Blessed Family Living II

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Zabel Chochian arrived at the facility unannounced to conduct a required annual visit. Upon arrival, the LPA met with staff and explained the reason for the visit. Licensee Jennifer Hamilton arrived shortly after. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. At the time of the visit, the common area furniture's were observed to be in good condition. The facility maintained a comfortable temperature of 72 degrees Fahrenheit. The LPA observed required postings throughout the common areas. The LPA observed two residents watching television in the living room, three resident in their room and one resident out in the patio. LPA met with residents, visiting family and staff. LPA toured five (5) bedrooms total. One (1) bedroom is designated for staff use; two (2) shared and two (2) private bedrooms for resident use. Resident bedrooms were observed furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. The resident bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. A sufficient supply of clean linen and towels were observed stored in the hallways cabinets. A sufficient supply of PPE and toiletries were observed stored inaccessible to residents in care in a hallway cabinet. LPA inspected the kitchen/food service area at approximately 2:15pm. Knives and sharp objects are stored in a locked drawer to the right of the sink. Some cleaning supplies were observed kept underneath the sink inaccessible to residents in care. Kitchen appliances were observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food properly stored at this time. LPA observed medication centrally stored and resident files securely stored in the cabinet. (Continue to LIC809c) The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 105 - 120 degrees Fahrenheit. LPA observed staff room to be inaccessible to residents. All exits have functioning auditory devices and were operational at the time of the visit. There is a laundry area leading to the attached garage. It was observed inaccessible during the visit. LPA observed garage to store an additional fridge and freezer to store extra perishable food. Extra incontinent supplies, and PPE supplies, as well as additional furniture and medical equipment for facility use. The backyard has a covered outdoor area equipped with furniture including a table and chairs for resident use. The LPA observed one (1) self-latching gate with clear passageways clear of obstruction. There were no bodies of water noted at the time of the visit. Records review began at approximately 2:45pm, five (5) Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Six (6) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. All files were observed to be in order at this time. Medications review began at approximately 3:45pm. All medications including PRNs were labeled, stored and inaccessible to residents in care. Medications were observed to be administered as prescribed at this time. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit. LPA observed fire extinguishers to be fully charged and purchased on 11/20/2025. Last emergency disaster drill was conducted on 12/03/2025. The facility’s policies and procedures as it pertains to infection control and emergency disaster plan observed during the visit. Both observed to be reviewed and dated annually. Administrator provided the following documents at the time of visit: LIC500 Personnel Report, Emergency Disaster Plan and a copy of the facility’s liability insurance. Interviews were conducted with two staff and three residents during the visit. No deficiencies observed during today's visit. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Jan 24, 2026

Allegation investigated: Resident sustained unexplained injuries while in care. Staff handled resident in care in a rough manner. Staff did not accord dignity to resident in care.

Licensing Program Analyst (LPA) Brian Balisi conducted a subsequent complaint visit to investigate allegations listed above. During today’s visit, LPA staff and explained the reason for the visit. Licensee Jennifer Hamilton arrived shortly after. On 08/21/2024, the initial complaint visit was conducted by LPA between approximately 09:20 a.m. - 12:00 p.m. During the visit, LPA conducted physical plant, interviewed staff, residents, as well as, reviewed and obtained copies of pertinent documentation relevant to the investigation. Today LPA conducted physical plant, interviewed staff and responsible parties / families of residents in care. It was reported that “Resident sustained unexplained injuries while in care" as it was alleged that Resident #1 (R1), was observed with multiple bruises on forearms, hands, wrists and ankle. Interviews conducted and record reviews revealed that on the morning of 06/21/2024, R1 was found with a bruise on their left arm. Unsubstantiated First aid was provided, and the family was notified. R1 was noted to be agitated the previous night. On 06/26/2024, R1 was observed with a new bruise on their left arm. First aid was provided, and the family was notified again. R1 was also noted to be agitated the previous night. During both incidents, when R1 was agitated, they were observed moving their arms and legs rapidly between the sheets and blanket. On 06/30/2024, R1 walked behind their bed and attempted to go out of their window, which caused R1’s leg to become stuck between the bed and a table. No bruising was observed following this incident and the family was notified. On July 7, 2024, R1 was again found with bruising on their left arm. First aid was provided, and the family was notified. R1 appeared agitated in bed before falling asleep. Interviews with four (4) staff members and the Administrator revealed that R1 bruises easily and has been prescribed a cream to apply when bruising is observed. Staff stated that they have never seen another staff member handle any resident roughly. When a resident is observed to be agitated, staff typically speak to the resident in a calm manner, offer them space, and remain within sight until the agitation subsides. Interviews with three out of five residents in care indicated that they have not personally observed staff interactions with R1 during times of agitation, but they have heard R1 scream at night and heard staff trying to redirect R1 in a professional manner until R1 calmed down. Interviews with five (5)responsible parties of residents in care revealed that they did not express concerns about residents sustaining unexplained bruises while in care. They also stated that they did not have concerns about staff failing to notify them of any bruises or injuries. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations, "Resident sustained unexplained injuries while in care" is deemed Unsubstantiated at this time. It was reported that “Staff handled resident in care in a rough manner”, as it was alleged that Staff handled R1 in a rough manner while providing incontinent care. Interviews conducted revealed that on multiple occasions, when R1 had a bowel movement, R1 would reach into their garments, wipe the stool with their hand, and then attempt to smear it on the wall, bedsheets, or on staff. When this occurred, two staff members would provide assistance. Staff would bring in a plastic basin filled with water and assist R1 with placing their hands in the basin to thoroughly clean the stool. Additionally, interviews with Staff #1 (S1) and Staff #2 (S2) indicated that R1 typically did not fully cooperate during incontinent care. Continued from 9099-C However, both S1 and S2 denied ever handling R1 in a rough manner and stated that they made efforts to be as gentle as possible. The LPA’s interview with three (3) out of five (5) residents in care revealed no concerns regarding their interactions with staff. Interviews with five (5) responsible parties for residents in care revealed no concerns about residents being handled roughly by staff. Based on the information gathered during the investigation, the Department has found insufficient evidence to support the allegation. While the incident may have occurred or may be valid, there is not enough evidence to determine whether the alleged violation occurred. Therefore, the allegation that "Staff handled resident in care in a rough manner" is deemed Unsubstantiated. It was reported that " Staff did not accord dignity to resident in care" as it was alleged that staff appeared to be frustrated and irritated when communicating with R1. Interviews conducted with three (3) out of five (5) residents in care revealed that all (3) have never observed staff to speak to any resident in an unpleasant tone. Interviews conducted with four (4) staff revealed that all (4) have never observed any staff speak to any resident in an unpleasant tone. LPA's interview with five (5) responsible parties of residents in care revealed all (5) have never observe any staff speak to any resident in an unpleasant tone. Furthermore all twelve (12) individuals interviewed did not express any concerns regarding the manner in which staff communicate to residents. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations, "Staff did not accord dignity to resident in care" is deemed Unsubstantiated at this time Exit interview conducted and copy of report issued.the state’s words, verbatim · CDSS document, Jan 14, 2025 · control 29-AS-20240813140158

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit. Upon arrival, the LPA met with staff and explained the reason for the visit. Licensee Jennifer Hamilton arrived shortly after. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. LPA inspected the kitchen/food service area at approx. 10:45 a.m. The LPA observed residents watching television in the living room. Knives and sharp objects are stored in a locked drawer to the right of the sink. Some cleaning supplies were observed kept underneath the sink inaccessible to residents in care. Kitchen appliances were observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food properly stored at this time. LPA observed medication centrally stored and resident files securely stored in this in a cabient to the right of the sink. At the time of the visit, the common area furniture's were observed to be in good condition. A sufficient supply of clean linen and towels were observed stored in the hallways cabinets. A sufficient supply of PPE and toiletries were observed stored inaccessible to residents in care in a hallway cabinet. The facility maintained a comfortable temperature of 72 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit. LPA observed fire extinguishers to be fully charged and purchased on 11/23/2024. LPA observed five (5) bedrooms total. One (1) bedroom is designated for staff use; two (2) shared and two (2) private bedrooms for resident use. Resident bedrooms were observed furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. The resident bathrooms 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. The hot water temperature was measured between 105 - 120 degrees Fahrenheit. LPA observed staff room to be inaccessible to residents in care and empty at this time. LPA also observed a laundry area, next to bedroom #5 inaccessible to residents in care with laundry supplies securely stored. All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings throughout the common areas. There is a laundry area leading to the attached garage. It was observed inaccessible during the visit. LPA observed garage to store an additional fridge and freezer to store extra perishable food. extra incontinent supplies, linen, PPE , as well as additional furniture and medical equipment for facility use. The backyard has a covered outdoor area equipped with furniture including a table and chairs for resident use. The LPA observed one (1) self-latching gate with clear passageways clear of obstruction. There were no bodies of water noted at the time of the visit. Records review began at approx. 11:15am, six (6) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. Three (3) 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 observed to be in order at this time . Last emergency disaster drill was conducted on 01/07/2025. Medications review began at approx. 01:30 p.m. All medications including PRNs were labeled, stored and inaccessible to residents in care. Medications were observed to be administered as prescribed at this time. Infection control: Upon entry, the facility has a central entry point for symptom screening, temperature checks, and sanitation station. At this time, the staff will continue to keep up signs that promotes good hand hygiene and symptoms of a communicable disease. The facility has an adequate supply of Personal Protection Equipment (PPE), and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of an infectious disease. The facility’s policies and procedures as it pertains to infection control are adequate. The LPA obtained the following documents at the time of visit: LIC500 Personnel Report, LIC9020 Client Roster, and a copy of the facility’s liability insurance. Interviews were conducted during the visit. Exit interview conducted. A copy of the report was provided to Licensee.the state’s words, verbatim · CDSS document, Jan 14, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Martha Arroyo conducted an unannounced case management visit at 10:15 a.m. The purpose of this visit is to conduct an investigation regarding a self-reported incident and SOC 341 that occurred on 07/06/2024. Upon arrival, the LPA met with staff. The Administrator, Jennifer Hamilton arrived shortly after and the reason for the visit was explained. Entrance Interview. On 07/13/2024, the Department received an incident report stating on the 07/06/2024, Resident #1 (R1) was up all night agitated and yelling for R1’s mom to call the police. R1 refused to get help and constantly got out of their room. When R1 woke up on Sunday morning, R1 had a bruise on their arm. R1 has gotten bruises easily in the past and R1’s family had also states this was a problem since R1 is taking aspirin. R1’s family brought a bruise cream for when R1 moved in. bruise was reported to R1’s family on Sunday morning. By Monday afternoon, R1’s family had picked up R1 to go shopping; however, R1’s family called the facility and said they were not bringing R1 back to the facility. During today’s visit, LPA Arroyo conducted a plant tour at 10:33 a.m. to ensure there are no health and safety hazards, conducted interviews with the Administrator, two (2) staff members, two (2) residents, and one (1) family member between 9:40 p.m. and 11:30 a.m., conducted a file review at 10:50 a.m., and obtained copies of pertinent documents relevant to the investigation. Report Continued on LIC 809C... Report Continued from LIC 809... Record review of R1’s physician’s report dated 05/17/2024 indicated that R1 was confused/disoriented, had sundowning behavior; however, was also able to follow instructions and able to communicate their needs. Interviews conducted with staff revealed that R1 bruised easily; therefore, R1’s family was bringing bruise cream to apply on them when they visited the facility. Progress notes for R1 revealed that at separate occasions, a bruise was observed on R1; however, the facility was keeping an open communication with R1’s family and was notating any chances to R1’s family immediately. Interviews conducted with residents revealed that the facility staff is great and attentive to all residents. Residents did not display or report any concerns with staff while living at the facility. Residents also denied staff being aggressive or physically abusive to any residents while at the facility. Furthermore, during an interview with a resident family, family member stated that facility staff communicated well at all times and added that staff cared for all residents and had no concerns with any staff working at the facility. Based on the information obtained and reviewed, current residents and their family members have no concerns with facility staff acting inappropriately or being physically aggressive with the residents. Therefore, based on this review, no further follow up is required at this time. No deficiencies cited at this time. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Jul 29, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Zabel Chochian arrived unannounced to conduct a required annual visit. Upon arrival LPA met with Staff. Staff contacted Administrator Jennifer Hamilton and reason for visit was explained. The LPA toured the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: Knives and chemicals are kept inaccessible to residents. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS: Five out of six rooms are designated for resident use. Bedrooms were observed with appropriate furnishings, clean linens and sufficient lighting. RESTROOMS: Resident restrooms are clean, sanitary and in operating condition with grab bars and non-skid surfaces. Restroom observed stocked with toilet paper, soap and paper towel. Laundry and garage is kept locked. COMMON SPACES: Living room and dining room furniture were observed to be in good condition. The fireplace is covered and inaccessible. All exits have functioning auditory devices. The LPA observed the required postings on the wall in the entry area. The backyard has a covered area equipped with furniture for resident use. The side gate door is self-latching. There were no bodies of water noted. The last disaster drill was conducted on 01/04/2024. The facility emergency disaster plan was observed posted on the wall in the entry area. Fire extinguisher was last purchased in 11/2023; smoke/carbon monoxide detectors tested and are all functioning properly. Resident and Staff files were reviewed between 12pm-1pm. Resident files were checked for updated Needs and Services plans, medical assessments, admission agreements, and all other pertinent documents in their files. Staff records were reviewed and noted to be complete for first aid certification, health screening documentation, training requirements, employee rights and criminal record clearance. Staff and resident files reviewed were observed to be complete at this time. Medications are kept in a locked cabinet in the kitchen area. Medications and records reviewed with Administrator from 1pm-1:45pm. All medications have physician’s orders and are being given as prescribed. There were no health and safety concerns observed during today’s visit. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Jan 17, 2024