Accuro Homes

Allegation investigated: Facility retaliated for resident filing complaint. Staff is not allowing resident to meet with their Resident Representative. Staff is not allowing resident to communicate with their Resident Representative. Resident's sleeping needs are not being met. Resident's incontinence needs not being met. Facility is unsanitary. Facility is dirty. Staff did not ensure that resident was changed into sleepwear at nightime Resident is being forced to eat.

Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to initiate and deliver the findings for the above allegation. LPA met with Facility Administrator April Lopez who was informed of the purpose of my visit and the allegation listed above. The investigation consists of direct observations, records review, and interviews regarding the above allegation. First Allegation: Facility retaliated for resident filing complaint. Regarding the first allegation, facility retaliated for resident filing complaint. LPA conducted an interview with Facility Administrator who stated facility/nor facility staff has never retaliated towards any resident, staff, or family members who file complaints against facility. LPA conducted interviews with Resident #2 (R2) Resident #3 (R3) Resident #4 (R4), and Resident #5 (R5) who all stated that they feel comfortable/and safe at the facility and have no fear of retaliation from the facility when needing to file a complaint or voice out any concerns. Resident #2-5 all stated that they feel safe. Unsubstantiated Eighth Allegation: Staff did not ensure that resident was changed into sleepwear at nigh time. Regarding eighth allegation, staff did not ensure that resident was changed into sleepwear at nigh time. LPA conducted a file review and observed daily notes pertaining to Resident #1 (R1) daily needs. Based on notes Residents #1 needs were met. LPA interviewed Residents #2-5 and asked residents if their daily needs such sleepwear/pajama change gets completed before nighttime Residents #2-5 stated that facility caregivers are on top of that every night and ensures that their diapers are changed along with their clothes. Residents #2-5 stated that they have not witnessed residents not being changed into sleepwear at nighttime. Ninth Allegation: Resident is being forced to eat. Regarding ninth allegation, resident is being forced to eat. LPA conducted interviews with Resident #2 (R2), Resident #3 (R3), Resident #4 (R4), and Resident #5 (R5), who all stated that they have not witnessed or experienced staff forcing resident[s] to eat. Resident #2-5 stated when they are not hungry staff will prepare something on a later time for them to eat. Tenth Allegation: Staff are not following resident's care plan. Regarding tenth allegation, Staff are not following resident's care plan. LPA reviewed Resident #1 care plan along with daily care notes which indicate that Resident #1 care plan was followed. LPA LPA interviewed Residents #2, Resident #3, Resident #4, and Resident #5 and asked if facility follows their care plan needs, Residents #2, Resident #3, Resident #4, and Resident #5 all stated that facility is good with following their care plan along with making any changes based on their physicians’ orders. Eleventh Allegation: Resident's hygiene needs not being met. Regarding eleventh allegation, Resident's hygiene needs not being met. LPA interviewed Residents #2, Resident #3, Resident #4, and Resident #5 and asked if their hygiene needs are being met Resident #2, Resident #3, Resident #4, and Resident #5 stated that their hygiene needs are always met. Residents #2-5 all stated that they have no concerns and that their daily needs are always met by the facility. Twelfth Allegation: Facility is not adhering to Admissions Agreement. Regarding twelfth allegation, Facility is not adhering to Admissions Agreement. LPA reviewed admissions agreement (Facility Policies) which states that smoking “IN” the facility is strictly forbidden. LPA conducted in-person interviews with Resident #2, Resident #3, Resident #4, and Resident #5 who all stated that they have not witness any resident smoking inside the facility. Resident #3, and Resident #4, stated that facility has a designated smoking area in the backyard for residents to smoke. Based on the evidence obtained during the course of the investigation, LPA has determined that the above allegations are UNSUBSTANTIATED. Unsubstantiated: meaning that 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 where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator April Lopez at the end of the visit. Second Allegation: Staff is not allowing resident to meet with their Resident Representative. Regarding the second allegation, Staff is not allowing resident to meet with their Resident Representative. LPA Guerrero spoke to facility Administrator and asked if the facility has ever denied residents their visitation rights. Administrator stated they are aware of every resident’s personal right and facility has not ever deny any resident their visitation rights. Administrator stated for any family who is loud or disruptive towards other clients in care facility will then offer other alternatives such as: the back patio for visitation area. LPA interviewed Resident #2-5 who all stated that they have not witnessed or experienced visitation rights to be violated. Third Allegation: Staff is not allowing resident to communicate with their Resident Representative. Regarding third allegation, Staff is not allowing resident to communicate with their Resident Representative. LPA interviewed Resident #2-5 who all stated that they have not witnessed or experienced facility staff prevent them (R#2-5), from utilizing their phones to make calls or take calls from family members, or health representatives. Resident #2-5 stated that facility staff are good with communicating to family members any concern’s pertaining to residents. Fourth Allegation: Resident's sleeping needs are not being met. Regarding fourth allegation, resident's sleeping needs are not being met. LPA conducted a file review and observed daily notes pertaining to Residents #1 (R1) daily care and needs. Based on notes LPA observed Resident #1 (R1) receiving calls between (9:45pm,11:00pm,10:41pm) from family member. LPA interviewed Residents #2-5 regarding their sleeping needs not being met who all stated that they have no issues or concerns regarding their sleepings needs. Resident #2-5 stated facility ensures that their rooms are comfortable and set at a comfortable temperature for them to sleep well. Fifth Allegation: Resident's incontinence needs not being met. Regarding fifth allegation, resident's incontinence needs not being met. LPA conducted a file review and observed daily notes pertaining to Resident #1 (R1) daily care and needs. Based on notes LPA observed that showers, pull-up change, and daily hygiene needs were met. Administrator stated that diaper change is done three times a day and depending on if resident soils. Administrator also stated that pull-ups are utilized on residents who are capable on retaining their own bladder. LPA interviewed Residents #2-5 and asked if their incontinence needs are being met Resident #2, and Resident #3 stated that their diapers are changed daily depending on their lack of control over their urination/feces staff will then change frequently.the state’s words, verbatim · CDSS document, Jul 27, 2023 · control 18-AS-20211130104938

Allegation investigated: Staff not providing a comfortable environment for resident. Resident sustained unexplained injury while in care. Facility bathroom is in disrepair. Staff failed to abide by admission agreement. Staff does not award resident with phone calls. Staff does allow resident to have meals in resident's room.

Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to initiate and deliver the findings for the above allegation. LPA met with Facility Administrator April Lopez who was informed of the purpose of my visit and the allegations listed above. The investigation consists of direct observations, records review, and interviews regarding the above allegations. First Allegation: Staff not providing a comfortable environment for resident. Regarding the first allegation, Staff not providing a comfortable environment for resident. LPA Guerrero conducted a facility walkthrough and observed the facility to be clean, in good repair, and operating in safe conditions. LPA conducted in-person interviews with Resident #2, Resident #3, Resident #4, and Resident #5, who all stated that they feel comfortable, and safe at the facility, Resident#1 and Resident #3 stated that they all get along with each other and are all friends with one another. Unsubstantiated Second Allegation: Resident sustained unexplained injury while in care. Regarding the second allegation, Resident sustained an unexplained injury while in care. LPA Guerrero conducted a file review and observed that on 8/29/21 Resident #1 was seen at Riverside Medical Center due to a fall that occurred at the facility. Administrator stated that Resident #1 had fallen from the bed and obtain a contusion on left leg. Administrator stated that a Special Incident Report (SIR), was faxed to CCL office, and resident’s responsible party was notified of the incident. Third Allegation: Facility bathroom is in disrepair. Regarding the third allegation, Facility bathroom is in disrepair. LPA Guerrero conducted a bathroom inspection and observed appliances were operating appropriately. LPA also measured and observed the water temperatures in three (3) bathrooms to be at 105.4 degrees F. Fourth Allegation: Staff failed to abide by admission agreement. Regarding the fourth allegation, Staff failed to abide by admission agreement. LPA Guerrero reviewed admissions agreement (Facility Policies) which states that smoking “IN” the facility is strictly forbidden. LPA conducted in-person interviews with Resident #2, Resident #3, Resident #4, and Resident #5 who all stated that they have not witness any resident smoking inside the facility. Resident #3, and Resident #4, stated that facility has a designated smoking area in the backyard for residents to smoke. Fifth Allegation: Staff does not award resident with phone calls. Regarding the fifth allegation, Staff does not award resident with phone calls. LPA Guerrero conducted interviews with Staff #1, Staff #2, and Staff #3, who deny not allowing/or denying residents from making phone calls. LPA conducted an in-person interview with Resident #2, Resident #3, Resident #4, and Resident #5, who all stated that they have not witnessed or experienced staff denying or preventing residents from making phone calls. Sixth Allegation: Staff does not allow resident to have meals in resident's room. Regarding the sixth allegation, Staff does not allow resident to have meals in resident’s room. LPA Guerrero conducted interviews with Staff #1-3 who deny not allowing residents to have their meals in their room. Staff #1 stated that it is the resident’s right if they decide that they want to eat their meal in their room. LPA conducted interviews with Resident #2, Resident #3, Resident #4, and Resident #5 who all stated that they have not witness staff denying residents from eating their meals in their room. Due to a lack of information, the above allegations are deemed UNSUBSTANTIATED at this time. Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted where this report was discussed and provided to Facility Administrator April Lopez.the state’s words, verbatim · CDSS document, Jun 20, 2023 · control 18-AS-20220211162541

Allegation investigated: Medication is not being administered as prescribed Licensee is not safeguarding resident files

Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to initiate and deliver the findings for the above allegation. LPA met with Facility Administrator April Lopez who was informed of the purpose of my visit and the allegations listed above. The investigation consists of direct observations, records review, and interviews regarding the above allegation. First Allegation: Medication is not being administered as prescribed. Regarding the first allegation, Medication is not being administered as prescribed. LPA Guerrero requested to review Resident #1 medication record. LPA conducted a medication record review and observed that Resident #1 medication was being administered based on Resident #1 prescription orders. LPA observed that Mag Zinc and Memantine were the only two medications that was suggested to be taken at a specific time per Physicians orders. Based on documentation LPA observed that medications were being administered as suggested. Unsubstantiated Second Allegation: Licensee is not safeguarding resident files Regarding the second allegation, Licensee is not safeguarding resident’s files. LPA Guerrero spoke to facility Administrator and requested to review Resident #1 (R1) file. LPA Guerrero obtained the file pertaining to Resident #1, LPA conducted a file review and observed that the following documentation was in file: (2021 Physicians report, Centrally Stored Medication Record, Admissions Agreement, and Care Plan). Due to a lack of information, the above allegations are deemed UNSUBSTANTIATED at this time. Unsubstantiated; meaning that 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.the state’s words, verbatim · CDSS document, Jun 20, 2023 · control 18-AS-20211005142519

Allegation investigated: Facility staff are not addressing resident's needs. Facility staff is financially abusing resident.

Licensing Program Analysts (LPAs) Anna Bueno and Amber Coleman conducted an unannounced visit to the facility to conclude the investigation of and deliver findings to the above mentioned complaints. LPAs met with care provider Joy Lizel Deocades who was informed of the reason for today's visit and staff phoned administrator Lesley Vannoy. Administrator arrived at the facility but left before findings were delivered. Allegation 1: Facility staff are not addressing resident's needs. Resident interviews reveal that the facility is meeting residents' needs, specifically during medication administration. Interview with family member deny any claims of medication not being dispensed properly. LPAs observed that the medication is kept secured and logged accordingly. Allegation 2: Facility staff is financially abusing resident. Administrator stated that it is the facility's policy for residents to keep no more than $20 on their person and witness interviewed agreed that this policy is in place. Unsubstantiated Resident and staff interviews revealed that residents are responsible for their own finances. Interview with residents confirmed that staff are not involved with resident finances. Records reviewed shows that there is a theft and loss clause included in the admissions contract. Based on the information gathered during the investigation, we have found the allegations to be 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 allegations occurred. An exit interview was conducted where this report was discussed with and a copy was provided to staff Joy Lizel Deocades.the state’s words, verbatim · CDSS document, Oct 5, 2022 · control 18-AS-20200831104120

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 staff and granted entry into the home. Staff caring for residents are wearing masks. LPA is informed that there are no COVID positive individuals in the home. The facility has an approved mitigation plan on file with this agency. Precautionary Covid-19 postings are present near the front door and at the entry point. There is one entry point designated where sign in procedures and screening occur. The staff temperature screen visitors upon entry into the facility. LPA is informed that there are currently six (6) 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 15, 2022

Allegation investigated: -Staff do not wear masks

This visit conducted by Amy Goldenberg, Licensing Program Analyst (LPA), is to initiate the 10 day investigation into the above mentioned complaint allegation. LPA discussed the elements of the alleged violations with Lesley Vannoy, Administrator. During this visit LPA interviewed three staff and made observations of the allegation that staff do not wear masks. LPA observed that staff are wearing masks during this visit. Interviews revealed awareness of staff requirement to wear masks by three (3) of three (3) staff interviewed. All staff report wearing masks while providing care to residents in the facility. Three (3) of four (4) residents interviewed are able to report that staff wear masks. We have found the complaint allegation is unsubstantiated, although the allegation may have happened or is valid: there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report is being reviewed with and furnished to the facility representative. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 22, 2021 · control 18-AS-20211221124349

Allegation investigated: Staff did not seek medical attention for resident. Staff did not inform responsible person of resident's fall. Staff do not follow resident's care plan. Resident sustained injuries while in care.

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to investigate the above allegations. LPA met with caregivers Louis and Joann, administrator Lesley Vannoy arrived shortly. LPA toured the facility, conducted interviews, and reviewed files. The first two allegations state that staff did not seek medical attention for resident and did not inform responsible party of the resident’s fall. LPA interviewed staff 1 (S1) and staff (S2) who stated that the care provider was notified as soon as Resident 1 (R1) was discovered to have fallen. LPA viewed a text message sent by the caregiver to the responsible party time stamped at 4AM. LPA viewed a transcribed voicemail from the care provider representative and it was time stamped at 2:34AM. The third allegation states that staff do not follow resident’s care plan. During interviews and reviews of documents, LPA discovered that R1’s care plans were followed by staff. The last allegation states that resident sustained injuries while in care. LPA interviews confirmed that R1 injuries resulted from fall while sleeping. *****CONTINUED ON LIC 9099C***** Unsubstantiated 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, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was provided to Administrator Lesley Vannoy.the state’s words, verbatim · CDSS document, Sep 9, 2021 · control 18-AS-20210831131011