Compassionate Care for Seniors 1

Allegation investigated: Resident sustained pressure injury while in care. Resident is left in bed for an extended period of time. Staff do not assist resident when needed.

Licensing Program Analyst (LPA) Amy Domingo, conducted an unannounced visit to deliver findings to the above mentioned complaint allegations. LPA Domingo identified herself and discussed the purpose of the visit with Administrator Maja Bacinski. The Department’s investigation consisted of record reviews, interviews with staff and outside sources. It was alleged that Resident 1 (R1) sustained pressure injury while in care. (See LIC811 list of confidential list of identification). Interview with Outside Source (OS1) stated that R1 had pressure injuries on the lower extremities. OS1 stated that there were pictures of the pressure injuries. On 08/15/2022 LPA requested information verifying pressure injuries of R1. [Continue on LIC9099C] Unsubstantiated [Continued from LIC9099] On 10/13/2022 LPA reached out to OS1 requesting the information regarding R1. On 11/08/2022 LPA Domingo reached out via e mail requesting the information regarding R1. The requested information was not made available to the LPA after several attempts to obtain the information. Based on the review of R1's records, there was no documentation of pressure injuries. Based on staff interviews there was no pressure injuries on R1. It was alleged that the Resident 1 (R1) was left in bed for an extended period of time. Interview with Outside Source (OS2) stated that there are no concerns regarding residents left in bed for an extended period of time. Staff 1 (S1) provided training documentation regarding caring for the elderly of all the staff that was working during the time of the complaint. Based on the facility schedule there were staff providing care throughout a 24 hour period. It was alleged that Staff do not assist resident when needed. Interview with R1 and Resident 2 (R2) did not provide any evidence of staff not assisting residents when needed. R1 and R2 collectively stated that all the staff provide good care and attention to their needs. Outside Source 3 (SO3) was interviewed and there were no concerns regarding staff assisting the residents when needed. Outside Source 4 (OS4) confirmed during an interview that there are no concerns regarding resident care and meeting the resident's needs. The Department has investigated the above mentioned allegation and the preponderance of the evidence standard has not been met. Therefore, the allegation is unsubstantiated. A copy of this report along with Licensee Appeal Rights (LIC 9058 03/22) was provided to the Licensee and the signature on this form confirms receipt of these rights.the state’s words, verbatim · CDSS document, Aug 28, 2023 · control 08-AS-20220809090925

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced Required 1 - Year Visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and discussed the purpose of the visit with Maja Bacinski Licensee. All staff that LPA encountered have a current criminal record clearance. LPA conducted a brief tour of the facility and interacted with staff and residents. In accordance with the Department’s Infection Control, LPA provided technical assistance and observed and evaluated the facility's implementation of their COVID-19 Mitigation Plan and Infection Control Plan to include disinfection, screening protocols, and the use of personal protective equipment. No deficiencies were cited or observed on this date. An exit interview was conducted, and a copy of this report and Licensee Rights LIC 9058 (3/22) were left with the Licensee, whose signature on this form confirms receipt of these documents.the state’s words, verbatim · CDSS document, Sep 21, 2022

Allegation investigated: Staff are not adhering to Covid-19 infection Control Guidance

Licensing Program Analyst (LPA) Amy Domingo and Interim Assistant Program Administrator (IAPA) Icela Estrada conducted an unannounced visit to open a complaint investigation regarding the above-mentioned allegation. LPA and IAPA identified themselves, discussed the purpose of the visit, and met with Administrator, Maja Bacinski. The Department’s investigation consisted of observations and an interview with the administrator. It was alleged that facility staff are not adhering to COVID-19 Infection Control Guidance. During today’s complaint investigation visit, LPA and IAPA observed three staff, to include Administrator, Maja Bacinski not wearing a face mask. Interview with Administrator Bacinski revealed that all staff and residents have been vaccinated and masks are not worn because they hinder communication with residents. Residents have a difficulty understanding staff. Administrator did acknowledge that masks must be worn by staff while in the facility. During the visit, all staff put surgical masks on. Substantiated Based on observations and interview, the above allegation is determined to be substantiated. A substantiated finding means the allegation is valid because the preponderance of the evidence standard has been met. A deficiency is cited per Title 22 of the California Code of Regulations and is listed on form LIC 9099-D. An exit interview was conducted with Administrator Bacinski which included developing a plan of correction for the deficiency. A copy of this report, LIC 9099, LIC 9099-D, LIC 811 Confidential Names List, and the Licensee/Appeal Rights (LIC 9058 01/16) were provided at the conclusion of the visit. The administrator’s signature on the forms confirms receipt of these documents.the state’s words, verbatim · CDSS document, Aug 16, 2022 · control 08-AS-20220809090925

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(2) · Plan of correction due date: Aug 31, 2022

Personal Rights of Residents in All Facilities To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Based on observations and interview, the licensee did not accord healthful accommodations in 6 of 6 persons in care in which posed a potiential health and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 16, 2022

Plan of correction: The licensee agrees to having the County of San Diego HAI team come out to provide an assessment and PPE training to staff. LIcensee will provide LPA with a sign in sheet of staff that attended the PPE training.

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Required 1 - Year Visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified himself to, and discussed the purpose of the visit with Caregiver Monica Galindo. Administrator Maja Bacinski arrived later during the visit. LPA conducted a brief tour of the facility and observed the residents in care. In accordance with the Department’s Infection Control, LPA provided technical assistance and observed and evaluated the facility's implementation of their COVID-19 Mitigation Plan, to include disinfection, screening protocols, and the use of personal protective equipment. All staff encountered have a current criminal record clearance. No deficiencies were cited on this date. An exit interview was conducted with Bacinski, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided via E-mail.the state’s words, verbatim · CDSS document, Jul 27, 2021