Love And Comfort Elderly Care

Allegation investigated: Staff does not prevent a resident from harassing another resident while in care Staff allows a resident to barricade themselves while in care

On 7/8/2025 at 10:20 AM, Licensing Program Analyst (LPA) Shakaricka Hughes arrived unannounced to this facility to conduct a complaint visit. LPA met with facility staff Aisake and explained the purpose of the visit. Aisake called the facility designated administrator to inform that CCLD was present in the facility. The purpose of this visit is to deliver complaint findings for the allegations above. The current census is 5. A brief interview with conducted with Aisake. Allegation: Staff does not prevent a resident from harassing another resident while in care It was alleged that staff does not prevent a resident from harassing another resident while in care. This investigation consisted of interview with residents and staff, interview with an outside agency and facility observation. On 6/17/2025 LPA Shakaricka conducted an unannounced facility visit, during the visit LPA Hughes interviewed 4 out 5 residents who had no concerns with being harassed by other residents in care. Continuatithe state’s words, verbatim · CDSS document, Jul 8, 2025 · control 27-AS-20250616145842

Allegation investigated: Staff leave residents unsupervised for an extended period of time Staff threatened resident Staff does not ensure residents showering needs are being met Staff does not ensure resident' dietary needs are met Staff does not ensure resident's hygiene needs are met Staff does not ensure resident has adequate clothing Staff does not safeguard resident’s personal belongings

On 7/2/2025 at 1:50 PM, Licensing Program Analyst (LPA) Shakaricka Hughes arrived unannounced to this facility to conduct a complaint visit. LPA met with Care staff Aisake Ratu and explained the purpose of the visit. Aisake called the facility designated administrator to inform that CCLD was present in the facility. The purpose of this visit is to deliver complaint findings for the allegations above. The current census is 5. A brief interview with conducted with Aisake. Allegation: Staff leave residents unsupervised for an extended period of time It was alleged that staff leave residents unsupervised for an extended period of time. This investigation consisted of facility observation and interview with residents. On 5/15/2025 LPA Pang Lee conducted a facility visit and observed facility staff present in the facility. On 6/17/2025 LPA Shakaricka Hughes conducted a follow-up visit to the facility visit and observed facility staff present in the facility assisting residents with their neethe state’s words, verbatim · CDSS document, Jul 2, 2025 · control 27-AS-20250507115810

Allegation investigated: Facility EXITS are not adequately marked Staff isolate residents in their rooms Staff did not provide assistant to resident in a timely manner

On 7/2/2025 at 11:30 AM, Licensing Program Analyst (LPA) Shakaricka Hughes arrived unannounced to this facility to conduct a complaint visit. LPA met with care staff Aisake Ratu and explained the purpose of the visit. Aisake called the facility designated administrator to inform that CCLD was present in the facility.The purpose of this visit is to deliver complaint findings for the allegations above. The current census is 5. A brief interview with conducted with Aisake Ratu. Allegation: Facility EXITS are not adequately marked It was alleged that facility exits are not adequately marked. This investigation consisted of facility observation. On 5/15/2025 LPA Pang Lee conducted a facility visit, during a walkthrough of the facility, it was noted that three exit signs posted by the entry door, sliding door in the common area and the door in the dining area leading to the hallway. Continuation 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 2, 2025 · control 27-AS-20250507140403

Allegation investigated: ) Staff do not provide proper transportation assistance to residents’ medical appointments 2) Staff provided medications to resident that the resident is allergic to.

Licensing Program Analysts (LPA) Kevin Gould made an unannounced inspection to Love and Comfort Elderly Care RCFE on 6/25/25 at 9:15pm to conclude the investigation of the above allegations and to deliver the findings. LPA Gould met with staff, Isaac Ratu and together discussed the investigation details. Based on the interviews conducted during the investigation process and statements obtained during the investigation process, LPA Gould was unable to corroborate the allegations. LPA conducted interviews with R1 and staff present and R1 confirmed being taken to medical appointments and seeing a physician regularly. LPA observed documentation of medical visits with a physician in May and June 2025. Additionally, LPA reviewed all R1's medications on two occasions and did not observe any medications classified as an NSAID. LPA observed the previous medication administered to R1 did not observe any medications classified as a NSAID. Reporting party did not specifically identify any medicatithe state’s words, verbatim · CDSS document, Jun 25, 2025 · control 27-AS-20250228153401

Allegation investigated: ) Staff did not administer resident's medication 2) Staff did not safeguard resident's personal belongings

Licensing Program Analysts (LPA) Kevin Gould made an unannounced inspection to Love and Comfort Elderly Care RCFE on 6/25/25 at 9:15pm to conclude the investigation of the above allegations and to deliver the findings. LPA Gould met with staff, Isaac Ratu and together discussed the investigation details. Based on the interviews conducted during the investigation process and statements obtained during the investigation process, LPA Gould was unable to corroborate the allegations. LPA attempted to review R1's medication administration records but the facility was unable to locate or did not retain those records for the former resident. LPA is unable to determine if the facility did in fact administer medications to former resident. Additionally, the former resident has moved out of the facility three months ago and LPA is unable to obtain any evidence to support the allegation. Additionally, LPA reviewed former resident's file and did not observe any personal property inventory conductedthe state’s words, verbatim · CDSS document, Jun 25, 2025 · control 27-AS-20250303162801

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: ) Staff do not keep adequate record keeping. 2) Staff did not provide resident medication as prescribed. 3) Staff are not properly storing residents’ medications.

Licensing Program Analysts (LPAs) Kevin Gould and Cynthia Tamayo conducted an unannounced complaint inspection at Love and Comfort Elderly Care RCFE on 3/7/25 at 9:00am to inform the licensee of complaint allegations mentioned above. LPAs met with the licensee and together discussed the purpose of todays inspection. During this investigation LPA Gould interviewed S1 and R1 (See confidential name list LIC-811 dated 3/7/25) LPA Gould conducted file review for R1 and reviewed R1's medication administration records and centrally stored medications. Based on the interviews and documents reviewed during the investigation process, the allegations are substantiated. LPA observed medication bottle Sodium Bicarbonate with no current medications and no refills currently at the home. LPA observed this medications to have been given above the normal dose as LPA observed am and noon medications already signed off and administered to resident ahead of the time prescribed by R1's physician. Report conthe state’s words, verbatim · CDSS document, Mar 7, 2025 · control 27-AS-20250228153401

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Neglect/Lack of Supervision: 1) Licensee does not ensure that equipment shall be provided in the facility that accommodates physically handicapped resident(s) according to their needs. 2)Staff do not ensure that residents in care are provided with food that is of good quality. 3)Staff did not ensure that resident was provided services as necessary. Personal Rights: 1) Staff verbally abused resident in care. 2) Staff handled resident in a rough manner while in care. 3) Staff yelled at resident in care.

Licensing Program Analysts (LPA) Kevin Gould made an unannounced inspection to the Love and Comfort Elderly Care RCFE on 11/8/24 at 10:00am to conclude the investigation of the above allegations and to deliver the findings. LPA Gould met with staff, Delova Boswell and together discussed the investigation details. Based on the interviews conducted during the investigation process and statements obtained during the investigation process, LPA Gould was unable to corroborate the allegations. LPA attempted to contact the reporting party via email and phone with no response. LPA conducted interviews with two staff members who all denied the allegations above. LPA observed fresh food prepared for residents and a plentiful supply of fresh fruits and vegetables LPA also observed staff members cleaning with appropriate gloves and PPE. LPA conducted interviews with four of four residents in place who also denied all the above allegations. Report Continued on LIC 9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 8, 2024 · control 27-AS-20240805133321

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Sexual Abuse: Resident was sexually assaulted while in care

Licensing Program Analysts (LPA) Kevin Gould and department representative Shariff Osman made an unannounced inspection to Love and Comfort Elderly Care RCFE on 9/5/24 at 9:00am to conclude the investigation of the above allegation and to deliver the findings. LPA Gould met with staff, Isikeli Tuikentatuba and together discussed the investigation details. Based on the interviews conducted during the investigation process and statements obtained during the investigation process, LPA Gould was unable to corroborate the allegations. The alleged victim made contradictory statements to Long term care ombudsman, department investigators and law enforcement. LPA Gould attempted to conduct additional interview with alleged victim, however they had left the facility prior to LPAs arrival and the service coordinator states they have refused further service and their whereabouts are unknown at the time of writing. Report continued on LIC 9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 5, 2024 · control 27-AS-20240828140255

Allegation investigated: Personal Rights: 1) Facility locks kitchen at night. 2) facility not providing resident with privacy. 3) facility is not respecting resident's personal rights.

Licensing Program Analyst (LPA) Kevin Gould and department representative, Shariff Osman conducted an unannounced complaint inspection at Love and comfort Elderly Care RCFE on 9/5/24 at 9:00am to inform the licensee of complaint allegation mentioned above and to deliver findings. During this investigation LPA Gould interviewed R1, R2, R3 and S1 (See confidential name list LIC-811 dated 9/5/24). Based on the interviews and statements obtained during the investigation process, the allegations are substantiated. S1 and two residents interviewed corroborated the allegation that the facility kitchen, living room and back yard access are locked to residents overnight by placing a door from the garage in the doorframe and securing it baring residents from a significant portion of the home. R1 confirmed that they utilize a bedside commode in their room and have at times shared a room with another resident. R1 had to utilize a bedside commode in a shared room and would often be walked in on bythe state’s words, verbatim · CDSS document, Sep 5, 2024 · control 27-AS-20240903153829

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Personal Rights: Staff threatened resident.

Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced complaint inspection at Love and Comfort Elderly Care RCFE on 8/1/24 at 1:30pm to inform the licensee of complaint allegation mentioned above and to deliver findings. Based on the interviews conducted during the investigation process and statements obtained during the investigation process, LPA Gould was unable to corroborate the allegations because all current residents and staff members interviewed denied the allegations. LPA conducted five resident interviews, all residents interviewed denied the allegation and denied witnessing any staff member threaten a resident. LPA conducted two interviews with staff members who both denied the allegation. LPA contacted the placement agency who denied the allegation and provided statements to LPA that former resident was an aggressor with staff members. LPA contacted former resident's parole officer who stated he was unaware of any complaints by former resident and resident hathe state’s words, verbatim · CDSS document, Aug 1, 2024 · control 27-AS-20240731171458

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff did not properly supervise resident in care.

Licensing Program Analysts (LPA) Kevin Gould made an unannounced inspection to the Love and Comfort Elderly Care RCFE on 4/11/24 at 9:00am to conclude the investigation of the above allegation and to deliver the findings. LPA Gould met with staff, Robert Barnet and together discussed the investigation details. Based on the interviews and statements obtained during the investigation process, the allegations are substantiated. LPA conducted interviews with resident and one staff member. see confidential name list LIC-811 dated 4/11/24) staff interviewed confirmed that resident was taken to the hospital by a driver from a transportation agency Kirn transportation. LPA discussed R1's 602 which indicated the resident is unable to access the community independently. all resident who cannot access the community independently are required to be supervised while outside the community to ensure safety of residents. Report Continued on LIC 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Apr 11, 2024 · control 27-AS-20240405104724

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.