Alexandria Victoria 2

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Residents sustained injuries/infections while in care Staff did not seek timely medical care for resident in care. Staff did not report resident incidents to appropriate parties Staff did not follow resident's care plan Staff do not provide proper incontinence care to residents in care.

On at 03/08/25, Licensing Program Analyst (LPA) Pang Lee arrived unannounced to this facility to conduct a complaint visit. LPA met with administrator John Gryspos and explained the purpose of the visit. The purpose of this visit is to deliver complaint finding for the allegation above. The current census is 6. A brief interview with conducted with the administrator. It was alleged that resident sustained injuries while in care, staff did not seek timely medical care for the resident in care, and staff did not report resident incident to appropriate parties. This investigation involved interviews with facility staff and residents. Based on the interviews, 5 out of 5 staff members denied the allegations. LPA interviewed 2 out of 2 residents, both of whom stated that they feel safe and receive medical care when needed. A review of the records revealed no documentation indicating that Resident 1 (R1) and Resident 2 (R2) sustained injuries. Continued LIC 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 8, 2025 · control 26-AS-20220606150324

Allegation investigated: Facility does not have adequate food supplies

On at 03/08/25, Licensing Program Analyst (LPA) Pang Lee arrived unannounced to this facility to conduct a complaint visit. LPA met with administrator John Gryspos and explained the purpose of the visit. The purpose of this visit is to deliver complaint finding for the allegation above. The current census is 6. A brief interview with conducted with the administrator. It was alleged that facility does not have adequate food supplies. This investigation consisted of observations and interviews with facility staff. On 11/23/24 facility visit, LPA Lee observed sufficient 2 days perishable supplies and 7 days nonperishable of food supplies in the facility. Furthermore, during today LPA Lee also observed sufficient 2 days perishable and 7 days nonperishable of food supplies. In an interview with administrator John Gryspos groceries are done every Saturday of the week. Continued LIC Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 8, 2025 · control 26-AS-20220608143013

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff do not ensure bathroom is cleaned properly Staff do not ensure the shower mat would not slip Staff did not ensure residents door seal was fixed properly

On 7/23/2024 at 8:45 a.m. Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced visit to deliver the findings for the complaint received by the department on 5/8/2024 alleging that the facility did not ensure that the bathroom is cleaned properly, the shower non- skid mat does not slip and resident's door seal is not fixed properly.LPA met with admininistrator (ADM) John Gryspos and (DADM) Adrian Mendoza and stated the purpose of the visit. During the visit on 5/8/2024 at 1:05 p.m. LPA observed the open area of the bathroom was organized and was recently scrubbed and washed. However, LPA observed the following in the shower area: The shower curtain has stain at the bottom, a detangled wire hanger and a mop leaning on the wall did not have a non-skid mat on the shower floor. The bathroom shower area has a brown stain on the right side wall close to the floor and a commode with the pail was sitting on top of the seat has brown color residue. ADM stated the staff ithe state’s words, verbatim · CDSS document, Jul 23, 2024 · control 26-AS-20240508170809

Allegation investigated: Facility staff handled resident in a rough manner Facility staff spoke inappropriately to resident

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced complaint investigation visit and met with Adrian Mendoza. The Department conducted an initial complaint investigation on 04/19/2024. During visit, LPA Marrufo interviewed resident R1-R4, Staff S1-S5, and 4 individuals who are emergency contacts of R1-R4. LPA Marrufo also conducted a telephone interview with the Conservator (C1) of former resident R5, who now resides at another facility. On 04/26/2024, LPA Marrufo conducted an interview with R5 at R5’s current licensed residential care facility. During interviews on 04/19/2024, Resident R3 stated that a female staff with black hair handled R3 roughly when attempting to transfer R3 from R3’s bed. R3 stated to have told the staff to “take it easy” on R3, but the female staff ignored R3. Resident R4 stated that a female staff turned R4 over in bed in a rough manner. See LIC9099-C for more information. Page 1 of 2. Substantiatedthe state’s words, verbatim · CDSS document, May 22, 2024 · control 26-AS-20240412084701

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.