Abria Del Cielo

On 12/23/2024 at 1:30PM Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility in order to deliver findings for the above allegation. LPA discussed the purpose of the visit with Executive Director, Criselda Espiritu Santo. The investigation consisted of interviews and record review. In regards to the allegation of Illegal eviction: As of 12/23/2024 Resident #1 (R1) is currently living in the facility. Based upon record review, LPA observed that R1 refused assistance with personal care. On 09/12/2024 at 1:47PM, LPA conducted a telephone interview in which R1 confirmed they had refused assistance. LPA observed Resident Shower Logs which confirmed that R1 refused assistance with personal care (19) nineteen times during the months of June-October of 2024. UnsubstantiatedRead the full finding— CDSS inspection report, December 23, 2024 · control 56-AS-20240911113843

On 12/23/2024 at 1:30PM Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility in order to deliver findings for the above allegation. LPA discussed the purpose of the visit with Executive Director, Criselda Espiritu Santo. The investigation consisted of interviews and record review. In regards to the allegation of Staff do not prevent resident from being hit by other residents: Resident #1 (R1) has been moved as of 11/12/2024 to another facility which provides a higher level of care. Based upon record review, LPA observed R1 had mild cognitive impairment. Interviews with staff confirmed that R1was forgetful and often was confused. Interviews with residents confirmed that staff lock the residents' doors at night and residents have their own keys to their assigned rooms. Residents and staff deny witnessing any residents hitting other residents. UnsubstantiatedRead the full finding— CDSS inspection report, December 23, 2024 · control 56-AS-20241106121830

On 12/11/2024 at 10:00 AM, Licensing Program Analyst (LPA) Melody Brown conducted an unannounced visit to the facility to deliver the findings of the above allegation. LPA Brown was greeted and granted entrance by a staff. Executive Director (ED) Criselda Espiritu Santo was contacted and informed of the visit and LPA Brown explained the purpose of the visit to ED Espiritu Santo. The investigation was conducted by LPA Brown. The investigation consisted of file review, observations and interviews with relevant parties. The allegation indicates Staff do not ensure residents are not eating expired/moldy food. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Interview with ten (10) of ten (10) residents indicated that staffs at the facility are ensuring that the food they are serving them are fresh and no incident happened that staff gave them expired or moldy food. During the facility visit on 08/15/2024, Resident #1 (R1) reported to LPAs Melody BrowRead the full finding— CDSS inspection report, December 11, 2024 · control 56-AS-20240814082855

Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to deliver findings on the mentioned allegation. LPA met with Criselda Santo- Administrator and she was informed of the purpose of the visit and the allegation. The investigation included interviews with residents, staff members, and outside party, as well as a review of records. Interviews with staff and outside parties revealed that they were unaware of Resident 1 (R1) being evicted from the facility, and R1 stated that they were not given a written notice of eviction. LPA reviewed the facility files and found no record of R1 being evicted. Based on the interviews with R1 and outside parties, as well as the records reviewed, the allegation is Unsubstantiated This means that although the allegation may have occurred or is valid, there is not enough evidence to prove whether the alleged violations did or did not occur. An exit interview was conducted, and this report was discussed and provided at the concluRead the full finding— CDSS inspection report, November 7, 2024 · control 56-AS-20240801123644

Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility in order to investigate and/or deliver findings for the above allegations. LPA discussed the purpose of the visit with Executive Director, Criselda Espiritu Santo and this visit consisted of a facility tour, interviews, observation and record review. LPA Howell-Small observed the temperature to be 73 degrees Fahrenheit, toured the two-story facility and visited seven (7) resident rooms. LPA obtained documentation of monthly extermination service, waterproof and anti-bed bug mattress covers and a Sleep Tight machine specifically used to eradicate bed bugs. The allegation of staff did not keep facility free of bedbugs is UNSUBSTANTIATED. UNSUBSTANTIATED is defined as, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation did or did not occur. UnsubstantiatedRead the full finding— CDSS inspection report, October 14, 2024 · control 56-AS-20241010124808

Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Facility Nurse Norma Alexandra Villacis and explained the purpose of the visit. The investigation consisted of interviews and review of records. First allegation, Lack of supervision resulting in physical altercation between residents. LPA conducted an interview with Resident#1 regarding the allegation stated above R#1 stated to LPA that such incident has not happened to resident in the past. R#1 informed LPA about feeling safe at the facility and indicated that staff assessed resident right away and provided resident with first aid. LPA conducted an interview with Resident #2 who stated to being a witness to the incident involving R#1. R#2 stated to LPA that after R#2 informed staff about the situation staff assisted R#1 right away. LPA conducted a record review and observed that staff offered R#1 additional medical care however, R#1 refused anRead the full finding— CDSS inspection report, August 27, 2024 · control 56-AS-20240820163635

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegations. LPA Prieto met with CEO, Edna Medrano and explained the elements of the complaint. Regarding the allegation that staff are not allowing residents to have visitors in their room; LPA Prieto interviewed CEO Medrano who provided LPA with the facility's admission's agreement that addresses the visitation policy and those visitors providing proper identification upon entry. The facility also has designated visiting areas throughout the facility that are clearly labeled and indicating specific hours for the use of those specific areas. These areas are designated to assure the privacy of other resident's that may be residing in shared rooms and resident's safety. LPA interviewed resident #1 (R1), R2, R3, R4, R5, R6, R7, R8, and R9, all who stated that the facility is allowing them to have visitors and not restricting them relating to the facility's visitaRead the full finding— CDSS inspection report, August 6, 2024 · control 56-AS-20240805145702

Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Facility LVN Norma Villacis and explained the purpose of the visit. The investigation consisted of interviews and review of records. First allegation, Staff physically assaulted resident resulted in injuries. LPA conducted interviews with resident[s] pertaining to the allegation “staff physically assaulted resident resulted in injuries” all residents denied being physically assaulted by staff in addition, all residents denied witnessing staff physically assault residents in care. During interviews Resident (R#1), stated not remembering how bruise was obtained and denied bruise being caused by staff. LPA conducted interviews with staff pertaining to the alleged allegation and all staff denied physically assaulting resident along with witnessing staff physically assault resident in care. UnsubstantiatedRead the full finding— CDSS inspection report, July 11, 2024 · control 56-AS-20240415102056

Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Facility Director Criselda Espiritu Santo and explained the purpose of the visit. The investigation consisted of interviews and review of records. First allegation, Staff sexually assaulted resident. During the course of the investigation, interviews were conducted, a review of resident (R1) records was completed and copy of pertinent documents were obtained. Regarding the alleged allegation interviews with staff were conducted and all staff denied sexually assaulting resident (R#1) in addition, staff also denied witnessing any sexual assault. An interview with resident (R#1) was conducted and resident (#1) denied being physically or sexually assaulted by staff furthermore, resident (R#1) also denied being physically assaulted or sexually assaulted by any resident. Based on the corroborating evidence obtained during the course of the investigatiRead the full finding— CDSS inspection report, June 19, 2024 · control 56-AS-20240514135749

Licensing Program Analyst (LPA) Anna Fannell conducted an unannounced visit to this facility for the purpose of initiating the investigation of and delivering findings for the above allegation. LPA met with Licensee Edna Medrano who was advised of the purpose of visit. Administrator Cris Espiritu Santo arrived during today's visit. The investigation consisted of review of relevant records and interviews with relevant parties. It is alleged that the Facility failed to notify Resident (R1) authorized representative about medical treatment. LPA reviewed records showing that R1 has a medical power of attorney (POA) agent. Interviews revealed that R1 has been experiencing daily reoccurring nosebleeds that facility staff sent R1 to the local medical facility. Interviews further revealed that R1's representative has been receiving communication from the facility about R1's condition and R1's representative was aware that R1 would leave the local medical facility and return to this residentialRead the full finding— CDSS inspection report, March 27, 2024 · control 56-AS-20240325123035

Licensing Program Analysts (LPA) Anna Bueno and Javier Prieto conducted an unannounced visit to the facility to initiate the complaint investigation and deliver findings on the above allegation. LPAs met with administrator Criselda Espiritu Santo was informed of the purpose of today’s visit. The investigation consisted of a review of relevant records and staff interviews. LPAs were unable to contact Resident (R1). Allegation 1: Staff does not assist R1 with transfers from bed to wheelchair. LPAs reviewed R1's assesment from 10/31/23 conducted by a third-party showing that R1 requires limited assistance in making transfers and would like to be more independent in making their own transfers. Staff interviews revealed that R1 is able to transfer independently. This allegation is unsubstantiated. Allegation 2: Staff does not give resident any medications for the past 2 years. LPAs reviewed records showing that R1 has refused services from the facility, including, medication administration,Read the full finding— CDSS inspection report, December 7, 2023 · control 56-AS-20231130160801

Licensing Program Analyst (LPA) Javina George made an unannounced visit to deliver findings for the allegation mentioned above. LPA met with Administrator Criselda Espirtu Santo and explained the purpose of the visit. The investigation consisted of interviews, and records review. Resident sustained pressure injuries while in care due to neglect. It was alleged that Resident #1 (R1) sustained a Stage 4 pressure injury while resident was in care of Abria Del Cielo. R1 was admitted on 02/02/2018 and was discharged on 12/29/2020. R1 was placed at the facility under the Assisted Living Waiver (ALW) program. An ALW assessment plan dated 06/02/2020 revealed R1 was incontinent of both bladder and bowels. A goal of the plan was to have an absence of skin breakdown. Per R1’s Physician’s Report dated 02/02/2018, R1 required assistance with dressing, bathing, and toileting. A review of medical records dated 07/25/2020, revealed that on 07/26/2020, R1 had redness on their coccyx area and a scab ofRead the full finding— CDSS inspection report, September 12, 2023 · control 18-AS-20210621113522

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to initiate the complaint investigation and deliver findings on the above allegation. LPA met with licensee Edna Medrano was informed of the purpose of today’s visit. The investigation consisted of inspection of facility plant and staff and resident interviews. The allegation is Staff violated resident's confidentiality. During today's visit, LPA observed two whiteboards with residents' names, room numbers, dates, and names of facilities behind the medication room counter. LPA did not observe any listed diagnoses. Staff and resident interviews confirm that returning residents will bring their discharge paperwork to the med room and discuss the information with the LVN or med technician. Interviews with staff further reveal that other residents are ushered out of the med room during this process however some residents may choose to stay outside partially closed doors of the med room. This allegatioRead the full finding— CDSS inspection report, August 16, 2023 · control 56-AS-20230808092638

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced subsequent visit to the facility to continue the complaint investigation and deliver findings on the above allegations. LPA met with assistant administrator Kevin Villacorte who was informed of the purpose of today’s visit. The investigation consisted of interviews with relevant parties, observations of the facility, and review of relevant records. Allegation 1: Financial Abuse. It was alleged that a total of $3009.00 was withdrawn from R1's government benefit account without permission. LPA reviewed records showing that R1 was admitted to the facility on 2/23/2023 and was discharged on 5/3/2023. Records reviewed show that R1 has an out of state ID and did not poses any government benefits card when they were released from a medical facility to this assisted living facility. Staff interview reveal that while the facility assisted R1 in obtaining their government ID and benefits, R1 did not want facility staff involvedRead the full finding— CDSS inspection report, July 17, 2023 · control 56-AS-20230627125026

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to initiate the complaint investigation and deliver findings on the above allegations. LPA met with administrator Cris Espirirtu-Santo who was informed of the purpose of today’s visit. The investigation consisted of interviews with relevant parties, observations of the facility, and review of relevant records. Allegation 1: Staff handled resident in a rough manner. Interview with resident state that staff did not take them by the arm roughly, and further stated that any physical contact is initiated only upon the resident’s request. During resident interviews, it was discovered that staff do not put their hands on residents nor have residents witnessed staff grab residents. Interviews with staff deny putting their hands on residents and reveal that no resident has reported being grabbed by staff. This allegation is unsubstantiated. Allegation 2: Staff speaks inappropriately to resident. Resident iRead the full finding— CDSS inspection report, May 8, 2023 · control 56-AS-20230502113016

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to initiate the complaint investigation and deliver findings on the above allegation. LPA met with administrator May Cabrera and assistant administrator Kevin Villacorte who were informed of the purpose of today’s visit. The investigation consisted of staff interviews and review of relevant records. It is alleged that Staff did not prevent Resident 2 (R2) from attacking another Resident 1 (R1) while in care. Staff interviews and records confirmed that R1 was residing at this facility from 4/17/2014 through 11/20/2019. Interviews with staff deny that R2 lived at this facility and staff have never heard of R2 before today's visit. Staff further state that R1 was friendly with staff and other residents and staff do not recall any altercations between R1 and other residents. LPA found incident reports involving R1 but LPA could not find any reports mentioning R2 from this facility. This allegation isRead the full finding— CDSS inspection report, April 10, 2023 · control 56-AS-20230407124518

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to initiate the complaint investigation and deliver findings on the above allegation. LPA met with administrator May Cabrera and licensee Edna Medrano who were informed of the purpose of today’s visit. The investigation consisted of interviews with relevant parties, observations of the facility, and review of relevant records. The allegation is Staff do not ensure Resident 1 (R1) records are properly maintained. LPA observed resident records in the secured medication room. Interview with staff nurse (SN) confirmed that R1 is taking three insulin medications, one (M1) of which the unit dosage changes depending on R1’s blood sugar level. SN further explains that SN will administer the appropriate M1 dosage depending on R1’s blood sugar reading and that R1’s blood sugar is recorded daily but the medication administration record (MAR) only reflects that M1 was given by SN’s initial. SubstantiatedRead the full finding— CDSS inspection report, April 6, 2023 · control 56-AS-20230330134902

LPA Amber Coleman (LPA Coleman) and LPA Anna Bueno (LPA Bueno) arrived at the Abria De Cielo for an unannounced visit to initiate a complaint investigation and deliver finding. LPA's met with Assistant. Manager. Kevin Villacorte (S1), who made introductions and discussed the purpose of the visit. S1 informed Administrator Criselda Espiritusanto who later arrived during visit. The investigation included LPA's Coleman and Bueno, records review, staff and resident interviews. It is alleged that facility staff did not dispense resident's medication as prescribed. LPA Coleman interviewed staff member (S1) Kevin Villacorte and reviewed the resident's records. According to the the facility's Medication Administration Record (MARS), R1 received all of her medications as prescribed. There is no evidence illustrating medication was missed. ***Please see LIC9099-C*** UnsubstantiatedRead the full finding— CDSS inspection report, November 17, 2022 · control 18-AS-20211229145336

Licensing Program Analyst (LPAs) Anna Bueno and Amber Coleman conducted an unannounced visit to the facility to conclude the investigation of the above allegations deliver findings. LPAs identified themselves to Kevin Villacorte, assistant administrator, who was notified of the reason for today’s visit. The investigation included staff, witness, and resident interviews, and records review. Allegation 1: Resident (R1) was sexually abused while in care. It was alleged that R1 was sexually abused by unknown individuals. No details of the abuse were provided, and no further information was obtained from interviews. Interviews conducted deny sexual abuse within the facility by residents and/or by staff. Witnesses confirmed that R1 has confusion and is not a reliable historian. Based on the information obtained, the allegation is unsubstantiated. Allegation 2: R1 was physically abused while in care. It was alleged that R1 was physically abused by a named individual. R2 and R3 were intervieweRead the full finding— CDSS inspection report, November 17, 2022 · control 56-AS-20220912152449

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to conclude the complaint investigation and deliver findings on the above allegations. LPA met with administrator Criselda Espiritu Santo who was informed the purpose of today’s visit. Allegation 1: Staff took money from resident (R1). Resident interviews revealaed that staff do not take or ask for money from residents. Staff interviews verified that some residents will ask others for money when they don't receive a stipend from their family. LPA Bueno was asked by a resident for "a dollar to spare." LPA Coleman witnessed another resident ask LPA Coleman for "a couple dollars." This complaint is therefoer unsubstantiated. Allegation 2: Staff did not treat R1 with dignity and respect. Resident interviews deny witnessing staff make racist remarks or use inappropriate names at any time. Staff interviews reveal that R1 was sent to the hospital for reasons related to causing property damage to the faciRead the full finding— CDSS inspection report, November 17, 2022 · control 56-AS-20220808095722

LPA Amber Coleman (LPA Coleman) and LPA Anna Bueno (LPA Bueno) arrived at the Abria De Cielo for an unannounced visit to initiate a complaint investigation and deliver finding. LPA's met with Assistant. Manager. Kevin Villacorte (S1), who made introductions and discussed the purpose of the visit. The investigation included LPA's Coleman and Bueno, records review, staff and resident (R1) interviews. Allegation #1 & #2: It is alleged that staff do not provide transportation services and staff do not ensure the residents attended medical appointment. Interview with Staff 1 revealed that the client manages their own medical appointments. It was reported that the driver may not escort the clients inside the appointment. however they provide a resident information sheet to the medical staff inside. Records review revealed that the client has resided in the facility for over 2 years and has been utilizing the facility's transportation services up to 3 times a week. Records also revealed thatRead the full finding— CDSS inspection report, October 24, 2022 · control 56-AS-20221021081347

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to this facility to initiate the complaint investigation, review documents, and deliver findings on the allegation listed above. LPA met with administrator Cris Espiritu Santo who was informed the purpose of today’s visit. LPA Bueno verified that the facility sent the Department a 30 day notice for Resident 1 (R1). The date on the eviction notice is 07/28/22 and it was received by the Department Regional Office on 08/02/22, prior to the complaint being filed. This allegation is therefore UNFOUNDED, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. An exit interview was conducted with and a copy of this report was provided to administrator Espiritu Santo. UnfoundedRead the full finding— CDSS inspection report, August 17, 2022 · control 56-AS-20220808095722