Comforts of Home Laguna Park

Allegation investigated: Resident was touched inappropriately by a staff member.

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to deliver findings on this complaint investigation. LPA Moleski spoke with facility administrator Maria Kang over the phone and explained the purpose of the visit. Kang said staff member Teresita Esteban could sign this report in her absence. This investigation consisted of interviews, record review, and observations. Interviews were held with Kang, two staff members, residents of the facility, a resident’s (R1) conservator, and an ombudsperson. During an interview, a resident (R1) was unable to provide details regarding an alleged incident of inappropriate touching by a staff member (S1). R1 said “everything is fine.” During an interview, S1 denied any inappropriate touching. S2 did not believe the alleged incident had occurred. Three other residents interviewed did not express concerns regarding S1 or regarding the facility. [continued on 9099-C] Unsubstantiated An Elk Grove Police Department report stated that R1 told officers during a visit on 7/19/23 that R1 had not been touched inappropriately. The department has determined the following as it relates to the allegation that a resident was touched inappropriately by a staff member: Based on observation, interviews, and record review, the above allegation is UNSUBSTANTIATED, which means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiencies were cited during this visit. An exit interview was conducted and a copy of this report was left with Esteban.the state’s words, verbatim · CDSS document, Oct 24, 2023 · control 27-AS-20230719160621

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct an annual inspection. LPA Moleski spoke with administrator Maria Kang over the phone and explained the purpose of the visit. Kang said she was unavailable but that co-administrator Jenny Duran would be able to sign this report in her absence. Kang's administrator certificate number is 6020167740 and it expires on 9/2/2024. LPA Moleski reviewed three resident files (R1-R3) and three staff files (S1-S3). LPA Moleski reviewed LIS and discovered that S1 had not been associated to this facility. Duran said she had incorrectly associated her to the facility's former number, not the current facility number. R1's LIC 602 indicated that R1 has dementia. R1's latest LIC 602 form was dated 5/14/21, which is more than one year old. LPA Moleski toured the facility with Duran and inspected common areas, the kitchen, resident bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 73 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature was tested and measured 105 degrees Fahrenheit, which is within the required range of 105 and 120 degrees. [Continued on 809-C] LPA Moleski observed a first aid kit, a fully-charged and up-to-date fire extinguisher, and working carbon monoxide/smoke detectors. LPA Moleski observed the required minimum 2-day perishable supply of food and a minimum 7-day supply of nonperishable food. LPA Moleski observed locked cabinets for the storage of medication. LPA Moleski observed a locked closet for the storage of cleaning solutions. LPA Moleski observed a locked cabinet for the storage of knives. LPA Moleski interviewed two staff members (S1, S3) and two residents (R4, R5). This facility is being cited per 22 CCR Section 87355(e)(3) and 87705(c)(5). An exit interview was held with Duran. Appeal rights and a copy of this report were left with Duran.the state’s words, verbatim · CDSS document, Jun 2, 2023

Allegation investigated: Staff hit resident

Licensing Program Analyst (LPA) Renee Campbell conducted an unannounced visit to this facility to deliver investigation findings on 01/04/2023 at approximately 11:00 am. LPA identified herself and discussed the purpose of the visit and the elements of the allegation(s) with Administrator Maria Kang. The investigation was conducted by the Department which consisted of reviews of the facility records and interviews with facility staff. The residents and other witnesses were contacted and interviewed. The complaint alleges that residents were hit by staff. During the investigation, it was revealed that one witness (F1) stated they saw a resident being hit. Another witness testified no one was hit but was instead redirected. Only one resident was able to be questioned and they stated no one had hit them and that they liked the facility and the staff. Records show that all staff have been cleared and received dementia training. 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, therefore the allegation is UNSUBSTANTIATED. This report was amended to reflect that it is PUBLIC access and it is unsubstantiated. Larry Caculitan has been given permission by the administrator to sign updated report. Unsubstantiated Due to conflicting accounts, the investigation revealed a lack of evidence to substantiate that residents were being hit while in care. This Department has determined the complaint alleging the above allegation is 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 alleged violation occurred. Exit interview was conducted with Administrator Maria Kang and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jan 4, 2023 · control 27-AS-20221011152900

Type of visit: Prelicensing

Licensing Program Analyst (LPA's) Ruth Wallace and Renee Campbell conducted announced Pre-Licensing visit. LPA's explained purpose of visit at facility with Licensee, Administrator Certificate posted and expires on 09/08/2022. No hospice residents at this time. Current census is 6 residents. LPA's and staff toured facility and yard, spoke with residents and Licensee. All smoke detectors were tested and functioning. There are no pools or bodies of water at the facility, Hygiene items present. Hot water was tested and measured 108.2 degrees F, within the Title 22 regulation range of 105 to 120 degrees F. Grab bars/ non-skid mats present in bathrooms. Bedrooms appropriately furnished with beds, night stands, lights, dresser and closet space. Food supplies reviewed, there appears to be an adequate supply of 2 days perishable/7 days non-perishable food present. Toxic substances are locked in a storage area in the garage. Staffing appears adequate for resident needs; administrator present in facility sufficient hours/week to meet needs. Dangerous items locked/stored safely. Medications kept in locked cabinet in hallway closet. LPA's reviewed staff and resident files Employees have had at least 6 hours of initial training in medication administration. All current employees have criminal record clearance. Resident files each contain an admission agreement and physical exam. Disaster Plan posted, Medications appear to be given as per physician direction. There were no deficiencies observed during the course of this Pre-licensing visit. Comp III will be waived at this time and facility is ready to be licensed. Exit interview conducted with licensee and a copy of report given at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jun 8, 2022