Allure Senior Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alviso conducted a Required- 1 Year visit, on 10/7/2025 at approximately 10:00am, and met with Administrator Assistant, Lorena Madrigal. Administrator Mera Shaughnessey would arrive later after their scheduled morning appointment. There currently are six (6) residents residing in the facility; One (1) resident is currently hospitalized. Fire clearance is approved for six (6) non-ambulatory/bedridden residents, Facility has an approved dementia plan of operation. There is an approved hospice waiver for three(3)residents. Facility has a required infection control plan. Facility has an emergency and disaster plan as required. Per record reviews, the facility conducted their last emergency disaster quarterly drill on April 4th & 5th, 2025. Facility does have a generator for emergencies if needed. The facility does have emergency food, water, and supplies to meet the "72 hour shelter in place" requirements. LPA observed eleven(11) of eleven(11) smoke alarms; Smoke alarm system is hardwired, and is a carbon monoxide detector as well. The smoke alarm system was working properly during the inspection. LPA reviewed six (6) resident files. All files were complete. Two (2) residents are on hospice services. The LPA reviewed four (4) staff files. All staff have criminal record clearance. All staff have current first aid and CPR certification as required. LPA reviewed staff training. Continued on LIC809C... Continued from LIC809.. The LPA toured the facility with Administrator Assistant Lorena. Hot water was measured at 115.8 degrees Fahrenheit. All exit doors had auditory alarms, and the alarms were working properly during the inspection. Fire extinguishers, two (2) were serviced and tagged as required. There was sufficient food supply for perishable and non-perishable food; Assistant Administrator stated Tuesday is the facility's food shopping day, and additional supplies will be arriving today. There was a sufficient supply of cleaners/disinfectants, and these items were locked up and inaccessible to residents in care. There was a sufficient supply of linens, paper products, and furnishings. personal protective equipment (PPE). LPA observed sufficient lighting in resident rooms, bathrooms, hallways, and all common areas. Medications were locked up and inaccessible to residents in care. Medications needing refrigeration were in a small refrigerator in the key pad locked pantry room, making the medications inaccessible to residents in care. All resident rooms have private bathrooms, each of them have grab bars for resident use. Each resident's bathroom has a shower head for showering the resident, and the facility has a large roll-in shower room in the hallway for resident use if wanted. The large roll-in shower room has grab bars, and a bathing shower mat. Facility was at a comfortable temperature during the inspection. LPA observed majority of the residents up, and engaged with staff in the facility common areas; LPA observed the residents having their noon meal. LPA is requesting the following documents be updated and submitted by 11/7/2025: LIC308 - Designation of Administrator Responsibility LIC500 - Personnel Report LIC610E-Emergency Disaster Plan - (review and update as needed/required-submit if changes) Infection Control Plan (review and update as needed/required-submit if changes) 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- (Mera Shaughnessey and Lorena Madrigal) Continued on LIC809C.. Continued from LIC809C.. LPA observed the following deficiencies: Residents' private bathrooms', six (6), with shower heads for bathing, all lack slip-resistant mats, strips, or flooring for residents use when bathing. Per staff interview, residents’ use their private bathrooms for bathing. This deficiency will be cited, 87303(e)(5) Maintenance and operation- Slip-resistant mats, strips, or flooring shall be used in all bathtub and shower floors, see LIC809D. Per record review. facility missed the third (3rd) emergency disaster drill of facility's required quarterly drills. Last drill was conducted April 4th & 5th, 2025. This deficiency will be cited, 1569.695(c)- A facility shall conduct a drill at least quarterly for each shift. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill, 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 Assistant Administrator. Exit interview conducted with Administrator Assistant, Lorena Madrigal.the state’s words, verbatim · CDSS document, Oct 7, 2025

Allegation investigated: Facility food supply is not sufficient to meet residents needs Facility is violating residents rights

Licensing Program Analyst (LPA) Alviso conducted an unnounced complaint inspection, on 12/30/24 at approximately 12:05pm, and met with Administrator, Mera Shaughnessey. LPA toured the facility, including looking at the food supply, perishable and non-perishable. LPA observed a sufficient supply of frozen meats, frozen vegetables, frozen prepared meals, fresh perishables, lunch meats, cheese, fruits, vegetables, grains, rice, noodles, and miscellaneous canned food supply. Interviews conducted with staff, stated that their is a sufficient food supply, and if anything is needed, staff notify the Administrator. The Administrator will get the food items to the facility as requested. Staff stated that a staff may bring some specific food items they obtain on own, but this food is brought in without Adminisrator knowing or requesting this to be done. S1 stated that staff notify them when perishable items are needed, due to shopping for these more often than the non-perishable items; Administrator stated the non-perishables will go bad faster then non-perishables, so we have to shop for these every week to two weeks as needed. Continued on LIC9099C... Unsubstantiated Administrator stated that staff are to notify them of any food items/perishables needed so they are purchased in a timely manner. nts in care. S1 stated they buy groceries in bulk and many perishables every few weeks as needed. S1 stated that no staff have provided any personal food items as this is not required of them and/or expected. S1 stated the staff are not to purchase and/or provide any food items to the facility. Administrator stated they purchase a food supply for the facility often, and with no problems. Administrator showed the food supply to the LPA during inspection, and stated there is no problem with food supply, the residents have all meals and snacks covered. Administrator stated, the staff need to tell me if they want and/or need something before running out, and they will do an order for pick-up or delivery. In review of pictures of residents when they have had a fall and/or some sort of injury or reaction to something, there was no information obtained and/or found that are violating residents rights. This information is shared between caregivers on duty and coming on shift regarding residents in care. S1 stated they have a staff only group message for information updates for staff on shift and coming on shift. Pictures are taken to send to the resident Physician if requested by the Doctor. There is never any facial pictures and/or any personal private area (s) pictures of residents that would violate personal privacy. S1 stated that residents are always treated with respect in all ways, the facility is not to violate personal rights of residents in care. There was no information obtained and/or observed, from LPAs facility food inspection, and all conducted interviews, to support violations had occurred. Based on the LPAs observations, conducted interviews, and related information obtained during the investigation, the allegations of "facility food supply is not sufficient to meet residents needs, and facility is violating residents rights". are Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No deficiencies cited. Exit interview was conducted with the Administrator Mera Shaughnessey.the state’s words, verbatim · CDSS document, Dec 30, 2024 · control 21-AS-20241227140739

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alviso conducted a Required- 1 Year visit, on 10/31/24 at approximately 12:35pm, and met with Licensee/Administrator Mera Shaughnessey. There are currently six (6) residents in care; Currently there are two (2) residents on hospice care. Facility has an approved dementia plan of operation. There is an approved hospice waiver for two (2) residents. Facility has an infection control plan as required. Facility has an emergency disaster plan as required. Facility has an approved dementia plan of operation. Facility has a fire clearance approval by the Santa Rosa Fire Department for a total of six non-ambulatory and/or bedridden. The facility's last fire drill and evacuation drill was conducted on 10/1/24, on all shifts. 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. LPA reviewed six (6) resident files; All resident files were found to be complete. LPA reviewed 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. All exits were free and clear of obstruction. Fire extinguishers, two(2), were serviced and tagged as required. There are nine(9) smoke alarms that are also carbon monoxide detectors; All smoke alarms are working as required. The backyard has outside patio, with furnishings for resident use, including areas providing shade for residents as needed. The facility was at a comfortable temperature for residents; Residents were observed to be watching television, listening to music, and engaging with the staff. Continued on LIC809C... LPA observed sufficient supply of food, perishable and non-perishable, for resident meals/snacks. Facility had sufficient furnishings for residents in care. The facility has sufficient lighting in all rooms, bathrooms, and common areas, including night lights. 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). All medications were stored/locked and inaccessible to residents in care. All cleaners/disinfectants were locked up and inaccessible to residents in care. LPA is requesting the following documents be updated and submitted by 11/30/24: 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 No deficiencies cited today. Exit interview conducted with Administrator Mera Shaughnessey.the state’s words, verbatim · CDSS document, Oct 31, 2024

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