Diamond Oak Senior Care

Type of visit: Case Management - Other

On 9/1//23 at approximately 2:15PM Licensing Program Analysts (LPAs) Jennifer Fain and Maja Jensen arrived at the facility unannounced to conduct a case management. LPAs met with co-administrator’s and explained the reason for the visit. The facility is licensed for 6 residents and currently has 5 residents in care. LPAs provided Technical Assistance on restricted health conditions including but not limited to catheter care and diabetes, reporting requirements, evictions and resident files. LPAs interviewed the co-administrator and based on interview, resident 1 (R1) was sent to the emergency department on multiple occasions during August of 2023, however no incident reports were received by the department. LPAs also observed the facility to have a resident with an indwelling catheter which is a restricted health condition, however there was no restricted health condition care plan on file. Pursuant to the California Code of Regulations, Title 22, and California Health and Safety Code deficiencies were cited. An exit interview was conducted and a copy of this report was provided to Licensee.the state’s words, verbatim · CDSS document, Sep 1, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87612(a)(2) · Plan of correction due date: Sep 2, 2023

Restricted Health Conditions The licensee may provide care for residents who have any of the following restricted health conditions... Catheter care as specified in Section 87623. Based on observation and interview, the resident file for R1 does not address the care plan for indwelling catheter care. This poses an immediate risk to the health, safety and personal rights of residents in care.the state’s words, verbatim · CDSS document, Sep 1, 2023

Plan of correction: Licensee states that she will send a plan for catheter resident care by POC date. Plan will be sent to jennifer.fain@dss.ca.gov by end of day 9/2/23.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87211(a)(1)(D) · Plan of correction due date: Sep 29, 2023

Reporting Requirements Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement has not been met as evidenced by: Based on record review LPA verified incident reports were not sent to the department for R1's ED visits.the state’s words, verbatim · CDSS document, Sep 1, 2023

Plan of correction: Licensee states that training for staff will occur within 30 days and proof of training will be sent to LPA Fain at jennifer.fain.dss.ca.gov by POC date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Renee Campbell conducted an unannounced Annual 1-Year Required visit on 02/07/23 at 11 am.. LPA met and toured with Administrator, Okay Onwuli. The administrator currently holds a certificate (#6052179740) that expires on 05/08/2023. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms of which 4 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. A comfortable temperature is maintained at 71 degrees Fahrenheit. The hot water temperature in the residents’ shared bathroom was measured at 107 degrees Fahrenheit. Night lights are maintained in hallways and passages to nonprivate bathrooms. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7-day supply of nonperishable and 2-day of perishable foods. No deficiencies were cited during this inspection. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 7, 2023

Type of visit: Post Licensing

On 7-27-22 at 10:01am, Licensing Program Analyst ( LPA) Michael Bilger arrived at this facility unannounced to conduct a post licensing visit.. LPA was greeted by Administrator Chinyere Onwuli and LPA explained the purpose of the visit. LPA Bilger inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside backyard of the facility to ensure compliance with Title 22 regulations. Facility is a 6-bed residential care facility for the elderly with a current census of 4. LPA was screened upon entry for temperature and asked to sign in. COVID screening questions were asked prior to entry. Facility has 6 bedrooms and 3 bathrooms. One bedroom is for staff use. There is a formal living room and family/TV room for residents. All knives, toxins, and other chemicals were inaccessible to residents in care. "See something, Say something" poster was in place. Resident rights and rights of resident council notices posted. Emergency disaster plan and facility sketch updated and posted. Administrator certificate was posted and expires 5-8-23. The facility has submitted a COVID mitigation plan. The facility has central entry point and has implemented screening and sign in procedures at the front door area. The facility conducts routine symptom screening for employees, residents, and visitors. LPA observed the facility to have hand washing, COVID - 19 informational, and social distancing signs posted throughout the facility, on the front door, and back yard. The facility has a designated infection control lead. The facility is able to designate and dedicated a Covid-19 room/bathroom if needed. Common touch surfaces are cleaned after each use. Refrigerator temperature measured at 40*F. Freezer temperature measured at 0*F. Three staff charts reviewed, and contained all required documents. Water temperature reads between 105*F and 120*F in the bathroom and room temperature reads 75*F. LPA observed the facility to have adequate food supply. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Facility has an emergency food and water kit. Fire extinguisher is fully charged and dated 7/5/22. Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was held and a report was given to Administrator Chinyere Onwulithe state’s words, verbatim · CDSS document, Jul 27, 2022

Type of visit: Case Management - Incident

On 05/18/22 at approximately 1:50 pm, Licensed Program Analysts (LPAs) T. White and R. Campbell arrived at this facility unannounced to conduct a case management visit regarding an incident report submitted to CCLD on 04/19/2022. LPAs met with the Caregiver, Liz Magpiong. LPAs later met with Administrator, Che Onwuli and explained the purpose of the visit. Based on the incident report which occurred on 04/14/2022, R1 became agitated, caused damage to his room and made sexual advances towards both S1 and R2. Administrator contacted the hospital and was advised to return R1 back to the same hospital he had been discharged from. Based on an interview with Administrator Che Onwuli, R1 came to the facility on the night of 04/13/2022. Kaiser had reported that if R1 exhibited negative behaviors, he should return back to the hospital. Administrator stated there was no completed admission agreement prior to accepting R1. Administrator stated R1 will not return to facility. Administrator stated appraisal visits will be conducted prior to residents admission into facility. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 6, no deficiencies nor Civil Penalties cited during this visit. Exit interview held and signed. A copy of report was emailed to Administrator.the state’s words, verbatim · CDSS document, May 18, 2022

Type of visit: Prelicensing

Licensing Program Analysts (LPAs) Avelina Martinez and Maja Jensen made an unannounced visit to this facility to conduct a pre-licensing inspection on 02/22/2022 at 1:15 PM. This is a follow up visit to the pre-licensing of 01/07/2022. The licensee did not pass the pre-licensing visit of 01/07/2022 and was asked to provide or address the following requests: Sample of Employee and Resident binders Covid-19 Mitigation Binder/(LIC 808) Sample of Admission Agreement Exterior Requests Repair Missing Fence Board Repair Hallway closet door and framing. Remove Cob webs from laundry room. Remove Debris from Backyard LPAs met with Okay Onwuli and stated the purpose of today’s visit. Administrator holds current certificate # 6052179740 which expires 5/8/23, and there are 3 residents residing at this facility. LPA Martinez and LPA Jensen toured the facility with Okay Onwuli on 02/22/2022 at 2:00 pm. LPAs inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside yards of the facility to ensure compliance with Title 22 regulations. The facility was observed to be clean and in good repair with adequate lighting, furniture and ambient temperature for the comfort of the residents. Sample resident and staff binders were observed and in order. A COVID mitigation plan and an LIC 610E was observed. The grounds were clear of debris. The previously requested corrections were made to the inside and outside of the facility and photographed by LPA Maja Jensen. A Component III Orientation presentation was conducted with Licensee. The applicant has passed the pre-licensing component of the application process. LPAs will notify the Central Application Bureau (CAB) that the pre-licensing has been completed and passed. An exit interview was conducted with Licensee and a copy of this report was given to the Licensee.the state’s words, verbatim · CDSS document, Feb 22, 2022

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Avelina Martinez and Maja Jensen made an unannounced visit to this facility to conduct an pre-licensing inspection on 01/07/2022 at 9:00 AM. LPA met with Okay Onwuli and stated the purpose of today’s visit. LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards of the facility to ensure compliance with Title 22 regulations. Administrator holds current certificate, and there are 4 residents residing at this facility. LPA Martinez and LPA Jensen toured the facility with Okay Onwuli on 01/07/2022 at 9:30 am. LPA Martinez is requesting the following: Sample of Employee and Resident binders Covid-19 Mitigation Binder/(LIC 808) Sample of Oxygen Waiver Documentation Sample of Hospice-Binder/Hospice Notification form Sample of Admission Agreement Exterior Requests Repair Missing Fence Board Repair Hallway closet door and framing. Remove Cob webs from laundry room. Remove Debris from Backyard As a result of this pre-licensing inspection, the applicant has not passed the pre-licensing component of the application process. LPA Martinez will return at a later date and time to complete the inspection visit. An exit interview was conducted, and a copy of the is report was given to the applicant.the state’s words, verbatim · CDSS document, Jan 7, 2022