Dimond Care

Allegation investigated: Licensee is retaining a resident who is mentally incapable of caring for their catheter

*THIS IS AN AMENDMENT OF REPORT DATED 01/08/2026* On 02/03/2026 at 10:30 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct an initial 10-day complaint investigation and to deliver findings in regards to the allegation above. LPA met with Administrator Assistant Sarah Chu and explained the purpose of the visit. During the course of the investigation, LPA obtained copies of R1’s Physician’s Report, Appraisal Needs and Services Plan and discharge packet, and R1’a Care Plan. LPA also reviewed and obtained staff training and information on the trainer, Allegations: Licensee is retaining a resident who is mentally incapable of caring for their catheter Continued on LIC9099-C Unsubstantiated Continued from LIC 9099 Investigation Findings: It was reported to the department that the facility is retaining a resident who is mentally incapable of caring for their catheter. LPA toured the facility and found only one resident with a catheter. Record review of R1 showed R1 requires assistance with all Activities of Daily Living (ADLs). LPA reviewed R1’s Care Plan that shows that Center for Elderly Independence Program of All-Inclusive Care for the Elderly (CEI PACE) providers are responsible for all medical care of the catheter via CEI Home Care Nurses, visits to the CEI Clinic, or Emergency Room (ER). The CEI nurse comes every six weeks to change out R1’s catheter. If CEI is unavailable, staff will take R1 to the emergency room if it needs to be replaced. LPA called CEI and spoke with W1, a register nurse, that confirmed W1 trained the facility staff in the care of R1’s catheter and is one of two nurses that will come out to the facility every six weeks to change out R1’s catheter. Staff in the facility only empty out the bag when it gets full. LPA obtained training records that show six staff members were trained by a registered nurse from CEI, W1, in how to handle and care for the catheter. Staff members are scheduled in a manner that ensures coverage by both the facility staff and CEI’s nurses for R1’s catheter. Based on the information obtained, observation and interviews, this allegation is 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. No deficiencies cited during the visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 8, 2026 · control 15-AS-20251231081112

Type of visit: Required - 1 Year

On 08/20/2025 at 12:45 PM, Licensing Program Analyst (LPA) David Doidge unannounced to conduct 1-Year Annual Required Inspection. LPA met with Administrator Helen Blain, and explained the purpose of the visit. LPA toured the facility inside and out with Administrator Helen Blain. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, front, side and back yards. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. Hallway temperature was maintained at 74 degrees Fahrenheit. The hot water temperature was measured in a shared bathroom at 110 degrees Fahrenheit. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition. Fire extinguisher was last serviced on 04/28/2025. Emergency Disaster Plan was last posted on 08/06/2025. Emergency disaster and fire drills are conducted quarterly; last conducted on 07/14/2025. First aid kit was observed to be complete. LPA reviewed five (5) residents records and five (5) staff records; all were complete. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Aug 20, 2025

Allegation investigated: Lack of supervision

On 07/02/2025 at 10:15 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a 10 day initial complaint investigation for the allegation above. Upon arrival, LPA met with Johana Reyes, House Manager and explained the purpose of the visit. Sarah Chu, Assistant to the Administrator arrived at 10:35 AM. During the course of the investigation, LPA conducted interviews with facility staff and two staff with Center for Elders' Independence (CEI). LPA also obtained and reviewed copies of the Physician's Report (602), Appraisal Needs and Services Plan (ANS) and after visit summitry for an appointment dated 06/20/2025 for a R1. Allegation: Lack of supervision. Continued on LIC9099-C Unsubstantiated Continued from LIC9099 Findings: On 06/20/2025, R1 was picked up by CEI for an appointment. R1 was transported from the facility to CEI and back. Staff interviews confirmed R1 was in CEI’s care while leaving and returning to the facility. Once in CEI’s care, CEI is responsible for monitoring and assisting any CEI participant until that individual is walked back through the main door of the care home, as confirmed by CEI staff interview. Although Dimond Care is responsible for the well-being of R1, CEI was entrusted to care for R1 while being transported, therefore the above allegation is Un-Substantiated. 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. No deficiencies cited during the visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 2, 2025 · control 15-AS-20250630154625

Type of visit: Required - 1 Year

On this day, September 19, 2024, at10:30 AM, Licensing Program Analysts (LPAs) David Doidge and Alicia Delmundo arrived unannounced to conduct an annual required inspection. LPAs met with Sarah Chu, Assistant to the Administrator. and informed the reason for visit. Administrator Helen Blain arrived at 11:00 AM. Facility has Infection Control Plan that was submitted on which a copy was received on this day, 09/19/2024. LPAs toured the facility inside out with Helen Blain and Sarah Chu. LPAs inspected the kitchen, dining area, living room, bedrooms, bathrooms, front, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications and cleaning supplies were observed locked. Facility has smoke and carbon monoxide detectors that were tested, and observed functional. Hot water temperature in the common bathroom was tested, and measured at 105 degrees Fahrenheit. Facility conduct fire drill every quarter last 06/15/2024. Administrator stated will conduct next drill this month. Fire extinguishers were observed fully charge and showed serviced 05/26/2024. LPAs reviewed 5 staff and 5 residents files. Medications inspected and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Record. Facility does not handle resident cash resources.. LPAs observed the following: -at 10:35 AM, front door had two extra locks, one latch one that locks vertically. Continued on 809C Continued from 809 -at 11:15 AM, fire perimeter fence gate with lock -at 11:32 AM, ointment found unlocked in common bathroom -at 11:40 AM, anti fungal spray and razor found unlocked in resident’s room. -at 11:56 AM, Efferdent dental cleaner found unlocked in resident’s room. -at 12:14 PM, Lysol spray found unlocked in resident shared toilet. -at 3:34 PM, quantity of two medication not listed on LIC622. Date filled scratched out by med tech for R4. -at 4:00 PM, R1, R2 and R3 have half bed rails but no doctor's orders on file. Administrator provided the following updated/current documents on this day: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. $3M Liability Insurance certificate Administrator to submit Updated Articles of Organization by October 3, 2024. Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809Ds. $500.00 civil penalty is assessed for fire safety violation for having the perimeter fence locked and front door locked with latch locks. Failure to submit proof of corrections by plan of correction due dates, and any repeat violation within 12 month period may result in civil penalty. Deficiencies and plan and proof of corrections were discussed with the administrator. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report providedthe state’s words, verbatim · CDSS document, Sep 19, 2024