff requested money from resident": LPA Colvin conducted interviews with witnesses and parties relevant to the allegation. Interviews conducted revealed conflicting statements regarding the conversations that were had with resident (R1) regarding money due to August rent & care. Licensee/Adminstrator and staff both denied staff requesting money from R1, though staff did accept the checks provided by R1 for the Licensee/Administrator, as they were not present at the time. LPA Colvin is unable to confirm if staff requested money from resident, due to equal amount of interviews in support of and against allegation. Due to conflciting statements and lack of evidence, the allegation "Staff requested money from resident." is UNSUBSTANTIATED. Unsubstantiated Regarding allegation "Staff harassed resident.": LPA Colvin conducted interviews with parties relevant to allegation. Interviews conducted by LPA Colvin are conflicting and there is not enough evidence to support the claim that staff harassed R1. Due to lack of additional witnesses to interview and other potential evidence, the allegation "Staff harassed resident." is UNSUBSTANTIATED. A finding of UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with caregiver Deanna Maegillivary and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 23, 2022 · control 18-AS-20220819153930

Type of visit: Case Management - Deficiencies

During Licensing Program Analyst (LPA) Crystal Colvin's inspection at the facility for a complaint investigation (#18-AS-20220819153930), LPA Colvin observed following additional violations: Admissions Agreement - LPA Colvin observed that resident (R1) has been living at the facility since 8/13/22 and does not have a completed Admissions Agreement. This paperwork has been the source of confusion for R1 and R1's representative, and has been an ongoing issue. Deficiency cited. Personal Rights - Since R1's Admissions Agreement is not completed, there has been confusion over what the facility rules are and it was reported to LPA Colvin during their investigation that some staff members institute a curfew for residents at 8pm, while others do not. Licensee/Administrator denies that there is a curfew. R1 has not signed acknowledgement of the facility rules (in the Admissions Agreement) which would make these rules clear to R1 and their representative. Deficiency cited. Licensing Fees - The Licensee is behind in their licensing fees and currently owes Licensing $742.00 for the licensing fees for the year 2021 and subsequent late fee. Annual fee for this facility was due September 2021. Deficiency cited. Plan of Operation - LPA Colvin observed what appeared to be a closet, pantry, or addition (one wall does not reach the ceiling) to be in use as a staff room. The facility sketch on file with Licensing and the facility sketch posted in the facility does not reflect this room. LPA Colvin additionally observed Admissions Agreement is different than what Licensing has on file. Deficiency cited. Due to observations made by LPA Colvin, the facility was cited and deficiencies listed on LIC809D pages. An exit interview was conducted and a copy of this report, LCI809D, and appeal rights was provided.the state’s words, verbatim · CDSS document, Aug 23, 2022

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87507(c) · Plan of correction due date: Sep 2, 2022

Admission Agreements: (c) Admission agreements shall be signed and dated... no later than seven days following admission.... This requirement was not met as evidenced by: Based on record review, the Licensee did not comply with the above regulation with one resident (R1). LPA Colvin observed that R1 has been in the facility for 10 days but does not have a signed Admissions Agreement. This is a potential personal rights violation of R1.the state’s words, verbatim · CDSS document, Aug 23, 2022

Plan of correction: Licensee agrees to have a meeting with R1 and R1's representative (per R1's request) to go over the Admissions Agreement and answer any questions they may have in order to assist with completion of the document. Licensee to self-certify to LPA Colvin once complete. Due by Plan of Correction date of 9/2/22.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87468.2(a)(11) · Plan of correction due date: Sep 2, 2022

Additional Personal Rights of Residents in Privately Operated Facilities : (a) In addition to the rights listed ...residents in ...facilities...shall have all of the following personal rights:(11) To be fully informed, prior to or at the time of admission, of all rules... This requirement was not met as evidenced by: Based on interviews and record review, the Licensee did not comply with the above regulation with one resident (R1). LPA Colvin observed that R1 did not have signed Admissions Agreement and interviews revealed confusion regarding house rules. This is a potential personal rights violation of R1.the state’s words, verbatim · CDSS document, Aug 23, 2022

Plan of correction: Licensee agrees to go over facility rules with R1 and their representative and obtain signature of each proving that this was discussed. Licensee may self-certify to LPA Colvin once complete. Due by Plan of Correction date of 9/2/22.

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.185(e) · Plan of correction due date: Sep 2, 2022

Fees for license or applications; use of revenues; collected; denial or forfeiture: (e) The failure of an applicant for licensure or a licensee to pay all applicable and accrued fees and civil penalties shall constitute grounds for denial or forfeiture of a license. This requirement was not met by: Based on record review, the Licensee did not comply with the above Health & Safety Code with licensing fees ($742 total). LPA Colvin observed that the facility past due licensing fees for annual fees as well as late fee for 2021. This is a potential safety risk to residents in care.the state’s words, verbatim · CDSS document, Aug 23, 2022

Plan of correction: Licensee agrees to pay all outstanding fees due to Commuity Care Licensing. Licensee may self-certify to LPA Colvin once fees have been paid. Plan of Correction due date of 9/2/22.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87208(a) · Plan of correction due date: Sep 2, 2022

Plan of Operation: (a) Each facility shall have and maintain a current, written definitive plan of operation... Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval... This requirement was not met as evidenced by: Based on record review and observations, the Licensee did not comply with the above regulation with two aspects of the facility. LPA Colvin observed staff room not to be noted in the facility sketch. Additionally, Admissions Agreement currently in use is not on file with Licensing. This is a potential safety concern.the state’s words, verbatim · CDSS document, Aug 23, 2022

Plan of correction: Licensee agrees to update records on file with Licensing by submitting an udpated facility sketch as well as current Admissions Agreements and other documents/forms that have changed since facility was opened. Due by Plan of Correction date of 9/2/22.