Casa Laurel

Allegation investigated: Unlawful Eviction

LPA Monter conducted an unannounced visit to deliver findings of the above allegation. Met with Administrator(ADM) Samonte. On 06/05/2020, the Department conducted an initial investigation/inspection wherein copies of resident's (R1) files were reviewed and obtained. Unlawful Eviction: On 7/26/2023, the Department conducted subsequent interview with Administrator (ADM). ADM stated that R1 was not illegally evicted. ADM stated that it was an interdisciplinary decision to relocate R1 to a higher level of care facility. ADM stated R1's responsible party or power of attorney including medical professional from Onlok determined based on R1's assessment he/she requires a higher level of care. R1 was admitted to the hospital. ADM stated that after R1 hospitalization, he/she was reassessed and deemed need to be transferred to Rehab due to weakness. Page 1 of 2. Unfounded ADM stated that R1's mobility became harder including food intake due to swallowing issue. ADM stated that R1's responsible party was actively involved and well informed about R1's care needs including his/her relocation. On 06/05/2020, the Department interviewed Administrator (ADM). ADM stated that R1 declined in mobility functionality due to weakness on right foot and left leg was giving out due to stroke. ADM stated that on 05/31/2020, 911 was called because R1 was observed drooling and facial drooping. ADM stated that R1 sent to the hospital and was seen by Physical Therapy wherein R1 was not able to bear weight which happened the previous week. ADM stated, "we don’t really want to put her/him at risk in terms of standing her/him up." ADM stated, "we were lifting her/him up.. even me, it is pretty much dead weight.... it was requiring two people to lift him/her up.." ADM stated that when R1 was discharged from the hospital, R1's responsible party was adamant about sending R1 to skilled nursing facility. ADM stated R1's care was discussed with his/her responsible party since last year (2019) that the facility may not be able to handle R1's care. ADM stated that R1's PCP agreed that R1 needs to go to short term rehabilitation to build up her/his stamina maybe and the family wants to bring her back. On 09/06/2023, the Department received a response from R1's social worker from Onlok to state, " I am writing to confirm that at the time of R1's hospitalization, it was determined that he/she needed a higher level of care following that hospitalization. R1 was then placed at a Skilled Nursing Facility." The Department has completed the investigation of the above allegations. Based on interviews conducted and record review, the department has found that the above allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. No deficiencies cited, Exit interview conducted with Administrator Samonte, and a copy of this report provided. Staff member Eluminada Yap signed on ADM's behalf. Page 2 out of 2, End of Report On 09/13/2023 LPA Monter interviewed facility staff. 2 out of 2 staff stated R1's did receive physical therapy back in 2020, but don't remember exactly as it was a long time ago. Facility staff did not clip resident's toenails. On 7/26/2023, the Department conducted subsequent interview with Administrator (ADM) on the phone. ADM stated that staff at the facility are not allowed to clip R1's or other residents' toenails. ADM stated that R1's case manager was informed about R1's toenails. ADM stated that R1's other responsible did mention to them about R1's toenails but he/she was informed about their disposition. ADM stated, "What's long for him/her is not long for us." ADM stated that R1 was seen by case manager (CM1). CM1 was aware of R1's toenails. ADM stated that the R1's responsibility party/power of attorney was aware about this complaint allegation, and it was discussed with him/her. On 06/05/2020, the Department interviewed Administrator (ADM) regarding R1's toenails. ADM stated, " no, we do not cut toe nails, we take them to their doctor or the doctor at their clinic does that. I used to have a podiatrist who comes to the house, but they retired now. " ADM stated that R1 would go every three months... the last time she/he went to get his/her nails clipped was in March. That is when they stopped everyone going to the clinic. She hasn’t gone then since the clinic is closed. Basic services does not cover toe nail clipping. There was nothing in R1's Admission Agreement about toe nail cutting." On 09/13/2023 LPA Monter interviewed 2 residents regarding the allegation. 2 out of 2 residents stated they have not seen other residents with long toenails. R2 stated the facility will take him/her to the podiatrist to get her toenails trimmed every 2 months. 1 resident did not want to be interviewed. 1 resident was not interviewed due to language barrier. Staff stated R1's roommate does not live in the facility. LPA interviewed 2 staff regarding the allegation. Both staff interviewed stated the facility does not cut the residents toenails, the podiatrist does that. Based on the interviews conducted, observation and records review, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the above allegations did or did not occur, therefore the allegations are UNSUBSTANTIATED.the state’s words, verbatim · CDSS document, Sep 13, 2023 · control 26-AS-20200528112506

Allegation investigated: Staff exposed himself/herself to resident

LPA Monter conducted an unannounced visit to deliver findings of the above allegation. Met with Administrator Samonte. On 02/25/2022, the Department conduct an initial inspection/investigation wherein copies of resident's (R1) files were reviewed and obtained. On 7/26/2023, the Department conducted a subsequent interview with Administrator (ADM) on the phone. ADM stated that when he/she was informed of this complaint, ADM spoke to resident (R1) about the allegation. ADM stated R1 saw a staff (S1) with a towel wrapped around his/her waist line when going in the bathroom but did not expose himself/herself to R1. ADM stated that S1 has been employed at the facility for a long time with his/her spouse. ADM stated that there was not a time where S1 was left alone with residents, nor S1 has a history of indecent exposure. Continuation, page 1. See page 2 of 2. Unfounded On 07/26/2023, the Department conducted a phone interview with staff (S2), S2 stated that he/she never observed staff exposing himself/herself to residents, nor seen S1 expose himself/herself to residents. S2 stated that his/her spouse did not expose himself/herself since they both resides live-in. S2 stated that S1 is his/her spouse. On 08/25/2023 at 10:11 AM, the Department conducted a phone interview with staff (S1), S1 stated that he/she has been working at this facility since 1998. S1 stated there are 3 staff working for this facility, 2 female and 1 male staff. S1 stated that he/she has not observed staff being naked or exposing himself/herself towards residents. S1 stated that his/her spouse and him/her works 5 days a week, live-in. S1 stated that he/she takes a bath in the facility but does not expose himself/herself to residents or anyone. S1 stated that the staff room to the bathroom is about 2-3 step away. S1 stated that he/she does not get out of staff room naked to use bathroom. S1 stated that he/she lives with his/her spouse but he/she is even shy being naked in front of his/her spouse more so to residents. S1 stated that R1 has a history of accusing staff at the facility with no validity due to his/her mental illness. S1 stated that he/she has not been accused by staff or residents since he/she began his/her employment in 1998. On 09/13/2023, LPA Monter interviewed 3 out of 3 staff. All staff members interviewed stated they have not seen other staff members naked. All staff members interviewed stated they have not heard the residents make complaints or mention staff being naked in front of them. LPA interviewed 2 out of 2 residents. Residents interviewed stated they have not seen staff naked at the facility or have heard anyone complain/ mention naked staff. Resident R1 did not want to be interviewed. 1 resident was not interviewed due to language barrier. LPA reviewed R1's physicians report, sign and dated 01/04/2022. The physicians report states R1 has mental illness. LPA also reviewed R1's Appraisal/Needs and services plan, signed and dated, 01/07/2022. The for states R1 struggles with mental illness. This agency has investigated the complaint allegations listed. Based on interviews, review of records, the CCLD has found that the complaint allegations are UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted with Administrator Samonte, and a copy of this report provided. Staff member Eluminada Yap signed on ADM's behalf.the state’s words, verbatim · CDSS document, Sep 13, 2023 · control 26-AS-20220224164457

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year visit and met with Manuel and Illuminada Yap. During visit, LPA Marrufo toured the facility inside and out. LPA Marrufo observed a visitor screening area with a symptom screening form, thermometer, hand sanitizer, and PPEs. The facility has a 30-day supply of PPEs. COVID-19 related posters were observed in the facility hallway and living room. LPA Marrufo toured the faciity bathroom and observed there to be available soap and a hand washing sign. LPA Marrufo observed the facility had a perishable food supply of at least 2 days and a non-perishable food supply of at least 7 days. LPA Marrufo toured the outside of the facility and observed the facility exits to be clear of obstructions. No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Manuel and Illuminada Yap and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jul 8, 2022

Allegation investigated: Facility staff is not properly administering resident medications

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced complaint investigation initial visit and met with Merle Laurel. During visit, LPA Marrufo interviewed residents R1 and R3-R5. Resident R2 did not want to be interviewed. LPA Marrufo interviewed staff S1-S2 and Licensee Merle Laurel. LPA Marrufo reviewed resident records, including medication records. LPA Marrufo conducted a medication audit using the Medication Administraition Record with S1 for residents R1-R5. LPA Marrufo did not observe any errors with the amount of remaining medications for any resident. 4 out of 4 interviewed residents stated to have not experienced staff administering the wrong medications to them. 2 out of 2 interviewed staff stated to have not administered the wrong medications to residents. See LIC9099-C for more information. Page 1 of 2. Unsubstantiated LPA Marrufo reviewed and obtained copies of the Resident Log In/Out Record, which indicates resident R1 logged out of the facility on 05/24, 26-31/2022 and 06/01/2022; and R4 logged out of the facility 06/01/2022 and 06/14/2022. Based on information from interviews conducted with staff and residents, and records reviewed, although the allegation listed above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. No Deficiencies cited under California Code of Regulations Title 22 This report was reviewed with Merle Laurel and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jun 14, 2022 · control 26-AS-20220608170134

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required - 1 Year visit and met with Manuel and Illuminada Yap. During visit, LPA Marrufo toured the facility. LPA Marrufo observed there to be a visitor screening station at the entrance with screening logs for temperature and symptoms. LPA Marrufo observed two out of two bathrooms to have available soap and paper towels for residents. Hand washing signs were posted in the bathrooms and COVID-19 related posters were posted throughout the facility hallways. LPA Marrufo observed the PPE supplies and observed there to be a 30 day supply. LPA Marrufo observed the facility food supply and observed there to be a perishable food supply of at least 3 days and a non-perishable food supply of at least 7 days. No deficiencies were cited at this time as per California Code of Regulations Title 22. LPA Marrufo requests that the following documents be updated and copies sent to CCL: LIC500 Personnel Report LIC308 Designation of Administrative Responsibility LIC610 Emergency Disaster Plan This report was reviewed with Illuminada Yap and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jul 16, 2021