Sugar Maple Care Home

Type of visit: Annual/Random

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Florica Sotea, Administrator, and stated the reason for the inspection. Also present was staff, Janice Wilson. Administrator Designee, Eugene Georgescu, was present around the start of the inspection. At the start of the inspection, (2) residents were resting in the common area, (3) residents in their rooms, and (1) was attending their health care program. (1) resident returned to the community around 12:00 pm and (1) then left to go to the health care program. The facility has a hospice waiver for (3), and there is currently (1) resident on hospice. The Ombudsman arrived at 2:00 pm to conduct an inspection. LPA and Administrator toured the interior/exterior of the facility including the common areas, (2) shared resident rooms, (2) private resident rooms, (2) resident bathrooms, kitchen, staff room and garage/locked laundry area. LPA observed the facility to be clean, in good repair and odor-free, and the bathrooms have the necessary grab bars and skid-resistant floors. There is sufficient 2+day perishable, including fresh produce, and 7+day non-perishable supply of food. Fridge/freezer temperatures were 37*F/0*F, respectively. Toxins are locked in the garage, sharps are locked in the kitchen, and medications are locked in a cabinet near the kitchen. The Administrator will switch the key lock to a magnetic lock on the sharps drawer due to overuse. Facility temperature inside was 77*F and hot water measured 113*F in the kitchen. The fire extinguisher was last serviced April 17, 2026, and the smoke/monoxide alarms are working. There are sufficient incontinent products, PPE and paper products. All exit doors have auditory alerts. There is (1) unlocked gate outside and covered patio seating. There are no pools. (3) resident files and (3) staff files were reviewed. Files are organized and complete. Care plans are current and have required signatures. Medications/orders were reviewed for (1) resident. Orders match meds being given. LPA requested updated LIC308, LIC500 and insurance information. There are no deficiencies. Exit interview. Report provided.the state’s words, verbatim · CDSS document, Aug 6, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Florica Sotea, Administrator. Administrator Designee, Eugene Georgescu, arrived later during the inspection. LPA observed (1) resident resting in the common area and (4) residents in their rooms. The facility has a hospice waiver for (3), and there are (2) residents on hospice currently. LPA and Administrator toured the interior/exterior of the facility including the common areas, (2) shared resident rooms, (2) private resident rooms, (2) resident bathrooms, kitchen, staff room and garage/locked laundry area. LPA observed the facility to be clean, in good repair and odor-free, and the bathrooms have the necessary grab bars and slip-resistant floors. There is sufficient 2+day perishable, including fresh produce, and 7+day non-perishable supply of food. Toxins are locked in the garage, sharps are locked in the kitchen, and medications are locked in a cabinet near the kitchen. All exit doors have alarms and there are mini-ramps at the front/back entrances. There is (1) unlocked gate outside and covered patio seating. The fire extinguisher was last serviced 4/1/25, and quarterly fire drills are conducted. Smoke/monoxide alarms working. Inside temperature measured 78*F and the hot water measured 118*F in a resident bathroom. There are sufficient incontinent products, PPE and paper products. Guardian updates discussed. Two (2) resident files and (3) staff files were reviewed. Files were found to be organized, complete and contain current documentation. Care plans are current and have required signatures. Medications/orders were reviewed for (2) residents. Staff have completed all required training. RCFE Administrator certificate #7007852740 (exp 5/15/27). An Addendum to be added to the Admission Agreement with current contact information for CCLD/Ombudsman and (90) days required for a cost of living increase. The Plan of Operation includes updated Dementia regulations. LPA requested an updated copy current liability insurance. There are no deficiencies. Exit interview. Report provided.the state’s words, verbatim · CDSS document, Sep 9, 2025

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Collateral

On January 28, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct a collateral visit to conduct an interview with Resident #1 (R1). LPA met with Administrator, and informed her the purpose for the visit. During today's visit, LPA spoke with R1 on an issue that was not related to this facility. In the areas that were evaluated, no deficiencies were observed at the time of the visit. Exit Interview conducted and a copy of the report was provided to Administrator.the state’s words, verbatim · CDSS document, Jan 28, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Florica Sotea, Administrator, and Shelley Ann Mc Leod, caregiver, and explained the reason for the inspection. LPA was advised there are (4) residents currently. LPA observed (2) residents watching television in the common area and (2) residents resting in their rooms. The facility has a hospice waiver for (3), and there are (2) residents on hospice currently. LPA and Administrator toured the interior and exterior of the facility including the common areas, (2) shared resident rooms, (2) private resident rooms, (2) resident bathrooms, kitchen, staff room and garage/locked laundry area. LPA observed the facility to be clean, in good repair and odor-free. LPA observed the bathrooms to have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. LPA observed sufficient 2+day perishable and 7+day non-perishable supply of food. There is additional food along with paper/incontinent and PPE supplies in garage area. Toxins are locked in the garage, sharps are locked in the kitchen and medications are locked in a cabinet near the kitchen. All exit doors have alarms and there are mini-ramps at the front entrance, and the patio door. There is (1) unlocked gate outside and covered patio seating. There are no pools or bodies of water. Residents participate in a variety of activities, including painting, cross-word puzzles, music, and singing. Smoke/monoxide alarms are in working order, and the fire extinguisher was last serviced 4/4/24. Quarterly fire drills to be documented. LPA reviewed (2) resident files and found them to be organized, complete and contain current documentation. Medications were reviewed for (1) resident. Orders match medications being given. Administrator certificate # 602537174- (exp 5/15/25) is posted in the common area. (3) staff files were reviewed. All staff have current certifications in First Aid/CPR and are in the process of completing annual required training. Documentation is on file. LPA requested an updated copy of LIC500, LIC308 and obtained a copy of the current liability insurance. There are no deficiencies. A Technical Advisory Note is being issued. Exit interview. Report to be emailed.the state’s words, verbatim · CDSS document, Oct 4, 2024

Allegation investigated: Staff handled resident in a rough manner while in care.

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to open a complaint received on 7/31/24. LPA met with staff, Shelly McLeod, introduced herself and stated the reason for today's inspection. Staff contacted the Administrator, Florica Sotea, by phone to inform of LPA's presence in the facility. LPA spoke to the Administrator, Florica, by phone, and confirmed that resident, who is the subject of this complaint, never lived at this care home, and she is not familiar with this individual. The caregiver also stated to LPA she is not familiar with this resident, as she returned to working at the care home on 8/4/24. LPA was given the names of the (5) residents currently residing at the care home. The Administrator arrived at the facility at 1:15 pm. Based on information obtained, LPA finds the allegation to be UNFOUNDED- meaning that the allegation was false, could not have happened and/or is without reasonable basis. Exit interview. Copy of report provided. Unfoundedthe state’s words, verbatim · CDSS document, Aug 5, 2024 · control 59-AS-20240731092005

Allegation investigated: Neglect/Lack of Supervision: Due to staff's neglect or lack of care, resident received a medication not prescribed, fentanyl, while in care.

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to deliver investigative findings to a complaint received on 8/28/23. LPA met with Florica Sotea, Administrator, and explained purpose of inspection. During the investigation, the Department interviewed (2) facility staff, (4) residents, the Ombudsman and a hospital staff person. Multiple documentation pertaining to resident (R1) was reviewed, including hospital medical records, facility records, and medication records. Medication records were also reviewed for all residents. The results of the investigation are as follows: On 8/23/23, resident (R1) was reported to be laughing and smiling and not interacting as resident normally does in conversation. The Administrator took resident to a scheduled psychiatric appointment and expressed her concerns of resident's altered behavior to the psychiatrist, who contacted 911. cont on 9099C-1.. Unsubstantiated 9099C-1.. On 8/23/23, at approximately 2:32 pm, the resident was transported by ambulance to an area hospital and admitted for an increased altered level of consciousness, weakness, hypotension, respiratory failure and bradycardia (slow heart rate). Resident's urinalysis test returned positive for fentanyl. A second test was not conducted. Fentanyl was not a medication on resident's medication list. Hospital notes were reviewed and note the pulmonologist wrote "Possible false positive urine test due to a cross reaction with other drugs". There was no evidence to indicate the presence of fentanyl in the facility. The Administrator stated that none of the residents were prescribed fentanyl which was consistent with resident record reviews. The Department conducted an on-line search of resident's (R1's) medications and their ingredients, as well as the medication ingredients of all residents, and no medications were determined to contain fentanyl as an ingredient. Resident's medication labels on the medication containers were also reviewed and none were observed to list fentanyl. Both the Administrator and caregiver denied taking fentanyl. The Administrator also indicated that resident (R1) had no access to any medications and did not manage her own medications, confirming the medications were kept locked in a cabinet. The Administrator or caregiver administered all of resident's medications and the resident (R1) did not leave the facility or have any visitors leading up to the incident. The local police department conducted an investigation and was unable to find any evidence of a crime and closed their case as information only. Resident, (R2), reported she received another resident's medication once but immediately recognized the incorrect medication and advised staff. The same resident recalled another time when another resident, whose name was not known, received an incorrect medication and told staff "This isn't mine". Staff corrected the medication error before the resident took the wrong medication. R2 stated that the Administrator will prepare medications for all residents and store them in a kitchen drawer. The Administrator confirmed all medications are stored in a locked cabinet and no where else in the home. The Administrator showed LPA on 11/20/23 that she prepares the medications only for the day (all dosages) and administers the medications with a meal when possible. LPA observed each medicine cup to be labeled with resident's name. As a result of this investigation, the Department finds the allegation to be (US)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. Copy of report provided to the Administrator.the state’s words, verbatim · CDSS document, Nov 20, 2023 · control 59-AS-20230828125407