Wild Rose Living

Type of visit: Case Management - Other

Licensing Program Analyst (LPA ) Cuadra arrived unannounced at the facility for the purpose of conducting a Case Management - staff file review Inspection. LPA was greeted at the door by Administrator Toni Pump and was granted access into the facility. During last visit, staff files were locked and LPA was unable to review them. Today, LPA reviewed three out of three staff files, they all have 20 annual training required hours including current CPR and 1st aid as instructed per regulation. During today's visit, there were no citations issued. Exit interview conducted with Administrator and a copy of this report was given.the state’s words, verbatim · CDSS document, Oct 24, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cuadra arrived unnanounced to conduct a Required Annual Inspection and met with Alberto Aparicio (caregiver). Pamela Johnson (Licensee) was not able to come to the facility, but was available by phone and gave authorization for staff to sign the report. There is currently no residents in hospice and residents with a diagnosis of dementia. Required postings were observed. All fees are current as of this time. LPA/staff toured the facility grounds inside and outside and made the following observations: Facility was a comfortable temperature with thermostat reading at 78 degrees F. Passageways were free from obstructions. Resident rooms were furnished per regulation. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Medications were centrally stored and locked. Fire extinguisher was last inspected May 2023. Smoke and Carbon Monoxide detectors were tested during inspection and operational. Exit doors have auditory alert system that were functional at time of visit. Last Disaster Drill was conducted on June 16, 2023. Licensee agreed to conduct a disaster drill every quarter as stated per regulation. A technical advisory will be issued. Cleaning supplies were not accessible to residents in care. Knives are located in a locked closet in the kitchen. Facility has at least two days of perishable & one week of non-perishable foods. At approximate 9:00am LPA/staff observed water temperature in resident's bathrooms measured at 121.1, 121.5 & 121.6 which are not within allowable range of 105 to 120 degrees F in faucets used by residents. Continue on LIC809C... Continued from LIC809... At approximate 9:30am LPA/staff observed main fridge located in the facility kitchen was locked. Per staff, they do lock it due to resident's behavior to wake up at night and opens the fridge. LPA discussed with Licensee that a waiver request needs to be submitted to the Department for review and approval if they wish to have a locked fridge, outlining why the refrigerator needs to be locked and how adequate and readily available snacks and beverages will be provided to residents. Licensee agreed a waiver request and its supporting documents would need to be submitted to the Department. LPA observed staff removed the lock from the main fridge during visit. Resident's daily care notes are updated. File review was initiated at 10:30 am. Five resident files were reviewed. All residents files have current medical assessments and needs appraisals/care services plans updated. Staff on duty have required First aid and CPR certificate updated. However, Licensee informed LPA that all staff records were locked in the facility office. LPA will return to review staff files to ensure that staff have their files current. Administrator Certificate for Pamela Johnson 6018738740 expires 7/27/24. Medications and medication records were reviewed. Licensee agreed to submit updates of the following documents by 10/31/2023: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), control of property and liability insurance. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Appeal rights given. Exit interview conducted with staff, Licensee was aware of deficiencies via phone and copy of report was given.the state’s words, verbatim · CDSS document, Oct 17, 2023

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required – 1 yr. Infection Control inspection to this facility. LPA were greeted by staff Toni Pump. Licensee, Pam Johnson was not able to come to the facility, but was available by phone and gave authorization to staff to sign the report. LPA arrived at the facility and had their temperature checked and logged into a sign-in sheet. LPA observed that facility have posters on the front door indicating visitors about updated visitor's policy to protect residents in care. Once inside the facility, LPA observed that staff were wearing masks during this visit. LPA/staff conducted a walk-through of the facility and observed Covid-19 posters that included hand washing signs. Hand sanitizer were observed in the common area of the facility. Facility bathroom are kept stocked with hand hygiene and paper products. Commonly touched surfaces are disinfected at least three times a day. Each resident has their own room in case that needs to isolate and the facility is able to serve meals and deliver medications. Facility staff have been trained on PPE protocols and N-95 fit tested. Staff and residents are being monitored daily and results are documented. Facility maintains a 30 day supply of medication. Facility has a 100% vaccination rate and received boosters for staff and residents. Residents do not typically wear a mask while in the facility, but they do wear masks when in the community. Residents receive indoor visitation with their families and facility is able to perform antigen tests to visitors as well as screening, documenting for symptoms and tracking purposes. Facility has submitted their Covid Mitigation Plan it was approved on 1/20/21 and their Infection Control Plan to CCL for review. Facility has more than a 30 day supply of Personal Protective Equipment (PPE) and supplies are accessible for staff. At approximate 1:38pm LPA/staff observed that 2 out of 2 fire extinguishers were last serviced on August 31, 2020. Facility provided updated copies of the following: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), Liability insurance and Emergency Disaster Plan (LIC610E). Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies) may result in a civil penalty assessment.the state’s words, verbatim · CDSS document, Aug 16, 2022

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Cuadra arrived unannounced to the facility met with staff Rwanda Perez to conduct a case management visit regarding self-incident reports (SIR) submitted to CCL. Licensee, Pamela Johnson was not able to come to the facility but was available by phone and gave authorization for staff to sign the report. The first incident occurred on 2/27/22 at approximate 2:40pm resident (R1) called out S1 who found R1 on their knees and stated they blacked out, R1 had a small rug burn on their right knee. S1 contacted 911 who transported R1 to Sutter Hospital, blood work, x-rays of ankle and urinary test were performed. R1 returned to the facility at around 1:00am with a UTI diagnosis and new medication was prescribed. During today's visit LPA reviewed R1's file including Physician's report dated 1/29/22 and care plan dated 2/4/22 indicates that R1 needs assistance with incontinence care. Another incident reported to CCL on 3/13/22 at around 12:30pm S1 went to check on resident (R2) who informed S1 that they couldn't move, was unable to get up from bed to chair. Staff called 911 who transported R2 to Kaiser Emergency Department, they did perform a CT scan, drew blood panel and had a change of condition to bedridden. Responsible parties were notified and agreed that due to R2's change of condition will require a higher level of care including medication management assistance that current facility is not able to provide and R2 was transferred to a Skilled Nursing facility. The last incident was on 5/4/22 around 9:00am resident (R3) was noticed retaining fluids, their skin was clammy, their lower extremities were swollen and staff contacted their Physician who instructed staff to send R3 for further evaluation at the St Joseph Memorial Hospital Emergency Department. R3 had lab work, x-rays and was diagnosed with heart failure, atrial fibrillation stage 4 kidney disease. R3 was admitted to receive hospice services on 5/11/22. On 5/21/22 at around 9:20am R3 passed away in the facility, responsible parties and hospice were notified. No deficiencies cited during today's visit.the state’s words, verbatim · CDSS document, May 31, 2022

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Cuadra conducted an unannounced case management inspection and was greeted by staff, Rawanda Perez; Licensee was not able to come to the facility, but gave authorization for staff to sign the report. LPA conducted risk assessment with staff prior to make the visit. The purpose of this case management inspection is to follow up on a self reported incident report submitted to Community Care Licensing (CCL) and SOC 341 submitted to CCL on 9/27/2021. On 9/15/21 LPA received a call from Licensee, Pamela Johnson notifying CCL about the incident where staff (S1) witnessed a possible financial abuse. Licensee agreed to submit a self incident report and SOC341 to CCL within the next 7 days. On 9/27/21 CCL received self reported incident report and a SOC 341 reporting possible financial abuse. S1 reported to Licensee that on 8/6/21 individual (I1) came to visit resident (R1) and S1 overheard I1 was requesting R1 to write down a password for a Cash application and was asking to take R1 out of the facility. S1 notified R1's responsible party and Licensee. Per Licensee, Responsible party instructed the facility staff that if I1 comes back to the facility to visit R1 to call the cops and so far no amount of money has been reported lost or missing. This facility does not handle cash for residents in care. Licensee completed SOC 341 and submitted to CCL and Ombudsman. On 9/30/21 LPA cross reported incident with APS and Long Term Ombudsman. No deficiencies cited during today's inspection.the state’s words, verbatim · CDSS document, Oct 1, 2021

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Lopez and Cuadra conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility. LPAs were greeted by caregiver Toni Pump. Licensee, Pamela Johnson was available by phone and gave permission for caregiver to sign report. LPAs conducted a Risk Assessment call with Toni Pump prior to the visit. There were 6 residents in care present at the facility. LPAs arrived at the facility and had their temperature checked and logged into a sign-in sheet. LPAs continued tour of the facility on July 21, 2021. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on August, 2020 at the time of the visit. Facility smoke detectors and carbon monoxide were found to be functioning properly at the time of the visit. There was sufficient amount of supply for both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. There was a supply of cleaners, hygiene products and paper products available for residents. The bathroom designated for residents at the facility were supplied with individual paper towels; hand soap dispenser was available. Facility has submitted a mitigation program plan that has been approved 1/20/21. Per licensee, all staff have been vaccinated. All residents are vaccinated except one. Posters have been placed at entrance, and facility entrance area has a designated area to screen visitors, thermometer and other items designated for visitors and staff before coming into work. Staff and residents are being monitored daily and results are documented in a binder for each month. Facility has PPE supplies stored in the storage room. Facility has a 30-day supply of medication for residents. Residents do not typically wear masks inside the facility but have them available. Facility has conducted staff training on infection control. No deficiencies observed or cited during today's Required 1- Year inspection.the state’s words, verbatim · CDSS document, Jul 21, 2021