Ranum's Care Home

Allegation investigated: Neglect/Lack of Supervision: 1) Staff do not assist Resident with bathing 2) Staff does not ensure that resident's hygiene needs are met Medication: 1) Staff is providing medication to resident without the required authorization.

Licensing Program Analyst (LPA) Kevin Gould made an unannounced inspection to the Ranum's Care Home (RCFE) on 10/12/23 at 9:00am to conclude the investigation of the above allegations and to deliver the findings. LPA met with Administrator and together discussed the investigation details. Based on the interviews conducted and statements obtained during the investigation process, the allegations cannot be corroborated. LPA reviewed resident's files and observed documentation by the hospice agency that the hospice agency is providing alleged victim with three bed baths per week. LPA was able to confirm that resident was receiving assistance with bathing while at the facility and the documetnation was available for LPA to review. In addition, LPA conducted interview with A1 who is a friend of the resident who denied having any concerns about the care provided and resident always appeared clean and well groomed. LPAs observations of resident was she appeared clean and well groomed at the time of inspection. LPA was unable to conduct interview with resident as she had limited verbal response. Report Continued on LIC 9099-C Unfounded Staff interviewed claimed individual who was denied entry was aggressive and disruptive to other residents and did not treat staff with respect. A2 was interviewed and denied being unable to visit R1. Regarding being confined to wheelchair, LPA only observed the resident once and observed the resident in a wheelchair. Resident had hip surgery in December 22 and was on hospice and continued decline and was unable to walk much. R1 did have a gait belt, it was not secure to the wheelchair and was only for staff to assist in getting resident up from wheelchair or seated position. LPA was unable to obtain any evidence that R1 was confined to wheelchair by staff. Additionally, Reporting party alleged that R1 was confined to indoors only, and LPA was unable to corroborate the allegation. RP reported that staff protested to him taking resident in the back yard. Staff interviewed stated that resident had severe allergies and going outside would exacerbate her allergies and negatively impacted R1's COPD. Staff did not have a PRN for allergy medication. R1 could not be interviewed due to limited verbal response. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has determined that the allegations of personal rights are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies noted or cited per California Code Regulation, TITLE 22, DIVISION 6. Exit interview was conducted with the facility Licensee. Appeal Rights were issued, and a copy of this report was left at the facility. Regarding the allegation that R1 was administered medications without physician authorization, LPA was able to review documentation of multiple physician orders or a PRN of cough syrup to help alleviate symptoms from chromic lung disease (COPD). LPA was able to confirm resident had a physician's order for medication administered to resident. Medication records indicate the PRN was administered in accordance with directions. The Department has investigated the complaint alleging Neglect/Lack of Supervision and Medication.Based on the investigative interviews, record reviews and other supportive evidence, the complaint is determined to be unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. The Complaint has been dismissed. There are no deficiencies noted or cited per California Code Regulation, TITLE 22. Exit interview was conducted with the facility Licensee and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Oct 12, 2023 · control 27-AS-20230526110229

Type of visit: Required - 1 Year

On 05/25/23 at 1:15 pm Licensing Program Analyst (LPA) Kevin Gould arrived at Ranum's Care Home for the purpose of conducting a required 1 year annual inspection. LPA met with Licensee, Melinda Munar and together conducted a tour of the home. The facility is a single story home located in a residential neighborhood. No pools or bodies of water on the premises. LPA and Licensee evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 114 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven-day non-perishable and two-day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. LPA Requested the following documents for facility file: LIC 308 Designation of Facility Responsibility, LIC 500 personnel report. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, May 25, 2023

Allegation investigated: Neglect/Lack of Supervision: Faciltiy failed to have resident medically treated in a timely manner

Licensing Program Analyst (LPA) Kevin Gould made an unannounced inspection to the Ranum's Care Home (RCFE) on 3/30/23 at 2:10pm to conclude the investigation of the above allegation and to deliver the findings. LPA met with staff and together discussed the investigation details. Based on the interviews and statements obtained during the investigation process, the allegations cannot be substantiated because of conflicting statements obtained from staff and home health agency and the length of time from when the resident was admitted tot he hospital in November and the when the department received the complaint. Per resident records, R1 was sent to the hospital on 11/26/22 for concerns unrelated to the complaint. Home health interviewed stated to LPA that they did not observe any rash or unknown skin issues the day prior to R1 being sent to the hospital. both staff interviewed denied witnessing any rashes or skin issues for resident prior to being admitted to the hospital. Several weeks after resident was admitted the department received concerns regarding a scabies infection fro R1. Hospital staff reviewed R1's intake and there was no observed rashes or skin concerns identified at resident's intake. Unsubstantiated The department did not receive any complaints regarding scabies until R1 had been at the hospital for several weeks. The department is unable to corroborate the allegation as LPA was unable to obtain any preponderance of evidence to suggest resident obtained scabies and went untreated at the facility prior to admission to the hospital. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has determined that the allegations of (indicate the complaint allegation) are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies noted or cited per California Code Regulation, TITLE 22. Exit interview was conducted with the facility staff. Appeal Rights were issued, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Mar 30, 2023 · control 27-AS-20221213145137

Type of visit: Required - 1 Year

On 06/17/21 at 1:45 pm Licensing Program Analyst (LPA) Kevin Gould arrived at Ranum's Care Home for the purpose of conducting a required 1 year annual inspection. LPA met with Licensee, Melinda Munar and together conducted a tour of the home. The facility is a single story home located in a residential neighborhood. No pools or bodies of water on the premises. LPA and Licensee evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 112 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven-day non-perishable and two-day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. LPA Requested the following documents for facility file: LIC 308 Designation of Facility Responsibility, LIC 500 personnel report. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jun 17, 2022