Redwood Terrace

Type of visit: Required - 1 Year

On 08/23/23 at 12:12 p.m. Licensing Program Analyst (LPA) Cheryl Goodrich arrived to conduct an unannounced annual visit. LPA met with the Director of Wellness & Assisted Living, Brittany Eargle. The purpose of today’s visit is to inspect the facility to ensure that the facility is following California Code of Regulations, Title 22, Division 6. Facility is approved for two hundred and ten residents. The facility currently has 12 memory care residents, 41 assisted living residents and 103 independent living residents. Infection Control: The facility has an approved infection control plan and a surplus of supplies for infection control including but not limited to mask, gloves, gowns, first aid kit, cleaning supplies, protective eye equipment and cleaning supplies. Physical Plant and Environmental Safety: There are a total of 156 resident bedrooms with bathrooms, studio apartments with kitchenettes, a master kitchen, seating areas, office areas, outside seating areas with furniture for residents and staff, and a transportation vehicle. All rooms, seating areas, office areas, kitchen and dinning room areas are all clean and clear of obstruction. The resident bedrooms were clean and clear from obstruction. The resident’s rooms were complete and clean linens and bedding, a television, dresser, and closet space. The facility is equipped with fire extinguisher, carbon mosnoxide and smoke detectors and sprinkler system. Operational Requirements: The facility was staffed with 5 caregivers and other operational support staff . The facility meets the operational requirements for an has a RCFE-Continuing Care Retirement Community is current with fire clearance for the facility. The facility is equipped with a backup generator for the facility and memory care has it’s own backup generator. (Continued on LIC809-C) (Continued from LIC809) Personnel Records-Training: All have fingerprint clearances, current CPR/First Aid certification, Health screen and TB tests completed. All staff complete monthly in-service training and fire-drills and disaster training and job title specific online training. Client Records-Incident Reports: The resident records are complete with pre-assessments, physician reports, admissions agreements, physician reports and orders, medication log, daily logs of the resident’s health condition, and additional medical assessments. Client Rights-Information: The residents rights documentation is present. The resident records also contain needs assessment information for each resident. Food Service: 7-day non-perishable and 2 day of perishable food supply was observed, and all food was properly stored and available to residents. Health- Related Services: The caregivers at the facility are dispensing medications within the guidelines of the physician’s order and the regulations. The facility is documenting the date and time of the dispensing of medication for each resident. Disaster Preparedness: The facility has a disaster plan and has posted the evacuation plan, visible for staff and residents in care. The last fire drill was completed 07/17/23. The facility has emergency supply of food and water. Summary: Based on today's visit, no deficiencies were observed at this time. An exit interview was conducted with Director of Wellness & Assisted Living, Brittany Eargle and a copy of this report was printed Signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, Aug 23, 2023

Allegation investigated: Resident's personal rights are being violated.

Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to investigate the above allegation. LPA met Director of Wellness and Assisted Living, Brittany Eargle and explained the purpose of the visit. During the investigation, LPA interviewed Staff, interviewed Resident, interviewed Resident’s Responsible Party (RP), interviewed Confidential witness, and reviewed Resident file. Regarding the allegation “Resident's personal rights are being violated”. It was alleged resident is not allowed to leave the facility with friends or anyone other than resident’s family. LPA interviewed staff who acknowledged not allowing resident to be taken out of the facility because Resident’s RP who is also resident’s Power of Attorney (POA) and resident’s family has instructed that resident is not to be taken out of the facility. LPA interviewed Resident’s Responsible Party who acknowledge being resident’s POA and given facility the instruction not to allow resident to leave the facility except with family members. Interview with resident revealed resident goes out of the facility only to visit family. LPA interviewed two confidential witnesses who stated their request to take resident out of the facility for recreational activities was denied by the facility and the POA. LPA reviewed Resident’s file, the file review revealed resident’s RP only has POA for health care decisions. Based on LPA’s interviews and file review, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be substantiated. California Code of Regulations (Title 22, Division & Chapter number 6) are being cited on the attached LIC9099D). An exit interview was conducted, and a copy of this report was reviewed and provided along with appeal rights to Brittany Eargle. Substantiatedthe state’s words, verbatim · CDSS document, Feb 7, 2023 · control 18-AS-20220914152305

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(6) · Plan of correction due date: Feb 17, 2023

Personal Rights of Residents in All Facilities; Residents in all residential care facilities for the elderly shall have all of the following personal rights To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This requirement is not met based on LPA's interview, and record review. The licensee did not comply by refusing resident to leave the facility with friends which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 7, 2023

Plan of correction: Brittany Eargle stated moving forward resident will be allowed to leave the facility with friends and family.

Allegation investigated: Licensee is not responding promptly and appropriately to resident representative.

On December 2, 2022, Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to investigate the above allegation. LPA met with Executive Director, Leif Cameron, and Director of Wellness and Assisted Living, Brittany Eargle who was informed of the purpose of the visit. During the investigation, LPA interviewed staff, Resident and Resident’s Responsible Party (RP), and Reviewed Resident File. Regarding the allegation “Licensee is not responding promptly and appropriately to resident representative”, it was alleged staff didn’t notify resident’s RP that resident’s monthly rent was not received. Interview with resident and resident’s RP revealed facility lost six #6 of resident’s rental checks and failed to notify Resident’s responsible party promptly. LPA interviewed Facility Revenue Manager who stated facility didn't receive the checks. Facility Revenue Manager also stated resident’s monthly invoices contains resident’s balance and copies of the invoices are mailed to resident’s financial advisor and another copy of the invoices placed in resident's mailbox. LPA interviewed Executive Director who stated resident and Resident’s RP were called and was informed about the non-payment of rent. Continue on LIC9099C Unfounded Continued From LIC9099 During LPA’s interview with Resident and Resident’s RP it was acknowledged each received a call in June 2022 from facility regarding the non-payment of rent. During LPA’s interview with resident it was also acknowledged that resident receives monthly invoices but doesn’t reviewed them. LPA reviewed Resident’s Admission Agreement page 26 section K under “Notices and Communication” it states “All notices and communications given or made under this Agreement shall be in writing and shall be addressed to Executive Director at your Community or to you at your Residence. Such notices shall be effective when personally delivered or when deposited in the United States first -class mail with postage prepaid”. This agency has investigated the complaint alleging "Licensee is not responding promptly and appropriately to resident representative". We have found that the complaint was unfounded, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted, and a copy of this report was reviewed with and provided to Brittany Eargle.the state’s words, verbatim · CDSS document, Dec 2, 2022 · control 18-AS-20220810135912

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct an annual inspection with emphasis on infection control. LPA met with Director of Wellness and Assisted Living Brittany Eargle and explained the purpose of today’s visit. During the inspection, LPA interviewed Eargle regarding the facility's infection control measures and inspected the facility for regulatory compliance. LPA observed appropriate postings at the facility front entrance, including COVID-19 symptoms postings, which were in accordance with the Department's guidelines. LPA observed that the facility was also equipped with sufficient hand hygiene supplies, sufficient cleaning/disinfecting provisions, and a supply of Personal Protective Equipment (PPE). LPA observed facility staff wearing appropriate face coverings. The facility has a designated infection control lead person/infection preventionist who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring staff are trained in the facility's infection control procedures, and ensuring infection control measures are implemented. The facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolation, and properly caring for residents and staff with COVID-19 positive results and/or exposures. The facility also has a plan in place to monitor residents regularly for any changes in condition and to subsequently notify the resident's physician, emergency personnel, and responsible party in the event the resident presents with any COVID-19 symptoms. No deficiencies were observed during today's visit. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 11, 2022

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Jesse Gardner made an unannounced visit to the facility to follow-up on the death of Resident One (R1). LPA made contact with Executive Director Leif Cameron and advised the reason for the visit. LPA toured the facility and noted no health and safety concerns at the time of visit. Community Care Licensing Division (CCLD) received an unusual incident report from the facility on 3/24/22 to report the death of the resident. The following is a brief description of the visit: LPA interviewed Mr. Cameron regarding the circumstances of the residents death. LPA collected pertinent resident file information, relevant responsible party contact information, as well as staff and resident roster information. Mr. Cameron was advised that additional information including, interviews, calls, and record review may be needed to complete CCLD's investigation at a later date. An exit interview was conducted with Mr. Cameron, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Mar 25, 2022

Type of visit: Case Management - COVID-19

Licensing Program Analyst (LPA), Kayla Hilario, and County of San Diego Nurse Contractor, Robert Montillano, conducted an on-site visit. LPA and Nurse identified themselves and discussed the purpose of the visit with Director of Wellness and Assisted Living Brittany Quiram Eargle. The Department conducted the on-site visit to provide technical assistance and to evaluate the facility's disinfection, screening protocols as well as the use of personal protective equipment. During today's visit, Director of Wellness and Assisted Living, Brittany Quiram Eargle and Executive Director, Leif Cameron were interviewed and a walk-though of the facility was conducted. A debriefing was conducted with the Director of Wellness and Assisted Living at the conclusion of the visit. No deficiencies were issued today. An exit interview was conducted with the Director of Wellness and Assisted Living and a copy of this report, along with Licensee Rights (LIC 9058 01/16), were provided to the Director of Wellness and Assisted Living via electronic mail. An electronic receipt of confirmation was requested to be sent by the Licensee upon receipt of the documents.the state’s words, verbatim · CDSS document, Oct 27, 2021

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced annual required licensing inspection. LPA met with Director of Wellness (DOW) & Assisted Living, Brittany Earlge. LPA stated purpose of today’s visit, to verify compliance with statutes, regulations and other written requirements that are most relevant to protecting the health of residents in care and staff, including in the area of infection control practices. During today’s visit, LPA toured the facility and reviewed the facility’s Plan for Epidemic Outbreak Specific to COVID-19 Mitigation Plan Report (LIC 808) with DOW including the following sections: Person in Care; Staff; Visitors; Residents; Facilities without COVID-19; and Facility has Plans for Infection Control and Physical Distancing. LPA assessed the strategies that the facility is employing for the prevention, containment and mitigation of COVID-19, implementation of infection control guidance, staff retention and essential health and safety. LPA observed one central entry point for universal entry screening; routine symptom screening initiated at entry for staff, residents and visitors; a sign-in policy enacted for all visitors; signs posted at facility entrance with the facility’s visitor policy and signs throughout the facility to promote hand hygiene, cough/sneeze etiquette and physical distancing; face coverings worn by staff and residents; hand sanitizer/hand washing stations readily available; a designated visitation area; emergency agencies’ contact information posted in a location visible to staff and residents; and an adequate supply of PPE. The facility in compliance with and has implemented infection control practices as outlined in its LIC 808. No deficiencies were observed during today’s visit. An exit interview was conducted, and a copy of this report and Licensee Rights (LIC 9058 01/16) were provided to Administrator via electronic mail. An electronic mail read receipt was requested to be provided upon receipt of the documents..the state’s words, verbatim · CDSS document, Aug 31, 2021