Laigo-Zanders Home for the Elderly

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Martha Arroyo conducted an announced Case Management-Other visit to the above facility. The LPA met with Administrator, Norma Zanders as the purpose of the visit was to conduct a final walk-through of the facility prior to closure. Entrance interview conducted. On 04/23/2025, the Administrator contacted LPA Arroyo informing them of the intent to close the facility. The Administrator emailed the Department a copy of the 60-day eviction notice issued to residents and their POA’s / family members. All four (4) residents have been relocated to other licensed facilities. Resident’s information has been inputted in the facility’s closure spreadsheet. During today’s visit, the LPA conducted a plant tour and observed facility to be vacant and verified that no care and supervision was being provided. The facility will be closed effective June 4, 2025, in the Licensing Information System (LIS). Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Jun 4, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit today. Upon arrival, there were two (2) staff and four (4) residents. The staff contacted the Administrator via telephone and explained the reason for the visit. The Administrator, Norma Zanders arrived during the inspection. Entrance interview conducted. Starting at 9:35am, the LPA along with staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The LPA observed the kitchen to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of non-perishable and perishable food; properly stored. Refrigerator and dry food pantry were checked for proper labels and expiration dates. Knives and sharps were observed locked an inaccessible under the kitchen sink. At 09:42am, the kitchen sink was measured for hot water temperature, and it measured 112. 4 degrees Fahrenheit. BEDROOMS: There are three (3) bedrooms for resident use and one (1) bedroom designated for staff only. Two (2) resident bedrooms are designated as double occupancy; and one (1) resident bedroom is designated as single occupancy. The LPA observed all resident bedrooms to be properly furnished and with sufficient lighting. Additional clean linens and towels for resident use were observed in a closet. Report Continued on LIC 809C... Report Continued from LIC 809... BATHROOMS: There are two (2) bathrooms for resident use. Bathrooms were observed to be equipped with nonskid surfaces and grab bars. The LPA observed bathrooms to be properly supplied and had functional fixtures. Hand washing signs were observed posted in bathrooms. Starting at 09:48am., the water temperature was measured in both bathrooms, and they measured between 112.8 and 116 degrees Fahrenheit. COMMON AREAS: The LPA observed the living room and dining room area to be furnished appropriately and all furniture was observed to be in good condition at the time of the visit. The facility maintained a comfortable temperature. The LPA observed required postings throughout the common space. Activities for residents were observed in the living room. There is a working telephone on premises. The LPA observed working auditory alarms at the time of the visit. Fireplace was observed adequately covered. Facility has an adequate amount of emergency food and water. At 09:51am, smoke detector(s) and carbon monoxide detector were tested and were operational at the time of the visit. No obstructions or hazards were observed inside or out. GARAGE / OUTDOOR: The garage was observed inaccessible to residents in care at the time of the visit. Washer and dryer were observed inside the garage. Detergents and cleaning solutions were observed in a locked cabinet at the time of the visit. There is a shaded area in the backyard with appropriate furniture for resident use. The exterior passageways were clean and clear of any obstructions. The LPA observed one (1) self-latching gate for emergency use. No bodies of water noted at the time of the visit. RECORD REVIEW: The LPA reviewed four (4) Resident Records and four (4) Personnel Records including the current Administrator’s file starting at 10:05am. Report Continued on LIC 809C... Report Continued from LIC 809C... Resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, consent for treatment form, and current needs and services plan. All files were complete. Personnel files were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR certifications, and yearly training. All records were in order. Administrator’s Certificate is active until 03/26/2026. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Fire extinguisher was observed to be fully charged on 10/31/2024. Emergency disaster drills are conducted quarterly, with the last one conducted on 12/18/2024. MEDICATION REVIEW: The LPA conducted a medication review at approximately 12:00pm. Medications are locked in a file cabinet adjacent to the kitchen. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. The LPA observed PRN authorization letters for all residents on file. Medications appeared to be given as prescribed at the time of the visit. No citations issued. Exit interview conducted. Report was reviewed and a copy was provided.the state’s words, verbatim · CDSS document, Jan 7, 2025

Allegation investigated: Staff does not ensure resident is allowed to attend appointments. Staff does not ensure resident is allowed to have visitors. Staff does not ensure resident is allowed to receive private telephone calls.

Licensing Program Analyst (LPA), Martha Arroyo conducted a subsequent visit to the facility to issue findings for the above allegation. The initial visit was conducted on 12/11/2023 by LPA M. Arroyo. During today's visit, LPA met with Licensee, Norma Zanders and Administrators, Norberto Laigo and at this time, the reason for the visit was explained. Entrance interview. During the initial visit on 12/11/2023, LPA Arroyo conducted a tour of the facility to ensure there were no health and safety concerns at 9:45 a.m., conducted interviews with the Licensee and Administrator at 11:30 a.m. and 2:55 p.m., conducted a file review at 10:15 a.m., and obtained copies of pertinent documents relevant to the investigation. On 01/04/2024, LPA Arroyo conducted telephonic interviews with the Reporting Party’s (RP) attorney at 2:59 p.m. and Resident #1’s (R1’s) Power of Attorney (POA) at 4:43 p.m. (Report Continued on LIC 9099C...) Unsubstantiated (Report Continued from LIC 9099...) It was alleged that staff does not ensure resident is allowed to attend appointments. It was reported that the RP hired an attorney to meet with R1. Interviews conducted with RP’s attorney revealed that they were hired by the RP to meet with R1 to assess their current situation at the facility. Additionally, RP’s attorney stated that before heading out to meet with R1, they received a telephone call from the RP stating that R1 had left the facility due to a doctor’s appointment. RP’s attorney further added that this appointment had been scheduled between themselves and the RP and did not believe that R1 and R1’s POA were made aware. Further information obtained revealed that R1’s dental, neurologist, and family practice appointments are only scheduled by either the facility or R1’s POA. Additionally, during an interview with R1’s POA it was revealed that R1 at times refuses to go to medical appointments when they are not feeling well. However, R1’s POA feels the facility staff is providing the care and supervision R1 needs and added that the facility staff is good at communicating with them. Furthermore, R1’s POA and facility staff added that they make sure R1 follows through and attends all necessary and important appointments. Based on the information obtained and reviewed, the Department does not have sufficient evidence to support the allegation of “staff does not ensure resident is allowed to attend appointments”. Therefore, this allegation is deemed Unsubstantiated at this time. It was alleged that staff does not ensure resident is allowed to have visitors and staff does not ensure resident is allowed to receive private telephone calls. It was reported that Resident #1’s (R1’s) Power of Attorney (POA) had placed a restraining order on several individuals to stop them from visiting R1 and the facility is also blocking and monitoring telephone calls being made to R1. Information obtained during the course of the investigation revealed R1 was admitted to the facility on 06/21/2019; and R1’s physicians report, dated 10/19/2023, listed R1’s primary diagnosis as dementia. And although R1 was identified as confused and disoriented, R1 is able to follow instructions and is able to communicate needs. Interviews conducted and records review revealed that facility staff was provided with a list of individuals that may come into the facility and visit or call R1; however, they are not allowed to take R1 out of the facility without prior permission from R1’s POA. (Report Continued on LIC 9099C...) (Report Continued from LIC 9099C...) Furthermore, although the facility had two (2) separate restraining orders on specific individuals, all other persons are being allowed to visit R1 at the facility and R1 currently has their own personal telephone line inside their bedroom. Based on the information gathered during the course of the investigation, the Department does not have sufficient evidence to support the allegations of, “staff does not ensure resident is allowed to have visitors” and “staff does not ensure resident is allowed to receive private telephone calls”. Therefore, these allegations are deemed Unsubstantiated at this time. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Jan 22, 2024 · control 29-AS-20231207133126

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced for a required one-year annual inspection today. The last annual conducted at this facility was on 1/24/2023. When the LPA arrived, there were two (2) staff and six (6) residents present. The LPA was greeted at the door by staff. The Licensee, Normas Zanders, and Administrator Norberto Laigo arrived at 9:45 a.m., and at this time the reason for the visit was explained. Administrator, Crystal Espinosa arrived during the inspection. Entrance interview conducted. At 9:45 a.m., the LPA along with the Licensee and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: The LPA inspected the kitchen/food service area at 9:51 a.m. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates and food labels had expiration date clearly marked. The knives and sharps are stored under the kitchen sink locked and inaccessible to residents in care. At 9:52 a.m., the water temperature was tested in the kitchen faucet, and it measured 116.2 degrees Fahrenheit. COMMON AREAS: At the time of the visit, living room, family room, and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature. At 10:03 a.m., the smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. (Report Continued on LIC 809C...) (Report Continued from LIC 809C...) The fire extinguisher was observed to be in compliance and charged on 11/03/2023. The LPA observed a closet in the hallway with extra towels and linens. The LPA observed required postings throughout the common space. Auditory alarms were observed to be functioning at the time of the visit. There is a working telephone on premises. GARAGE: The washer and dryer were observed inside the garage. Detergents and cleaning supplies were observed in a locked cabinet inaccessible to resident in care. The facility has a sufficient amount of emergency food and water which was observed to be in good condition. The LPA observed a sufficient supply of Personal Protection Equipment (PPE). BACKYARD: The backyard has a covered outdoor area equipped with furniture for resident use. Emergency exits and passageways were observed free of obstruction. There was one (1) gate that self-latches. No bodies of water were noted at the time of the visit. BEDROOMS: There are four (4) resident bedrooms. Two (2) bedrooms are single occupancy, and two (2) bedrooms are double occupancy. The LPA observed the resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. RESTROOMS: There are two (2) resident restrooms. The first restroom is located in the hallway and the second restroom is located in bedroom #4. Restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels; towels and washcloths are not shared. The hot water temperature was measured in both bathrooms; the first bathroom measured 114.8 degrees Fahrenheit at 9:57 a.m.; and the second bathroom measured 118.0 degrees Fahrenheit at 10:01 a.m. RECORDS: Records review began at 10:15 a.m.; six (6) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. All resident records were in order. (Report Continued on LIC 809C...) (Report Continued from LIC 809C...) Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were complete. The current Administrator’s file was also reviewed, and it was complete. The last emergency disaster drill took place on 10/08/2023. At the time of the visit, the LPA obtained the following documents: LIC 500 Personnel Report, LIC9020 Client Roster, the emergency disaster plan, and a copy of the liability insurance. MEDICATIONS: Medications review began at approximately 1:00 p.m.; medications are centrally stored and locked in a file cabinet adjacent to the kitchen. All medications including PRNs were labeled, stored, and locked inaccessible to residents. PRNs have physicians order on file. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Dec 11, 2023