Especially You Assisted Living

Allegation investigated: Staff are verbally abusing residents and physically intimidating them

At approximately 8:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to deliver findings from an investigation into the above allegation. LPA met with Jessie Regnier. Based on interviews conducted and documents reviewed, there was no evidence that staff verbally abused or intimidated resident. On the contrary, based on records reviewed and interviews conducted, R1 was verbally abusive to staff and when asked to stop, would accuse staff of being assaultive. R1 would threaten to hit staff if they did not do what was asked. 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, therefore the allegation is Unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 31, 2023 · control 21-AS-20230804105626

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Allegation investigated: Residents needs not being met

At approximately 8:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to deliver the results of an investigation into the above allegation. LPA met with Amanda Mitchell. The concerns of this investigation were in relation to Resident 1, R1, leaving the facility in disarray. R1 allegedly was covered in food scraps from breakfast, including on their face, on their shirt and pants and hands. LPA reviewed video footage from the morning in question and although the video did not provide a close up of R1, LPA did not observe food on their person. Interviews conducted with staff on duty, S1, on the morning of the incident, informed LPA that morning was a bit rushed. The bus driver arrived early and was honking their horn for the resident to be brought out. S1 could not recall if they cleaned R1 after breakfast, because R1 was just finishing when the bus arrived. S1 told LPA the normal procedure is to ensure residents are clean and presentable before they leave the facility. Continued on LIC9099-C... Unsubstantiated LPA interviewed Administrator and was informed the normal process after every meal is to ensure the resident is clean and the food residue has been removed. Administrator told LPA there is one bus driver that comes to pick up residents that arrives early and is very impatient. She said the driver will honk repeatedly and it rushes the staff. She told LPA that she has been in contact with the physician for R1 regarding an issue where they pocket food in their mouth and then spit it out later. She said this might have been the cause of the food on their clothing after leaving the facility. 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, therefore the allegations are Unsubstantiated.the state’s words, verbatim · CDSS document, Aug 16, 2023 · control 21-AS-20230621150330

Type of visit: Required - 1 Year

At approximately 9:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an Annual Required infection control inspection. This inspection will focus on the Infection Control procedures and practices of this facility. LPA met with Administrator Amanda Mitchell. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Resident bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers were found to be charged and inspected within the last 12 months. Toxins are stored and not accessible. There was a supply of cleaners, hygiene products and paper products available for resident use. Facility has submitted an infection control plan. Posters are in place at the entrance and throughout the building. The entrance area has a small table with hand sanitizer, thermometer and other items designated for visitors and staff before coming into work or visit. Facility has PPE supplies. Medications are secure and not accessible to residents. All staff had masks on during this visit. Facility did not suffer any damage due to the earthquake. There were no deficiencies found in the areas inspected. No citations issued.the state’s words, verbatim · CDSS document, Dec 20, 2022

Allegation investigated: Due to neglect and lack of supervision client sustained an unexplained bruise while in care.

At approximately 3:50PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unnounced to conduct an investigation into the above allegation. LPA met with Administrator Amanda Mitchell and reviewed documents. Based on a review of records and interviews conducted, R1 was wearing a scarf that was hanging down too low and R1 tripped and fell, landing on their arm. This fall caused a large bruise. The fall was reported to PACE the day of the fall. R1 agreed with staff to no longer wear the scarf and to use it as a decoration in their room. LPA reviewed video footage of the incident and observed the event as described during interviews. Facility has care staff for each shift to ensure the needs of the residents are met. 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, therefore the allegations are Unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 1, 2022 · control 21-AS-20221122164910

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Allegation investigated: Staff pushed resident Staff inappropriately confiscated residents personal items

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct an investigation into the above allegations. LPA met with Administrator Amanda Mitchell and reviewed video footage for 11/03. LPA observed a resident wandering around and picking up halloween decorations. A staff member took the item from the resident in a safe manner. As the staff was taking the item, the resident turned and began to sit in a reclining chair behind them. The video showed the staff was ready to assist the resident into the chair, but the resident dropped into the chair. LPA reviewed additional video of staff interactions with the resident and found each encounter to be conducted in a safe and respectful manner. 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, therefore the allegations are Unsubstantiated. No citations issued. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 8, 2022 · control 21-AS-20221103121955

Type of visit: Case Management - Incident

At approximately 10:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a case management visit in regards to a death report submitted to CCL on 04/25/2022. LPA met with care giver Jesse Regnier and reviewed documents. Staff found resident on the floor of their room, unresponsive. Staff immediately contacted emergency personnel and began life saving procedures as they were trained. Emergency personnel arrived and took over. Resident was pronounced deceased at facility. LPA received copies of documents and requested a copy of the death certificate when facility is able to obtain it. Facility followed regulation and notified responsible parties. No citations issued.the state’s words, verbatim · CDSS document, May 27, 2022

Allegation investigated: Neglect/ lack of supervision

At approximately 2:45PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to deliver investigation findings for the above allegation. LPA met with Administrator Amanda Mitchell. This incident occurred while this facility was under different ownership, License# 126801773. The change of ownership occurred on 01/19/2021. The results of this investigation are as follows: Based on a record review and interviews conducted, the facility observed swelling on the leg of R1 on 09/23/2020. Based on interviews conducted with Administrator, R1 did not complain of pain at this time. Facility staff contacted R1's Registered Nurse (RN) from PACE and she came to facility to evaluate. The RN ordered an X-ray, which was performed 09/25/2020, which showed a fracture. There were no reported falls in the weeks prior to the incident and staff stated they would have known if a fall occurred, due to R1 not being able to get up after a fall. A review of resident records, indicated resident was diagnosed with several ailments that caused weak skeletal structure. Continued on LIC9099-C... Unsubstantiated Records reviewed show an overall decline in health of R1 and a referral for Hospice care was generated on 09/30/2020. A review of the Hospice intake documents, notes the fractures and attributes to a recent fall. However, there is no documented evidence or interview that supports this note. A review of the Hospice care plan shows R1 had limited mobility and was bed bound and had chronic dementia without behavioral disturbance. The plan notes R1 was experiencing a decrease in functional ability and weight loss over the past few months. 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, therefore the allegation is Unsubstantiated.the state’s words, verbatim · CDSS document, Dec 14, 2021 · control 21-AS-20211108144904

Type of visit: Required - 1 Year

At approximately 1:30PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an Annual Required infection control inspection. This inspection will focus on the Infection Control procedures and practices of this facility. LPA met with Administrator Amanda Mitchell. LPA arrived at the facility and had temperature checked and health questions asked. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Resident bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers were found to be charged and inspected within the last 12 months. Toxins are stored and not accessible. There was a supply of cleaners, hygiene products and paper products available for resident use. Facility has submitted and received approval for a Covid Mitigation plan. Posters are in place at the entrance and throughout the building. The entrance area has a small table with hand sanitizer, thermometer and other items designated for visitors and staff before coming into work or visit. Facility has PPE supplies. Medications are secure and not accessible to residents. Residents do not typically wear masks inside the facility but have them available. Residents do however, wear masks while away from the facility. All staff had masks on during this visit. There were no deficiencies found in the areas inspected. No citations issued.the state’s words, verbatim · CDSS document, Dec 14, 2021