Royal Garden

Type of visit: Required - 1 Year

On 08/22/2023, Licensing Program Analysts (LPAs) Jaynae Boyles and Lavinia Muscan arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPAs met with caregiver, Rochella Cosico and explained the purpose of the visit. Caregiver and LPA's toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, backyard, and common restrooms. LPAs observed the facility to be clean, in good repair and odor-free and each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels. Facility has a 2-day perishable and a 7-day non-perishable amount of food and sharps to be locked. Hot water temperature was measured at 119 F. LPAs observed one (1) fire extinguishers, fire detectors, and carbon monoxide detectors. In the areas toured no immediate health, safety, or personal rights violations were observed. LPAs reviewed a total of three (3) residents' files and two (2) staff files. Several topics were discussed. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Aug 22, 2023

Type of visit: Required - 1 Year

On 9/26/2022 Licensing Program Analyst (LPA) Lavinia Muscan, arrived at the facility unannounced to conduct an annual visit using the infection control tool visit. LPA met with Facility Administrator, Shirley Dizon and explained the purpose of the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured she used hand sanitizer shortly after entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPA was screened by Caregiver. LPA and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, outside area and common restrooms. Facility has a 2 day perishable and a 7 day non-perishable amount of food. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Administrator completed the infection control domain and facility was found to be in substantial compliance at this time. Facility has 5 residents 2 of which are on hospice. Administrator agrees to send in LIC500 and liability insurance. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Sep 26, 2022

Allegation investigated: Staff are not showering resident timely. Food is not of appropriate quantity to meet resident's needs.

On 8/15/2022 LPA Tryon arrived at the facility at 3:00 p.m. to work on the complaint. LPA had done a self-screening for COVID symptoms prior to the visit, used hand sanitizer, and temperature was taken upon arrival. LPA wore a sugical mask. LPA interviewed staff. Staff contacted Licensee Shirley Dizon who arrived a few minutes later. At this time, LPA has interviewed staff and available residents. LPA learned that the resident involved moved to a nother facility, and has passed away, so LPA was not able to speak with that resident. In speaking with available resident, no issues were noted, resident received showers timely and regularly, food was good and plentifful. LPA noted good supplies of food in the home. LPA also reviewed records of resident showers. At this time, there is no evidence to show that the staff does not shower residents; and there is no evidence to prove that residents do not receive adequate food. Allegations are UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened, and/or is wihtout a reasonable basis. No deficiencies were cited at this visit. Exit interview conducted. Unfoundedthe state’s words, verbatim · CDSS document, Aug 15, 2022 · control 25-AS-20220427102210

Allegation investigated: Facility does not ensure that resident is adequately fed. Facility lacked a basic food item.

Prior to entering the facility, LPA Smith spoke with staff to pre-screen that the facility is COVID free. Analyst also self-screened for having no known symptoms or exposure. Analyst followed facility's screening protocols, wore a mask and maintained distance during the visit. LPA Smith conducted an unannounced complaint visit and met with Shirley Dizon. Based on the investigation, there is no evidence that the facility is not feeding residents and lacking basic food items. Facility is well stocked with various foods/snacks, 10 loaves of bread was observed in the refrigerator, other residents were interviewed and none had any complaints about the food or the amount of food given. Based on this, the allegations of facility does not ensure that resident is adequately fed and facility lacked a basic food item are UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 3, 2022 · control 25-AS-20220215141835

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Unannounced annual visit utilizing the infection control domain was performed by LPA Michael Smith. Contact with Fe Salayog. A review of staff records on 9/29/21 indicates that all facility staff and other individuals who require caregiver background checks have received criminal record clearances. As a result of this visit, there were no deficiencies. However, 2 technical violations were issued. Exit interview conducted.the state’s words, verbatim · CDSS document, Sep 29, 2021