Ana's Elder Care

Allegation investigated: Staff physically abused resident in care resulting in bruising. Staff verbally abused resident in care.

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced visit to the facility to conclude an investigation regarding the allegations listed above. LPA was granted entry and met with caregiver Mey Bryan Bugia who was informed of the purpose for this visit. Regarding the allegation "staff physically abused resident in care resulting in bruising", it was alleged that staff had kicked and pushed Resident One (R1) on the floor. R1 was admitted to the facility at approximately 6:00pm on 08/28/2023 and was transported to Scripps Encinitas ER in the early morning of 08/29/2023. R1 was served dinner and was observed to be calm by staff and R1’s responsible party. During the night of 08/28/2023 Staff One (S1) and Licensee stated R1 began to yell and had an aggressive emotional outburst throughout the night. S1 stated R1 began to make rude and threatening remarks to S1 and to the other caregiver working. On the morning of 08/29/2023, R1 refused to take medication, refused help from staff, and was combative. S1 contacted Licensee to inform her of the situation. Licensee contacted the Power of Attorney (POA) and the POA informed Licensee to call 911. When paramedics arrived at the facility on 08/29/2023, it was notated that R1 had bruises on the forehead and under the eyes. *CONTINUED ON LIC9099-C* Unfounded LPA’s record review of R1’s discharge papers from Tri-City Medical Center on 08/28/2023 at 04:10pm had a diagnosis of a Facial or Scalp Contusion and R1 had a bruise to forehead prior to being admitted to the facility on 08/28/2023. POA confirmed R1 had a bruise on the forehead and under the eyes before being admitted to the facility due to a fall at her previous facility. Based on LPA’s interviews and record review this allegation is unfounded at this time. Regarding the allegation “Staff verbally abused resident in care” LPA’s interview with POA and record review revealed that R1 has a history of paranoia and making inappropriate comments. POA stated R1 has a history of making accusations of physical abuse from previous caregivers. LPA’s record review of Tri-City Medical Center physician’s report states R1 has been having frequent paranoia due to advancing dementia. POA does not believe staff had verbally abused R1 while in care. Based on the information obtained from interviews and record review there is no evidence to corroborate the allegations of verbal or physical abuse that could have occurred therefore this allegation is UNFOUNDED. A finding of unfounded means that the allegation(s) was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted where this report and LIC811 was reviewed and provided to caregiver Bugia.the state’s words, verbatim · CDSS document, Oct 10, 2023 · control 18-AS-20230905084729

Type of visit: Prelicensing

On 08/14/2023 Licensing Program Analyst (LPA), Jacqueline Shaw Ross, conducted an announced pre-licensing inspection at the facility. The LPA met with Licensee, Any Swagerty. Also present at the facility were Administrator Katarina Sivcev and Licensee’s mother Jasna Popovich. The application is for a Residential Care Facility for the Elderly (RCFE) for six (6) non-ambulatory residents, of which one (1) may be bedridden and will be in bedroom #5. The facility has an approved Hospice waiver for six (6) hospice residents as of May 17, 2023. A tour was conducted of the interior and exterior of the facility. The house is a single story with, five (5) bedrooms, two full (2) bathrooms, kitchen, dining area, living room, laundry room, office area, front/backyard area. The outdoor space is suitable for resident use and was observed to be fully fenced with an unlocked gate. The facility has taken extra security measures and has an alarm on all the exit doors. The walkways of the home were observed to be clutter free with no obstructions present. LPA observed the bedrooms to be appropriately furnished with adequate lighting. Bathroom toilets, shower and tubs have grab bars and non-skid mats. The hot water was tested in one resident bathroom and measured at 109.5 degrees F. Night lights were observed throughout the hallways. LPA observed food storage and preparation areas and were observed to be clean and sanitary. Refrigerator and freezer are maintained at appropriate temperatures. The kitchen was observed to have dishes, silverware and pots and pans in good repair and enough for the capacity. All appliances are clean and are operable. There is a sufficient supply of linens, towels and personal hygiene items. There is a new first aid kit with a manual; all items were present. CONTINUE ON LIC809-C... CONTINUED FROM LIC809... LPA observed a recreation area with leisure items and activities, which include puzzles for Dementia residents, magazines and newspapers located in the dining area, living room areas. LPA observed three (3) fully charged fire extinguishers. The smoke alarms and carbon monoxide detectors are all connected were tested and are operable. Medications will be stored and locked in a corner cabinet in the kitchen area. All hazardous materials such as, cleaning and disinfecting supplies, knives, and other sharps are locked and inaccessible to residents. All required forms such as: emergency disaster plan and complaint poster, Administrator Certificate, personal rights, etc. are posted throughout the entrance area, dining and living room areas. LPA observed and tested a washing machine and dryer located in a locked area inaccessible to residents. The garage contained an appropriate supply of emergency food and additional cleaning supplies which are also inaccessible to residents. Pre-licensing inspection is complete. COMP III was completed prior to the inspection on August 9, 2023. The facility is ready to be licensed. An exit interview was conducted, and a copy of this report was reviewed and provided to Licensee, Any Swagerty.the state’s words, verbatim · CDSS document, Aug 14, 2023