Village At Rancho Solano Assisted Living, The

Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on this complaint. Complainant has alleged that facility has refused the return of R1 to the facility following a hospitalization due to a prohibited condition that would preclude R1's residency in the facility. R1 has a CVC catheter. During the course of this investigation statements were taken, documents reviewed and a consult occurred with a Program Clinical Consultant. Based upon the statements, documents and consult, the following determinations are made: The type of CVC catheter (Perm-Cath) used by R1 is not a prohibited condition that would preclude R1's residency in the facility; R1 was illegally evicted by the facility when R1 was not allowed to return. Based upon these determinations, statements, and documents, the allegation is SUBSTANTIATED. The following deficiencies were observed (see LIC 9099D) and cited from the California Code of Regulations, Title 22, Division 6 of CaliforniaRead the full finding— CDSS inspection report, October 10, 2024 · control 21-AS-20240918175043

Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on this Complaint. During the course of this investigation, documents were obtained and reviewed and statements were taken. The following determinations are made: Complainant alleges that facility did not provide written notice of rate increase; Administrator has produced a written document dated 6/28/2024 addressed to the Complaint Subject and the Responsible Person which outlines the rate increases effective 9/1/2024. Based upon the document reviewed, the allegation is determined to be UNFOUNDED, meaning that it is false and, or, without a reasonable basis. The complaint is DISMISSED. UnfoundedRead the full finding— CDSS inspection report, October 1, 2024 · control 21-AS-20240822130836

Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on this complaint. During the course of this investigation five site visits were conducted, statements were taken and documents were obtained and reviewed. The following determinations are made: The Complaint Subject (R1) and spouse (R2) state that they have received satisfactory care from staff and do not desire to engage in facility sponsored activities; R1's Physician states Physician has received no negative reports regarding care from Hospice and Home Health nurses; R1's Hospice Nurse reports no concerns regarding facility's care provided to R1, including weight maintenance. Although the allegations may be true, or valid, based upon statements and reviewed documents there is not a preponderance of evidence to prove, or disprove, the allegations. Therefore, the allegations are UNSUBSTANTIATED. Report left. UnsubstantiatedRead the full finding— CDSS inspection report, October 1, 2024 · control 21-AS-20240624152843

Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on this complaint. Complainant has alleged that soiled clothing has been observed in residents' (R1 & R2) apartment and that the laundry service is not adequate. During the course of this investigation, statement were taken and documents reviewed, as well as site visits made to the facility. Unannounced visits to residents apartment have not confirmed the allegation as clean clothes were observed in the closets. Furthermore, when interviewed, residents R1 & R2 stated they were satisfied with the laundry service and had no concerns regarding the condition of their clothing. Although the allegation may be true, based upon the statements and observations, there is not a preponderance of evidence to prove or, disprove, the allegation. Therefore, the allegation is UNSUBSTANTIATED. UnsubstantiatedRead the full finding— CDSS inspection report, September 17, 2024 · control 21-AS-20240830123526

Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on this complaint. During the course of this investigation statements were taken, documents were obtained and reviewed and site visits were made to the facility. The following determinations are made: Shower logs for the available period for R1 indicate that R1 was given showers in compliance with R1's care plan; Care notes indicate R1 periodically refused staff efforts to provide care, including showers; Complainant claims to have documentation from R1's dentist that would support the allegation that staff do not assist with oral hygiene; Complainant has not produced any documentation regarding R1's oral hygiene; This Department has made many requests for the documentation. Although the allegations may be true, based upon the statements and documents, there is not a preponderance of evidence to prove or, disprove, the allegations. Therefore, the allegations are UNSUBSTANTIATED. Report left. UnRead the full finding— CDSS inspection report, September 6, 2024 · control 21-AS-20240726091308

Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. LPA met with the Administrator and discussed the disposition of this complaint. Complainant has alleged that a resident contracted a contagious infection and that staff were subsequently afflicted with the infection due to the facility's management not following accepted protocols to deal with the condition. This investigation has resulted in the following determinations: The Complainant has no direct knowledge of the allegations, was told of the allegations by a third party who has not been identified, and has not identified the resident or staff involved; The Administrator states that there has been no reported cases of infection that match the alleged one during the course of the last six months. Although the allegation may be true, or valid, based on the statements made, there is not a preponderance of evidence to prove or, disprove, the allegations. Therefore, the allegaRead the full finding— CDSS inspection report, August 13, 2024 · control 21-AS-20240802134502

Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. During the course of the investigation, witnesses were interviewed; site visits made; documents were obtained and reviewed. The following determinations are made: It has been alleged that unnamed staff spoke rudely to R1 while providing hygiene care to R1; Staff who routinely provide care for R1 deny the allegation; Family members report having been told by R1 of the rude behavior by staff; R1 has denied the allegation when interviewed in private by staff from this Department; No actual witnesses to the alleged behavior have been identified. Although the allegation may be true, based upon the statements and documents reviewed, there is not a preponderance of evidence to prove the allegation did or, did not, occur. therefore, the allegation is UNSUBSTANTIATED. Report left. No citations issued today. UnsubstantiatedRead the full finding— CDSS inspection report, October 30, 2023 · control 21-AS-20230926122904

Licensing Program Analyst Leibert arrives unannounced and meets with Assistant ED to deliver findings. Investigative determinations follow: Residents' mattress, which was damaged as a result of overflowing toilet, was professionally cleaned by facility but not to satisfaction of resdients; facility subsequently reimbursed for a new mattress; Shower logs indicate R1 consistently refused to shower and that R2 was showered by staff in substantial compliance with R2's care plan; LPA received photographs which allegedly depict R1's medication loose on the floor of R1's room; R1's physician has indicated that R1 is able to administer and store R1's medications; Although there has been incidents where staff did not respond to calls for assistance in a timely manner and allegations that staff have been observed to be not fully alert while on duty, no direct evidence was found to prove these issues are the result of inadequate staffing. Although the allegations may be true, or valid, based uponRead the full finding— CDSS inspection report, August 22, 2023 · control 21-AS-20230614123412

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Village at Rancho Solano, The for the purpose of delivering complaint findings. LPA was greeted at the door by the Receptionist, Maria Aispuro and was granted access into the facility. Assistant Administrator, Lauren Cottman arrived 15 minutes later. During the course of the investigation, LPA Sarangi reviewed resident(s) records, facility records, interviewed staff, residents and various outside parties, including but not limited to responsible parties and witnesses. Complaint alleges facility staff ignored resident(s) and facility staff did not meet resident’s care needs. Based on interviews and observations that were conducted during the investigation, LPA could not prove or disprove the allegation of staff ignoring residents in care. LPA toured the facility on April 11, 2023, and found residents doing activities with staff members. (Report continued on LIC 9099C) UnsubstantiatedRead the full finding— CDSS inspection report, April 28, 2023 · control 21-AS-20230410131207

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Village at Rancho Solano, The for the purpose of delivering complaint findings. LPA was greeted at the door by Assistant Executive Director, Francine Taitano, and was granted access into the facility. Also participating in the delivery of findings is Executive Director, Brittany Andrews from a sister community. During the course of the investigation, LPA Sarangi reviewed resident(s) records, staff records, facility records, interviewed staff, residents and various outside parties, including but not limited to responsible parties and witnesses. Complaint alleges food service. Based on interviews that were conducted, LPA learned that the facility cooks food daily, and serves three meals to residents in placement. However, residents can have the choice to eat or not eat during servings of food. Facility does offer alternatives when asked and offers snacks. (Report continued on LIC 9099C) UnsubstantiatedRead the full finding— CDSS inspection report, April 11, 2023 · control 21-AS-20230214161618

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Village at Rancho Solano, The for the purpose of delivering complaint findings. LPA was greeted at the door by Assistant Executive Director, Francine Taitano, and was granted access into the facility. Also participating in the delivery of findings is Executive Director, Brittany Andrews from a sister community. During the course of the investigation, LPA Sarangi reviewed resident(s) records, staff records, facility records, interviewed staff, residents and various outside parties, including but not limited to responsible parties and witnesses. Complaint alleges that Facility staff is not administering resident's medication as prescribed. During the course of the investigation, Facility records were reviewed, and LPA learned that the facility made attempts to refill the medication; however, the pharmacy was late on delivering the medication. On February 27, 2023, attempts were made on the facilities behalf to inquirRead the full finding— CDSS inspection report, April 11, 2023 · control 21-AS-20230301102827

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Village at Rancho Solano, The for the purpose of delivering complaint findings. LPA was greeted at the door by Assistant Executive Director, Francine Taitano, and was granted access into the facility. During the course of the investigation, LPA Sarangi reviewed resident(s) records, staff records, facility records, interviewed staff, residents and various outside parties, including but not limited to responsible parties and witnesses. During the review of resident records on February 9, 2023, LPA observed and identified that Resident #4 was last reappraised on July 2021 (See LIC 9102-Technical Violation). (Report continued on LIC 9099C) SubstantiatedRead the full finding— CDSS inspection report, February 13, 2023 · control 21-AS-20230130105428

Licensing Program Analyst Leibert arrived unannounced for the purpose of closing this complaint. LPA met with Rammy Kaur and discussed the findings. This Department has investigated the allegations by conducting interviews and obtaining and reviewing documents. Based upon the documents and interviews, the following determinations are made: R1, who is a fall risk, required bathroom assistance and status checks; Care staff were aware of R1's status and checked on R1 at approximately 3:30 am on night of 08/27/2022; approximately 1 hour and 20 minutes later R1 was checked again and found to have fallen to the floor and sustained an injury; Staff immediately called 911 and remained with R1 until paramedics arrived. Although the allegations may be true, based upon the interviews and documents reviewed, there is not a preponderance of evidence to prove the allegations true or, not true. therefore, the allegations are UNSUBSTANTIATED. Report left. No citations issued today. UnsubstantiatedRead the full finding— CDSS inspection report, January 17, 2023 · control 21-AS-20220829163730

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Village at Rancho Solano, The for the purpose of delivering complaint findings. LPA met with the Administrator, Ramandeep Kaur, and was granted access into the facility. During the course of the investigation, LPA Sarangi interviewed staff, residents and various outside parties, including but not limited to responsible parties. LPA conducted a tour of the facility and made observations on November 07, 2022. Complaint alleges that Licensee did not maintain facility free from hazard. Based on interviews with staff members, residents and a tour of the facility that was conducted on November 07, 2022, LPA learned that Resident #1 fell and sustained a fracture that was due to uneven flooring from a metal plate (See LIC 9099D). LPA observed the metal plate on November 07, 2022 during the tour of the facility. (Report continued on LIC 9099C) SubstantiatedRead the full finding— CDSS inspection report, November 18, 2022 · control 21-AS-20221031142328

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Village at Rancho Solano, The for the purpose of conducting a complaint investigation inspection. LPA met with the Administrator, Ramandeep Kaur, and was granted access into the facility. Complaint alleges that Facility is in disrepair (door). During the opening of the complaint investigation inspection, LPA toured the facility with the Maintenance Director, Kyle Benavidez and found the facility to be clean and at a comfortable temperature with all exits free from obstruction (See LIC 812-Observation). During the course of the investigation on November 18, 2022, LPA learned via an interview with the Administrator that the door leading into Memory Care was fixed approriately and in a timely manner. In addition, LPA obtained documentation indicating that the Memory Care door was fixed timely. (Report continued on LIC 9099C) UnsubstantiatedRead the full finding— CDSS inspection report, November 18, 2022 · control 21-AS-20221114162758

LPA Leibert arrived unannounced and met with Pam Hardesty to discuss findings on this complaint. This Department investigated the allegations by making site visits, taking statements, reviewing documents and photographs. The following determinations are made: Statements and documents suggest that R1's fall was not the result of staff neglect and there is conflicting statements regarding the allegation staff pushed R1; Complainant has not responded to this Department's request for information regarding the false reporting allegation; Documents and statements indicate that R1 frequently refused staff's attempt to provide hygiene care and showers; Reviews of facility's menus and discussions with witnesses suggests that the food service at the facility meets the requirements of Title Twenty-Two regulations; There are differing opinions regarding the staff's compliance with requirements to wear masks; At every unannounced site visit to the facility, staff and visitors were observed to complRead the full finding— CDSS inspection report, October 25, 2022 · control 21-AS-20220712110529

The Department conducted a complaint investigation regarding the allegation listed above. Licensing Program Analyst Fernandes-Goes arrived unannounced for the purpose of closing the investigation and met with Blaine Lyons - Acting ED. On 2/24/2022, LPA Willis opened the complaint investigation. Department conducted a follow up visit on 4/11 and 8/11/2022 to tour the facility; conducted interviews; acquired documentation; and made observations of the facility. During documentation review on file, observations, and interviews of staff, residents, and complainant on ,2/24, 4/11, 5/20, 8/11, and 8/25/2022 Department learned that facility alarm system staff responded to call bell but not timely. According to records on 2/17/2022 from 100 % of calls 22 % were answered in a time frame of 10 to 29 min and 9.6 % of calls took 30 min to 1 hr 18 min to be answered. (copy of records on file) - Continued LIC 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, September 16, 2022 · control 21-AS-20220217094331

Licensing Program Analysts Willis and Felias arrived unannounced to deliver findings regarding the above allegation and met with Executive Director, Jillian Hunter. Neglect/Lack of Care: Staff did not call emergency services when resident sustained fractures - Per facility self-report resident, R1 sustained a fall September 2020 and experienced discomfort in their knee. Hospice was notified approximately two hours after the fall and arrived at the facility approximately two hours after being called. Per interviews, R1’s pain increased while they were waiting for hospice to arrive, but the facility did not call (911) per direction from the resident’s family. Once hospice arrived it was reported that resident had a change of condition – increased pain and they could not stand or walk. 911 was then called and R1 was transported to the hospital. Continued on LIC9099C SubstantiatedRead the full finding— CDSS inspection report, March 16, 2022 · control 21-AS-20211112160418

Licensing Program Analysts Felias and Willis arrived unannounced to deliver findings regarding the above complaint allegations and met with Acting Administrator, Jillian Hunter The complaint alleges that staff did not seek timely medical care for resident in care and Neglect/Lack of Supervision resulting in resident sustaining multiple injuries. Based on interviews with staff, residents, outside parties and a review of medical records, the investigation showed that on 8/28/2021, Resident (R1) was found in a sitting position after pressing their call pendant due to a fall in R1’s room. Record review revealed that it took approximately 35 minutes for staff to respond to the call for help. A further review of facility records show that staff have been trained to call 911 for a resident who falls and is on a blood thinner. This did not take place when R1 fell. Continued on LIC9099C SubstantiatedRead the full finding— CDSS inspection report, February 24, 2022 · control 21-AS-20210910085402

Licensing Program Analyst Leibert arrived unannounced for the purpose of continuing the investigation of this complaint. LPA toured portions of the facility and took additional statements from residents. LPA met with Executive Director and delivered findings. Based upon interviews and documents, the following determination are made: R1 has sustained injuries and bruising from falls occurring at the facility; R1 has medical conditions that put R1 at high risk for falls and injuries; R1 has fallen on many occasions; Facility records indicate fall protocols have been followed by staff and R1's personal physician indicates that R1 is not a candidate for pendant call device; R1 and family member state that R1 receives good care and that staff care for R1 appropriately; Outside professionals state that R1 receives appropriate care at the facility; No witnesses to alleged rough handling of R1 have been identified. While the allegations may be true, based upon the statements made and documentsRead the full finding— CDSS inspection report, February 17, 2022 · control 21-AS-20220111161722