Gem's Senior Living II

Type of visit: Required - 1 Year

On June 22, 2023, Licensing Program Analyst (LPA), Venus Mixson arrived to the facility unannounced in order to conduct the required annual inspection. LPA Mixson met with Administrator, introduced self, and stated the purpose of the visit. LPA Mixson toured the facility, along with the Administrator, and inspected the inside and outside of the facility. The facility is a single story home located at 28291 Portsmouth Drive Sun City CA. 92586. Physical Plant: The facility, is in good condition, neat, and orderly. Outdoor and indoor passageways were free of obstruction at the time of this visit. The restrooms were equipped with liquid soap and paper towels. LPA Mixson toured the kitchen and staff and residents were having diner. The facility had an activity schedule the Administrator will post and make available for review. The facility has emergency food and water. Smoke detectors are operable and show green light. The fire extinguisher was in the green. Carbon monoxide alarms, along with smoke detectors were observed. There was a locked and centralized storage area for medications. Medications are contained in bubble packs and bottles. The facility had a designated area for resident and staff files. Emergency disaster plans, personal rights, and complaint procedures were posted in a prominent area. There was adequate seating in the common areas and sufficient space for activities. LPA Mixson reviewed two staff files two resident files, and conducted two staff interviews and two resident interviews. There were no regulation violations observed during todays visit. An exit interview was conducted and a copy of this report was provided to Administrator.the state’s words, verbatim · CDSS document, Jun 22, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced for the purpose of completing the facility's Annual Inspection. LPA Colvin met with caregiver Crispin Dizon and advised him of the purpose of the visit, and that the Annual Inspection will be limited to Infection Control only. LPA Colvin additionally went over the Infection Control items with Administrator Gerlita Higa via telephone, as the Administrator was unable to make it to the facility. Below is a summary of what was observed: Infection Control: LPA Colvin went over COVID-19 best practices for infection control and prevention with Administrator Gerlita Higa, who LPA Colvin found to be successfully incorporating the several aspects of the infection control, despite not having a Mitigation Plan on file. LPA Colvin inquired about if there was a copy at the facility for LPA Colvin to review (as there is no evidence that one has been submitted to Licensing) and the Administrator stated that there is not. LPA Colvin will be issuing a Technical Advisory Note for the facility not having a Mitigation Plan. LPA Colvin will not be issuing a deficiency as the Mitigation Plan request/requirement is outdated, and facilities are now being advised to submit an Infection Control Plan. Residents have hand sanitizer available to them, and 1 of 2 resident bathrooms were stocked with hand soap and paper towels. LPA Colvin observed the bathroom in the back hallway to have hand soap, but no paper towels. LPA Colvin will be issuing a Technical Assistance (TA) Advisory Note during today's inspection for the lack of paper towels as well as a deficiency for the common use of washcloths or towels, as LPA Colvin observed hand towels to be handing in the bathroom by the sink. It is a standard Title 22 Regulation that common towels are not be used. Deficiency cited. While touring the facility, LPA Colvin observed postings throughout the facility for cough etiquette, social distancing, and infection control. LPA Colvin requested to view the facility's PPE supplies (gloves, masks, and sanitizer, and isolation gowns), which was located in the locked hallway closet. LPA Colvin observed the facility have an adequate supply of PPE. LPA Colvin went over the various recommended training for facility staff with Administrator Gerlita Higa in relation to COVID-19 and confirmed that staff have been trained on various aspects of infection control, recognition of symptoms of COVID-19, and donning/doffing PPE. LPA Colvin inquired as to if staff have been fit tested for N95 masks, and Administrator Gerlita Higa confirmed that this has been done with the assistance of the local Public Health Department.. LPA Colvin observed 1 of 1 staff present (caregiver Crispin Dizon) to not be wearing any type of face covering. At this time, face coverings are still required in all residential facilities. LPA Colvin will be issuing a TA Advisory Note for 1 staff not wearing a face covering. LPA Colvin observed a sign-in sheet at the front door of the facility, and confirmed that visitors are signing in to the facility, however, LPA Colvin was not able to confirm that they are being screened for symptoms, as LPA Colvin was not screened, there is no thermometer at the entrance of the facility or near the sign-in log, and there is no recorded temperature for the visitors on the sign-in log. LPA Colvin will be issuing a Technical Advisory Note for facility staff not screening visitors prior to entry. An exit interview was conducted with caregiver Crispin Dixon, and a copy of this report, LIC809D, appeal rights, and LIC9102 TA Advisory Notes were provided.the state’s words, verbatim · CDSS document, Aug 2, 2022

The state marks this report as 7 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Staff member physically abused resident while in care. Staff member verbally abused resident while in care.

Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to commence a complaint investigation for the allegation(s) listed above. LPA was greeted and granted entry by Caregiver Crispin Dizon. LPA met with Administrator via telephone. Staff were interviewed and denied resident being physically abused. Staff stated R1 is a new admit whom recently experienced a significant loss, as well as other life changing events such as having a change of condition and being moved. Upon admission R1 also had scabs that they would pick at as well as a rash on their body. R1 was interviewed and denied allegation of being physically abused, as they said that they could not remember if it happened or not. Additional witness interviews were conducted where it was reported that R1 had admitted to making up the allegations because they no longer wanted to be at the facility, and would like to go back home. ***Continued on 9099C Unsubstantiated Based on the information obtained there is not enough evidence to state that Staff member physically abused resident while in care, therefore the allegation is UNSUBSTANTIATED. Allegation: Staff member verbally abused resident while in care. Staff were interviewed and denied resident being verbally abused. Staff stated R1 is a new admit whom recently experienced a significant loss, as well as other life changing events such as having a change of condition and being moved. R1 was interviewed and denied allegation of being verbally abused, as they said that they could not remember if it happened or not. Additional witness interviews were conducted where it was reported that R1 had admitted to making up the allegations because they no longer wanted to be at the facility, and would like to go back home. Therefore the allegation of Staff member verbally abused resident while in care is UNSUBSTANTIATED. A finding that is UNSUBSTANTIATED means that 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 allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to Caregiver Crispin Dizonthe state’s words, verbatim · CDSS document, Nov 4, 2021 · control 18-AS-20211104123029

Type of visit: Required - 1 Year

Licensing Program Analyst Deborah Mullen conducted an unannounced visit to conduct an annual inspection. LPA was granted entrance and met with Gerlita Higa, Licensee. LPA inspected the facility and observed the following: The home is a 6 bedroom, two bath home with a living room and dining room. The bedrooms are furnished with a bed, dresser, night stand, chair and appropriate lighting for residents comfort. Staff and resident files are kept the staff room. Resident medications are locked and stored in a cabinet in the staff office. The facility had a complete first aid kit. Sharps, knives and chemicals are locked and stored under the kitchen cabinet. Facility is clean, sanitary and in good repair. Kitchen sinks/refrigerator/stove, toilets/sinks/showers/tubs, dinnerware supplies were also reviewed and are in good repair. There are exit alarms that are working on all exit doors. There is an adequate supply of linens, hygiene supplies and drawer and closet space for residents' belongings. Facility has smoke detector and carbon monoxide detector in working order. LPA observed a 7 day supply of non-perishable and 3 days of perishable food for resident. The facility appears to be in compliance at this time. No deficiencies were cited. An exit interview was conducted and a copy of this report was reviewed with and provided to the Licensees.the state’s words, verbatim · CDSS document, Jul 28, 2021

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.

Allegation investigated: Staff was under the influence of alcohol while providing care and supervision to residents while in care

Licensing Program Analyst's (LPA's) Elecia Weathersby and Melody Brown made an unannounced visit to the facility for the purpose of investigating a complaint with the above allegations. LPA's met with facility Administrator Gerlita Higa and explained the purpose of the inspection. Below is a summary of the findings of the investigation: Allegation #1:Staff was under the influence of alcohol while providing care and supervision to residents while in care: LPA's Elecia Weathersby and Melody Brown conducted a tour of the inside and outside of the facility, specifically checking trash cans, recycling, cabinets and refrigerator to see if there was any evidence of alcohol. LPA Weathersby additionally conducted a quick inspection of resident rooms, accompanied by Administrator Gerlita Higa. There was no signs of alcohol. 4 of 6 residents were interviewed, and 2 of 2 staff were interviewed. There was insufficient evidence to confirm the allegation, or dismiss it. Based on LPA's Weathersby and Brown's observations and interviews, the allegation 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. A copy of this report and appeals right were reviewed with and provided to Administrator, Gerlita Higa at the end of the visit. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 22, 2021 · control 18-AS-20200818094045

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.