Fair Oaks Estates Inc

Licensing Program Analyst (LPA) Angela Hood arrived unannounced at the care home today, 4/11/24, and met with the Executive Director, Parveen Saroay, to deliver complaint investigation findings into the above stated allegation. During the course of the investigation, LPA inspected the facility, conducted interviews, and obtained documentation pertinent to the investigation. There was a previous Substantiated complaint with findings delivered on 8/10/23 indicating that the facility had an issue with cockroaches. Since those findings, the facility has hired a professional pest control company to provide pest control services monthly and as needed. The pest control service company provides routine indoor and outdoor services as well as additional services checking/spraying 4 resident bedrooms. The facility provided invoices indicating that pest control services were provided on 3/5/24 and 4/2/24. *******************************************Continued on LIC9099-C****************************Read the full finding— CDSS inspection report, April 11, 2024 · control 59-AS-20240322100504

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today, 4/8/24, and met with the Executive Director, Parveen Saroay, to deliver complaint investigation findings into the allegations listed above. During the course of the investigation, the Department conducted interviews and obtained documentation pertinent to the investigation. Allegation: Staff neglect resulted in multiple medical conditions. Resident (R1’s) responsible party indicated that R1 had frequent falls, was on a strict diet, had plenty of water to drink, and had not had a Urinary Tract Infection (UTI) for several years prior to moving into the facility. Responsible party indicated that, within the first two weeks of R1 residing at the facility, they were witnessed eating sugary snacks, drinking sugary drinks and coffee, and only drinking approximately four ounces of water with their medications. It is believed by the responsible party that R1’s decline is due to their diet. ******************************Read the full finding— CDSS inspection report, April 8, 2024 · control 59-AS-20231213090351

Licensing Program Analsyt (LPA) Angela Hood arrived unannounced at the care home today, 2/21/24, and met with the Resident Care Director, Amardip Singh, to deliver complaint investigation findings regarding the above stated allegation. During the course of the investigation, LPA conducted interviews and obtained documentation pertinent to the investigation. ********************************************Continued on LIC9099-C**************************************************** Unsubstantiated— CDSS inspection report, February 21, 2024 · control 59-AS-20240208132207

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conclude the investigation and issue findings to a complaint received on 12/06/23. LPA met with Parveen Saroay, Administrator, and stated the reason for the inspection. During today's inspection, LPA interviewed the Administrator, Care Coordinator, and Resident Care Director. LPA also interviewed a representative from the placement agency who has assisted resident (R1) and reviewed R1's physician's report and charting notes. LPA also discussed the allegation with another LPA. The results of the investigation are as follows: cont on 9099C-1... UnfoundedRead the full finding— CDSS inspection report, February 16, 2024 · control 59-AS-20231206083022

Licensing Program Analyst (LPA) Angela Hood arrived unannounced at the care home today, 2/12/24, and met with the Executive Director, Parveen Saroay, to deliver complaint investigation findings into the above stated allegations. During the course of the investigation, the Department conducted interviews and obtained documentation pertinent to the investigation. ************************************************Continued on LIC9099-C*************************************************** Substantiated— CDSS inspection report, February 12, 2024 · control 59-AS-20230825082432

On 2/7/24, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with Administrator. The department conducted records review and extensive interviews. The department is unable to find and or meet the preponderance, per policy. The department interviewed several staff members, all staff denied witnessing a resident (R1) smoke illegal drugs while on facility property. Staff have witnessed R1 smoke in designated smoking areas. Staff denied witnessing any sort of behaviors from R1, in which a person under the influence of illegal drugs would demonstrate. The department interviewed R1. R1 denied smoking illegal drugs on facility property. R1 stated that they only smoke in designated smoking areas of the facility. The department interviewed several residents, all residents interviewed denied witnessing R1 smoke any illegal drugs. UnsubstantiatedRead the full finding— CDSS inspection report, February 7, 2024 · control 59-AS-20230629125021

Licensing Program Analyst (LPA) Angela Hood arrived unannounced at the care home today, 1/29/24, and met with the Resident Care Director, Amardip Singh, to deliver complaint investigation findings into the above stated allegation. During the course of the investigation, LPA conducted a medication count, conducted interviews, and obtained documentation pertinent to the investigation. *********************************************Continued on LIC9099-C**************************************************** Substantiated— CDSS inspection report, January 29, 2024 · control 59-AS-20231013081845

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today, 10/12/23, and met with the Resident Care Director, Amar Singh, to deliver complaint investigation findings into the allegations listed above. The Executive Director was not available today. During the course of the investigation, LPA conducted interviews, toured the facility, and obtained documentation pertinent to the investigation. On 9/26/23 and 10/12/23, LPA toured the kitchen, food preparation, food storage, dishwashing, and dining areas of the facility. LPA observed the drains and floors were clean. The food was labeled and stored properly. The dishes were being washed. There were no signs of pests in the food storage, food preparation, dishwashing, or dining areas of the facility. *********************************************Continued on LIC9099-C*********************************************** UnsubstantiatedRead the full finding— CDSS inspection report, October 12, 2023 · control 59-AS-20230921115743

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today, 9/26/23, and met with the Executive Director, Parveen Saraoy, to deliver complaint investigation findings into the allegations listed above. During the course of the investigation, LPA conducted interviews and obtained documentation pertinent to the investigation. *********************************************Continued on LIC9099-C****************************************************** Unsubstantiated— CDSS inspection report, September 26, 2023 · control 59-AS-20230821151702

On 8/10/23, Licensing Program Analyst (LPA) Kevin Mknelly spoke to Administrator Parveen Saroay to deliver complaint findings for the above allegation. LPA reviewed resident records, facility records and conducted extensive interviews. LPA finds that the allegations cited above are substantiated. Staff did not dispense medications as prescribe to residents- this investigation ran concurrently with complaint number 59-AS-20230601112833. Records and interviews found that two residents did not receive medications as prescribed due to refilling errors on the part of staff and the pharmacy. This violation was cited on 8/1/23 involving the same error for the same residents. Additional ciation not done for this case. Staff not taking proper measures to eradicate cockroach infestation- Interviews and observations found cockroaches in the kitchen and adjacent staff break areas were treated by facility maintenance staff during the period of May- August 2023 without advice from professional exterRead the full finding— CDSS inspection report, August 10, 2023 · control 59-AS-20230609135819

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the floor manager, Angela Price, to open a complaint and deliver findings into the allegation of staff do not administer resident's medication as prescribed. During today's visit, LPA conducted a medication count for residents (R1, R2, & R3). LPA reviewed R1, R2, and R3's medication lists, along with the Centrally Stored Medication and Destruction Record LIC 622s. There were several medications listed on the LIC 622s that were missing a date the medication was started. An accurate count could not be conducted for these medications. ********************************************Continued on LIC9099-C***************************************************** SubstantiatedRead the full finding— CDSS inspection report, August 4, 2023 · control 59-AS-20230802160622

On 8/1/23, Licensing Program Analyst (LPA) Kevin Mknelly spoke to Administrator, Parveen Saroay, to deliver complaint findings for the above allegation. LPA reviewed resident records, facility records and conducted extensive interviews. LPA finds that the allegations cited above are substantiated. Resident did not have a current LIC 602 at admission- Records review found that R1 was admitted 0n 5/31/23. Records provided by Administrator showed R1's physician's report (LIC 602) at admission was dated exam date 3/25/22, signature date 4/14/22 and R1 has a diagnosis of dementia. Residents personal rights violated- Records found that R2 is diagnosed with dementia and has a behavior management plan for unwanted touching of female staff and female residents. R2's care plan directs staff to monitor R2's location when R2 is out of their room and intervene when R1 approaches female residents. Interviews with caregivers found that as R2 is not 1:1, staff other duties leave many times when R2 isRead the full finding— CDSS inspection report, August 1, 2023 · control 59-AS-20230601112833

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Administrator, Parveen Saroay, to deliver findings into the complaint allegation listed above. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: Allegation: Resident sexually assaulted other residents in care ** Report continued on 9099-C ** Substantiated— CDSS inspection report, May 4, 2023 · control 25-AS-20221207104054

On 5/3/23, Licensing Program Analyst (LPA) Kevin Mknelly spoke with the Administrator. The reason for the visit was to deliver findings for the allegation sited above. Upon entering the facility, sign in. While conducting this investigation, LPA reviewed resident records and conducted extensive interviews. LPA finds that the allegation cited above are Unsubstantiated. Findings are as follows: Staff allows resident to engage in physical behavior with other residents in care. Records review and interviews regarding R4 issues found that R4 is diagnosed with dementia. Increased monitoring and redirection interventions for R4 addressed interactions with R4 and other residents. R4 was also increased to two staff assist with bathing to reduce the incidents between R4 and female caregivers. Report continued... UnsubstantiatedRead the full finding— CDSS inspection report, May 3, 2023 · control 25-AS-20230123140629

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Resident Care Director (RCD), Jayvee Whitney, to deliver findings into the complaint allegation listed above. LPA wore a surgical mask. Facility staff wore masks while on the premises. During the investigation, LPA conducted interviews, conducted 2 medication counts, and requested documentation pertinent to the investigation. The results of the investigation are as follows: Allegation: Facility is mismanaging medications ** Report continued on 9099-C ** Substantiated— CDSS inspection report, March 10, 2023 · control 25-AS-20220922122133

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Resident Care Director (RCD), Jayvee Whitney, to deliver findings into the complaint allegation listed above. LPA wore a surgical mask. Facility staff wore masks while on the premises. During the investigation, LPA conducted interviews, conducted 2 medication counts, and requested documentation pertinent to the investigation. The results of the investigation are as follows: Allegation: Staff mismanaged resident's medication ** Report continued on 9099-C ** Substantiated— CDSS inspection report, March 10, 2023 · control 25-AS-20221010082702

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Resident Care Director (RCD), Kayleigh Daniels, to deliver findings into the complaint allegation listed above. LPA wore an N-95 mask. Facility staff wore masks while on the premises. During the investigation, LPA conducted interviews and requested documentation pertinent to the investigation. The results of the investigation are as follows: Allegation: Facility refused to accept resident back from hospital ** Report continued on 9099-C ** Substantiated— CDSS inspection report, September 29, 2022 · control 25-AS-20220915123806

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to deliver findings to a complaint investigation for a complaint received on 4/12/2022. LPA met with Shahbaz Singh, Executive Director, and explained purpose of inspection. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols and completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. Additionally, LPA was screened per Covid-19 precautionary measures upon entering the facility. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE): surgical mask. During the investigation, LPA interviewed the Administrator, Marketing Director, Floor Manager, Hospice Case Manager , (3) Med-Techs, (2) caregivers and (3) residents. LPA reviewed documentation pertaining to resident (R1) including, but not limited to: Pre-Appraisal, Physician's Reports, Reappraisal, and NarRead the full finding— CDSS inspection report, June 29, 2022 · control 25-AS-20220412161740

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conclude a complaint investigation. LPA met with Angie Price, Floor Manager, and explained purpose of inspection. LPA later met with Shahbaz Singh, Executive Director. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols and completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. Additionally, LPA was screened per Covid-19 precautionary measures upon entering the facility. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE): surgical mask. During today's inspection, LPA interviewed Floor Manager, (1) Med-Tech, (1) caregiver, and Hospice Case Manager. cont on 9099C(1).. UnsubstantiatedRead the full finding— CDSS inspection report, June 23, 2022 · control 25-AS-20220328154407

On 5/26/22, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with clinical staff. Prior to initiating the complaint visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. Upon arrival, completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA was screened at the facility. LPA conducted records review and extensive interviews. Today, LPA received records and conducted additional interviews. LPA is unable to find and or meet the preponderance, per policy. The licensee provided email evidence that most parties were informed of a April 1, 2022 rate increase. R1's responsible party denies receiving the notice by mail thatRead the full finding— CDSS inspection report, May 26, 2022 · control 25-AS-20220322091609

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 5/26/22 to deliver complaint findings. LPA met with the Director and explained the purpose of the visit. Prior to initiating the complaint visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA completed a facility risk assessment upon arrival. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA was screened by facility staff upon entering the facility. The department reviewed client/resident records and conducted extensive interviews. The department finds that the allegations cited above are substantiated. R1's LIC 602 states mechanical soft diet. Director acknowledged the order and has participated in care conferences where diet was discussed. Reportedly R1 will not eRead the full finding— CDSS inspection report, May 26, 2022 · control 25-AS-20220322100707