Allure Senior Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alviso conducted a Required- 1 Year visit, on 11/2/23 at approximately 9:50am, and met with Licensee/Administrator Mera Shaughnessey. There are currently six(6) residents in care. Facility has an approved dementia plan of operation. There is an approved hospice waiver for three(3)residents. Facility has an infection control plan as required. Facility has an emergency and disaster plan as required. The facility conducted a fire drill and an earthquake emergency drill on 7/8/23. Facility does have a generator for emergencies if needed. The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Facility has a fire clearance approval by the Santa Rosa Fire Department for a total of six non-ambulatory and/or bedridden-effective 12/5/2022. Al exits were free and clear of obstruction. Fire extinguishers, two(2), were serviced and tagged as required-expires 12/5/23. There are nine(9) smoke alarms that are also carbon monoxide detectors. All smoke alarms,, including the hallway fire door worked appropriately during the inspection. All exit doors had auditory alarms and the alarms were working properly during the inspection. The backyard has outside patio furnishings for resident use, including areas providing shade for residents as needed. There was a sufficient supply of hygiene products, cleaning supplies, and paper products for use as needed. All bathrooms had grab bars, and non-slip mat/flooring for bathing/showering as needed; Every resident room has a bathroom that is able to provide showers as needed. There is a large bathroom with a open roll-in shower for resident use as needed. Facility has a sufficient supply of personal protective equipment(PPE).. LPA observed sufficient supply of food, perishable and non-perishable. Facility had sufficient furnishings for residents in care, and the fcility has sufficient lighting in all rooms, bathrooms, and common areas, including night lights. Continued on LIC809C... Medications were centrally stored, and locked up making them inaccessible to residents in care. Toxins/cleaners were locked up making them inaccessible to residents in care. LPA reviewed six (6) resident files; All resident files were found to be complete. LPA reviewed five(5) of five(5) staff files. LPA reviewed staff training. All five(5) staff have criminal record clearance, and are associated as required. All staff had required training. All staff had current First Aid and CPR Certification. LPA is requesting the following documents be updated and submitted by 12/2/23: LIC308 - Designation of Administrator Responsibility LIC500 - Personnel Report LIC610E-Emergency Disaster Plan (ensure to review and update as needed/required) Copy of LIC400 Handling of Client Cash Resources (include copy of surety bond if handling cash) Copy of Current Liability Insurance Resident Roster Copy of current Administrator Certificate During the inspection, the LPA observed several food items that were not covered and stored appropriately to protect the safety and acceptability necessary to prevent contamination, including a package of salami that was covered in mold, soup that was out of date per label and not able to be consumed, and a package of beef meat that was half used and stored inappropriately covered, this deficiency will be cited, 87555(b)(9) Food service requirements shall apply: Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service, see LIC809D. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Appeal rights given to the Administrator. Exit interview conducted with Licensee Mera Shaughnessey..the state’s words, verbatim · CDSS document, Nov 2, 2023

Allegation investigated: Facility staff is not maintaining a comfortable room and facility temperature for residents.

Licensing Program Analyst(LPA) Alviso conducted a complaint visit, at about 9:20am on 3/7/23, and met with Administrator Mera Shaughnessey. There are six(6) residents in care. There was another caregiver observed by the LPA that was working with the Administrator. The LPA toured the facility with the Administrator. The LPA reviewed resident records, and reviewed staff records, including training; The LPA interviewed staff and residents in care. The LPA observed upon entering the home that it was heated; LPA observed the residents in the living room watching television, observed to be clean, and dressed appropriately. LPA toured the resident rooms and found the resident rooms to be at a comfortable temperature. LPA observed a small portable heater with a fan that was designated to a resident's room for use as needed by the resident. There are two heater controls, one in the kitchen and one in the hallway by resident rooms. Continued on LIC9099C.. Unsubstantiated All staff have access to the key to open the plastic box that covers the heater control pad, staff can adjust the heat as needed. Administrator stated it is set to 72 and/or 74, and adjusted as needed. Staff check with residents to see if there is any adjustment needed. so that only staff have access to control it, so it is not moved up and down by everyone. Administrator stated that there is a portable heater to use as an extra heat device, and it is in use as needed. LPA reviewed records of staff and residents. LPA interviewed staff and residents. The LPA toured the facility and observed all residents and facility rooms. Per interviews, the facility staff(S1) stated to the LPA that the facility is kept warm as needed, if the residents are cold staff adjust heat and/or will use the portable heater if it is one resident is needing more heat. Per staff(S2) they have access to the key to open and adjust the heat if needed. All staff have access if on duty to adjust the heat. Per all interviews conducted by the LPA, the interviews revealed that the facility was warm for them at the time of the visit. LPA observed a room with a small portable heater, and asked the staff to turn it on, the LPA observed the heater to immediately start distributing additional heat all around the room. The staff (S1) stated that they can purchase more portable heaters but it is not needed by any others, if needed the staff(S1) stated they will purchase more but at this time it is not needed. Per Regulation 87303 (b)(1) Maintenance and Operation, the facility is to maintain a comfortable temperature at all times. facilities are to heat rooms that residents occupy to a minimum of 68 degree F.(20 degrees C). The home temperature was at 74 degrees F at the closing of this report. Based on the records reviewed, conducted interviews, and LPA's observations, there is no evidence to support the allegation was violated. The investigation revealed that there is differing information regarding the allegation. The allegation of "facility staff is not maintaining a comfortable room and facility temperature for residents" is Unsubstantiated. After the Departments review of records, observations, and interviews, the allegation is UNSUBSTANTIATED, meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiencies cited during todays visit. Exit interview was conducted with the Administrator by phone. Staff on duty signed the report.the state’s words, verbatim · CDSS document, Mar 7, 2023 · control 21-AS-20230228095509

Type of visit: Post Licensing

Licensing Program Analyst(LPA) Alviso conducted a Post Licensing visit, at about 1:15am on 3/7/23, and met with Administrator Mera Shaughnessey. There are six(6) residents in care. Facility has an approved Hospice Care Waiver for three(3). Facility has an approved Dementia Plan of Operation. Facility has submitted the required Infection Control Plan. Fire clearance is approved for six(6) non-ambulatory and/or bedridden residents, all rooms are cleared for bedridden use. All resident files were reviewed, and found to be complete. LPA reviewed staff files, including training. All staff have criminal record clearance as required. All staff are first aid and CPR certified. Caregivers are trained to assist residents with medication. Facility files reviewed showed facility evacuation drill and emergency drills are scheduled, to be completed, they are done every three months. Last evacuation drill and emergency drill was done end of October 2022 before doing the change of location. Administrator stated to the LPA that they have reviewed with staff, and run through the evacuation plan and emergency drills with staff, once the facility was licensed, 12/27/22.. LPA toured the facility with the Administrator Mera. The home was found to be clean and orderly. LPA observed sufficient food; LPA observed the residents being served lunch. LPA observed a sufficient supply of hygiene products, cleaners/disinfectants, and paper products. Continued on LIC809C... The fire extinguishers, two(2), are serviced and tagged as required expires 12/5/23. All exits were clear from obstruction. Smoke alarms (9) are hard wired, and are also carbon monoxide detectors. Facility has emergency supplies, 72 hour shelter in place supplies .Facility medications are locked and inaccessible to residents in care. All toxins are locked and inaccessible to residents in care. All bathrooms have grab bars, non-slip flooring and/or mats for resident use as needed. There was sufficient lighting in resident rooms, bathrooms and hallways. The LPA observed the home to be at a comfortable temperature upon entry into the home, and when touring the facility during the visit. There are two heater controls, one in the kitchen and one in the hallway. All utilities were on and working appropriately. All appliances were working appropriately. Facility had a sufficient supply of personal protective equipment(PPE) for staff use as needed. Per Administrator, all staff have been in-serviced on the infection control plan, emergency drills, and evacuation plan. No deficiencies cited today. Exit interview conducted.the state’s words, verbatim · CDSS document, Mar 7, 2023

Type of visit: Prelicensing

Licensing Program Analyst (LPA), Alviso conducted a pre-licensing inspection and met with Licensee/Administrator Mera Shaughnessey; Mera's administrator certificate #6010796740 is current and expires 12/15/2023. This application is a change of location of Allure Senior Care, to address 2008 Dennis Lane, Santa Rosa. Licensee has submitted documents as requested for the change of location application. Facility will have a new license number, #496890095. Facility has a fire clearance approval by the Santa Rosa Fire Department for a total of six non-ambulatory and/or bedridden-effective 12/5/2022. Facility has an approved dementia plan, and a hospice approval for three(3) residents. Facility will operate with an awake night staff and Licensee will ensure sufficient 24/7 staffing at all times. Hot water was checked at 112.8F which is within regulation. All exits were unobstructed in the home. Lights/power were on and operational. Cable television and phone service are to be transferred this Thursday, 12/9/22, a scheduled appointment, per Licensee. Currently, the facility has a cell phone for use as needed and internet connection for Hulu, Netflix, and Youtube, etc. There are nine(9) smoke alarms that are also carbon monoxide detectors, all were working appropriately during the inspection. Fire extinguishers, two (2) are fully charged as required, and tagged, 12/5/22. Continued on LIC809C... There was sufficient lighting throughout the facility in resident rooms, common areas, bathrooms, and hallways. The grounds were free of any apparent hazards, and exits were clear. No bodies of water. No firearms. LPA observed a closet for storing medications, this closet has a key lock securing the medications. All bathrooms had grab bars for resident use. Postings noted to be current and in compliance with regulations. Facility does have an infection control plan as required, and an emergency disaster plan; Facility does have a generator that can be used as needed for charging things like cell phones, batteries, lights/lanterns. Toxins/cleaners will be locked and secured and inaccessible to residents in care. Facility has a supply of Personal Protective Equipment (PPE) for use as needed. Station set up at front door area with sanitizer gel, and where a staff person on duty will ensure screening as needed. All postings required were posted, and visible upon arriving to the front entrance door outside of the facility and inside the facility. LPA requested the following updated forms to be submitted to Community Care Licensing by 12/30/2022: LIC 308 Designation of Facility Responsibility (1 person per form) LIC 500 Personnel Report LIC 400 Affidavit Regarding Client/Resident Cash Resources (indicate if not handling cash for residents) LIC 402 Surety Bond(if handling cash) LIC 610E Emergency Disaster Plan/Evacuation Plan LIC 9020 Register of Facility Residents Copy of current Administrator's Certificate Copy of Infection Control Pllan LPA conducted a component III orientation with Applicant Mera Shaughnessey. Pre-Licensing is complete and this facility has no apparent health hazards and/or concerns observed during this inspection. The application is approved for licensure, effective 12/27/2022.the state’s words, verbatim · CDSS document, Dec 27, 2022