Ana's Elder Care

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Debbie Palacios and Sara Martinez made an unannounced visit tot he facility to conduct a 1 year required inspection. LPAs were greeted and granted entry by Caregiver Lani Mercado. LPAs explained the purpose of the visit. Any Swagerty, Licensee arrived shortly after LPAs arrival. LPAs conducted a tour of the facility. The facility is a single story home consisting of 5 bedrooms, 2 bathrooms, kitchen, living room and a garage. The facility was observed to be clean, and free from obstructions in the passageways. The facility was observed to have personal protective equipment (PPE) supplies located in the garage. The medications were observed to be locked and inaccessible to residents in care, and to be given as prescribed. There are no known guns or ammunition on the premises. The facility was observed to have multiple smoke and carbon monoxide detectors that were tested and observed to be operable. The facility has a record of emergency disaster drills being conducted on a quarterly basis. LPAs conducted a review of resident files and observed for the required documentation to be present. Staff record review, all staff present were observed to have obtained criminal record clearance and to be associated to the facility. LPAs toured the facility's exterior and observed outdoor pathways were free of obstructions. Outdoor shaded seating area is available for the clients in care. LPAs observed a hallway cabinet filled with clean towels, blankets, and linen, available for the residents. LPAs toured the kitchen and observed the facility has a 2-day supply of perishable foods and more than a 7-day supply of non-perishable foods, which are stored in a safe and healthful manner. LPAs observed knives and sharp instruments secured in locked kitchen cabinets. Cleaning solutions and disinfectants are secured in a locked laundry room cabinet. LPAs also observed one (1) charged fire extinguisher mounted throughout the facility. Medications are secured in a locked cabinet stored in the kitchen. LPAs reviewed the Medication Administration Record along with the physical medications for three (3) residents and did not discover any discrepancies. LPAs reviewed residents files and observed that the files contained signed admission agreements and updated physician reports. LPAs reviewed the facility's Emergency and Disaster Plan as well as the Infection Control Plan. Exit signs, emergency contact information, Resident's personal rights, and complaint information are visibly posted on the dinning room wall. During today's visit, LPAs did not observe any issues or concerns. An exit interview was conducted, and a copy of this report was reviewed and provided to Licensee Any Swagertythe state’s words, verbatim · CDSS document, Sep 20, 2024

Allegation investigated: Staff physically abused resident in care resulting in bruising. Staff verbally abused resident in care.

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced visit to the facility to conclude an investigation regarding the allegations listed above. LPA was granted entry and met with caregiver Mey Bryan Bugia who was informed of the purpose for this visit. Regarding the allegation "staff physically abused resident in care resulting in bruising", it was alleged that staff had kicked and pushed Resident One (R1) on the floor. R1 was admitted to the facility at approximately 6:00pm on 08/28/2023 and was transported to Scripps Encinitas ER in the early morning of 08/29/2023. R1 was served dinner and was observed to be calm by staff and R1’s responsible party. During the night of 08/28/2023 Staff One (S1) and Licensee stated R1 began to yell and had an aggressive emotional outburst throughout the night. S1 stated R1 began to make rude and threatening remarks to S1 and to the other caregiver working. On the morning of 08/29/2023, R1 refused to take medication, refused help from staff, and was combative. S1 contacted Licensee to inform her of the situation. Licensee contacted the Power of Attorney (POA) and the POA informed Licensee to call 911. When paramedics arrived at the facility on 08/29/2023, it was notated that R1 had bruises on the forehead and under the eyes. *CONTINUED ON LIC9099-C* Unfounded LPA’s record review of R1’s discharge papers from Tri-City Medical Center on 08/28/2023 at 04:10pm had a diagnosis of a Facial or Scalp Contusion and R1 had a bruise to forehead prior to being admitted to the facility on 08/28/2023. POA confirmed R1 had a bruise on the forehead and under the eyes before being admitted to the facility due to a fall at her previous facility. Based on LPA’s interviews and record review this allegation is unfounded at this time. Regarding the allegation “Staff verbally abused resident in care” LPA’s interview with POA and record review revealed that R1 has a history of paranoia and making inappropriate comments. POA stated R1 has a history of making accusations of physical abuse from previous caregivers. LPA’s record review of Tri-City Medical Center physician’s report states R1 has been having frequent paranoia due to advancing dementia. POA does not believe staff had verbally abused R1 while in care. Based on the information obtained from interviews and record review there is no evidence to corroborate the allegations of verbal or physical abuse that could have occurred therefore this allegation is UNFOUNDED. A finding of unfounded means that the allegation(s) was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted where this report and LIC811 was reviewed and provided to caregiver Bugia.the state’s words, verbatim · CDSS document, Oct 10, 2023 · control 18-AS-20230905084729