Ab's Humble Home #2

Allegation investigated: Staff mishandled resident's medications while in care.

Licensing Program Analyst (LPA) Ryan Gardner arrived at the facility unannounced to investigate and deliver findings for the above complaint allegation. LPA met with Administrator Ebraheem Hamed and explained the reason for the visit. During today’s visit, LPA toured the facility, interviewed residents, and interviewed staff. For allegation, Staff mishandled resident’s medications while in care: During facility tour, LPA observed three (3) plastic containers on the kitchen table with the resident’s medication stored in the plastic containers. Interviews conducted with the staff revealed that the medication was removed out of the original medication containers and placed in the plastic containers. The staff planned to leave the plastic medication containers on table until the resident’s ate dinner. The staff storing the resident’s medication in plastic containers on the kitchen table poses an immediate health, safety, or personal rights risk to persons in care. Substantiated Overall, there was not enough evidence to collaborate the allegation listed above. Based on evidence obtained during the investigation, the allegation listed above is deemed UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Ebraheem Hamed, along with a copy of the appeal rights. Based on the evidence gathered during today’s investigation, the allegation listed above is deemed SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of evidence the standard has been met. During today’s visit, one (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) and the LIC9099D form were discussed and provided to Administrator Ebraheem Hamed, along with a copy of the appeal rights.the state’s words, verbatim · CDSS document, Aug 31, 2023 · control 18-AS-20210506160603

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Sep 1, 2023

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2)Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. Based on interview and observation, the licensee did not comply with the section cited above evidenced by staff storing the resident’s medications in plastic cups on the kitchen table which poses an immediate health, safety, or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 31, 2023

Plan of correction: The licensee has agreed to read regulation 87465 entirely and send LPA a self-certified letter that the regulation was read and understood. The licensee has agreed to host a training class on medication safety with the staff. The licensee has agreed to send LPA signed proof that each staff was present during the medication safety training. The POC is due by 9/1/2023.

Allegation investigated: Staff is drinking alcohol at the faciltiy Staff is intoxicated while working at the faciltiy Staff has resident buy alcohol for staff

Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Facility Assistant Administrator Sabrina Saenz and explained the purpose of the visit. The investigation consisted of staff and resident’s interviews. First allegation: Staff is drinking alcohol at the facility. Regarding the first allegation, Staff is drinking alcohol at the facility. LPA Guerrero conducted in-person interviews with Resident #1, Resident #2, and Resident #3, who all stated that they have not witnessed Staff #1 drink alcohol while providing care. LPA interviewed Staff #1, who stated that they work at the facility Mon-Fri and arrive at the facility at random hours and has not witnessed Staff #1 consume alcohol while providing care. Second allegation: Staff is intoxicated while working at the facility. Unsubstantiated Regarding the second allegation, Staff is intoxicated while working at the facility. LPA Guerrero conducted in-person interviews with Resident #1, Resident #2, and Resident #3, who all stated that they have not witnessed Staff #1 intoxicated at the facility while providing care. LPA interviewed Staff #1, who stated that they work at the facility Mon-Fri and arrive at the facility at random hours and has not witnessed Staff #1 intoxicated while providing care. Third allegation: Staff has resident buy alcohol for staff. Regarding third allegation, Staff has resident buy alcohol for staff. LPA Guerrero conducted in-person interviews with Resident #1, Resident #2, and Resident #3, who all stated that they have not witnessed residents purchase alcohol for Staff #1. In addition, Resident #1, Resident #2, Resident #3, stated that they have not purchased alcohol for staff, nor has staff asked Residents #1-3 to buy alcohol. Due to a lack of information, the above allegations are deemed UNSUBSTANTIATED at this time. Unsubstantiated; meaning that 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. An exit interview was conducted where this report was discussed and provided to Facility Assistant Administrator Sabrina Saenz.the state’s words, verbatim · CDSS document, Jun 5, 2023 · control 56-AS-20230525110115

Allegation investigated: Staff physically assaulted client.

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced subsequent visit to continue the complaint investigation of and deliver findings on the above allegation. LPA met with care provider Lanny Latta who was informed of the reason for the visit. Administrator Ebraheem Hamed was phoned and administrative staff Sabrina Saenz arrived shortly. LPA conducted resident and staff interviews and reviewed records. The allegation is Staff physically assaulted client (C1). All resident and staff interviews revealed that they do not know C1 or have heard of C1. Resident interviews deny that staff hit or physically assault them. Interviews with staff revealed that they don't hit any of the residents and that there has been no report of physical assault by any staff on any resident. LPA reviewed records confirming that staff have completed elder abuse training. This allegation is therefore UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with Sabrina Saenz and a copy of this report was provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 7, 2023 · control 18-AS-20220111141023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melody Brown arrived at the facility 03/30/2022 at 12:40 PM unannounced in order to complete the facility's Annual Inspection. LPA Brown met with House Manager Lanny Latta and advised of the purpose of the visit, and that the Annual Inspection will be limited to Infection Control only. Below is a summary of what was observed: Infection Control: LPA Brown went over COVID-19 best practices for infection control and prevention with House Manager Lanny Latta and House Manager Latta reported that Mitigation Plan was submitted 07/12/2021. LPA Brown observed the facility having Covid-19 signages throughout the facility for proper hand washing procedure and social distancing. However, LPA Brown observed no central entry point and routine symptom screening has been designated for universal entry screening. LPA Brown requested House Manager Latta to set-up Central Entry Point and Routine Symptom Screening and LPA Brown discussed its importance to House Manager Latta. LPA Brown will be issuing a deficiency as this practice has a health and safety impact that includes but is not limited to personal rights, health related services and personnel requirements. Central Entry Point and Universal Screening has been set-up during the visit. LPA Brown toured the facility's and observed that resident bathrooms have paper towels and hand soap. LPA Brown requested to inspect the facility's Personal Protective Equipment (PPE) supply. LPA Brown observed the facility to have a sufficient supply of sanitizer, gloves, masks but no face shields/goggles and isolation gowns. LPA Brown will be issuing a Technical Assistance Advisory Note instead of a deficiency due it being difficult to access face shields and isolation gowns at numerous points during the COVID-19 pandemic. LPA Brown advised the facility to look online for items missing from their PPE supply kit, as CCL may not have these items to supply them with. LPA Brown went over the various recommended training for facility staff with House Manager Latta in relation to COVID-19 and House Manager Latta reported that all staff were trained on various aspects of infection control, recognition of symptoms of COVID-19, and donning/doffing of PPE. *** Continuation in LIC809C *** LPA Brown inquired as to if staff have been fit tested for N95 masks, and House Manager Latta informed LPA Brown that at this time staff have not been fit tested. LPA Brown will be issuing a Technical Assistance Advisory Note during today's inspection for staff not being fit tested for N95 masks. LPA Brown will not be issuing a deficiency for this item due to the facility not currently having any COVID-19 positive residents, and N95 masks only needing to be worn when a resident is COVID-19 positive or under observation while awaiting test results. Additionally, all residents and staff have been vaccinated and are practicing other COVID-19 precautions, which minimize the risk of them contracting COVID-19. LPA Brown informed House Manager Latta of the Provider Information Notice (PIN) PIN-21-10-ASC which contains resources for getting staff fit tested for N95 masks. The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring PPE supplies are maintained, cleaning and disinfection provisions are in adequate quantities. The facility has a plan in place which follows Community Care Licensing guidelines for when and how long to test staff and their residents for COVID-19, when and how to isolate/quarantine resident, and when to schedule cleaning and disinfection times of high traffic and frequently touched areas. The facility also has a plan in place to monitor their residents regularly for any changes in condition and to subsequently notify the resident's physician and to notify all emergency agencies in the event of any COVID-19 related and/or suspected illnesses. During the visit, LPA Brown requested staff vaccination records and on 03/30/2022 at 01:15 PM, LPA Brown observed no vaccination record for all staff at the facility. House Manager Latta contacted Licensee/Administrator Ebraheem Hamed and Licensee/Administrator Ebraheem Hamed reported that he had their staff vaccination records and Licensee/Administrator Ebraheem Hamed also confirmed that no staff vaccination record available at the facility but he will email staff vaccination records to LPA Brown during the visit. LPA Brown received copies of staff vaccination records via email and requested House Manager Latta to keep a copy at the facility. Also, LPA Brown observed expired Administrator certification for Administrator Ebraheem Hamed and LPA Brown contacted Administrator Hamed and he sent current Administrator Certificate to LPA Brown via email. An exit interview was conducted with House Manager Lanny Latta and a copy of this report (LIC809), LIC809D, LIC9102 AN Technical Assistance Advisory Notes and Appeal Rights were discussed and provided.the state’s words, verbatim · CDSS document, Mar 30, 2022