Silver Tree Villa

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jacqueline Shaw Ross arrived unannounced at the above facility to conduct a required annual inspection. LPA was greeted and granted entry by Lead Caregiver Regina Abdelghani. LPA introduced self, and stated the purpose of the visit. Administrator, Mohammad Arabshahi joined shortly to conduct an overall tour of the facility inside and out. Present in the facility during time of visit were four (4) residents and two (2 )staff. Staff interview was conducted and client interviews were conducted. The facility is a one story six (6) bedroom, six (6) bathroom home. The facility appears clean and free of odors. Resident bedrooms are clean and appropriately furnished, and each have their own bathroom. All smoke and carbon monoxide detectors were tested and found operable. Food supplies are sufficient. Emergency food and water was stored in a storage area. Hot water was measured at 117.6 degrees in the residents bathroom. LPA observed all toxic chemicals and other hazards secured and inaccessible to residents and are centrally stored in a locked laundry room. Furniture in the facility is in good repair. Outdoor space is free of hazards. LPA inspected staff and client records. Review of staff records indicated all staff have criminal record clearances and are appropriately associated to the facility. Staff files had the required documentation including First Aid Certifications and training documents. LPA inspected medications and medications appear to be dispensed appropriately according to physician's orders. The facility is completing emergency drills regularly. Dues are current. During the inspection, no deficiencies were observed. An exit interview was conducted and a copy of the report and LIC 811 was provided.the state’s words, verbatim · CDSS document, Jun 16, 2023

Allegation investigated: Staff did not follow resident's care plan Staff did not provide an adequate amount of drinking water to residents

Licenisng Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to initiate an investigation into the allegations listed above. LPA met with Caregiver Regina Abdelgahni and Licensee/Administrator Mohammad Arabshahi and explained the purpose of the visit. During today's visit, LPA toured the facility, interviewed three (3) staff and four (4) residents. Regarding the allegation "Staff did not follow resident's care plan", it was alleged from January 2014 to February 2014, facility staff did not keep Resident #1's (R1's) pressure relief cushion inflated. LPA toured the facility and did not observe any current residents utilizing a pressure relief cushion. Interviews conducted with two (2) of four (4) current residents reported they are happy with the care staff provide. Interviews conducted with three (3) staff revealed all three (3) staff did not recall R1 ever living at the facility. The facility is not required to keep resident records longer than three (3) years therefore there were no 2014 records available for review. Regarding the allegation "Staff did not provide and adequate amount of drinking water to residents", it was alleged that from January 2014 to February 2014 staff would only provide residents with less than a cup of water at every meal and residents were only provided about a third of a cup of water each. Interviews conducted with two (2) of four (4) (CONTINUED ON LIC9099-C) Unsubstantiated (CONTINUED FROM LIC9099) current residents reported they are provided a full glass of water at every meal. LPA observed drinking vessels containing clear liquid in three (3) of four (4) resident rooms. Upon arrival to the facility, LPA observed one (1) resident sitting at the table finishing a meal and a drinking container was on the table 3/4 full of clear liquid. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of this report along with LIC811- Confidential Names list was provided.the state’s words, verbatim · CDSS document, May 23, 2023 · control 18-AS-20230515164007

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 Caregiver Regina Abdelghani and explained the purpose of today's visit. Six (6) of six (6) residents in care were present during today's visit. During the inspection, LPA observed one central entry point for universal entry screening, routine symptom screening initiated at entry for visitors, a sign-in policy enacted for all visitors, signs posted throughout the facility to promote hand hygiene and physical distancing. LPA observed that the facility was also equipped with sufficient cleaning/disinfecting provisions, and a supply of Personal Protective Equipment (PPE). The facility has a plan in place to track all COVID-19 cases and/or suspected cases and that a plan to ensure staff are trained in the facility's infection control measures. The facility also has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolation, and properly caring for residents with COVID-19 positive results and/or exposures. The facility has a designated lead person responsible for the monitoring of residents for any changes in condition and to subsequently notify the resident's physician and emergency personnel in the event the resident presents 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, Jun 22, 2022

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.