Harmony Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced on 10/24/23 and met with the Administrator, Cornelia Cata, to conduct a Required-1 Year Inspection. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are six (6) bedrooms and four (4) bathrooms for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition, properly maintained, and the hot water temperature was observed to be 106.5 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two-day perishable and (7) seven-day non-perishable food supply on hand. LPA observed knives, cleaning products and other toxins to be locked away and inaccessible to residents. LPA observed the outdoor area and perimeter of the care home to be free of clutter and debris and there appeared to be no potential safety hazards to the residents in care. Smoke detectors are hard wired and operational. Carbon Monoxide detectors are operational. Fire extinguisher and first aid kit are maintained and ready for emergency use. LPA checked medication storage and found medications to be locked away and inaccessible to the residents. LPA reviewed two (2) resident files and also reviewed two (2) staff files. Facility provided LPA a copy of the certificate of liability insurance. As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit interview conducted and copy of report provided.the state’s words, verbatim · CDSS document, Oct 24, 2023

Type of visit: Required - 1 Year

On 11/29/2022, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a Required- 1 Year annual inspection utilizing the infection control domain. LPA met with Caregiver, Emidio Arreola, and explained the purpose of the visit. Administrator arrived at the facility shortly afterwards. Prior to initiating the inspection, LPA completed required COVID-19 testing protocols and the daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured to apply hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. The facility has 2 ambulatory and 4 non-ambulatory residents, 1 resident is currently on hospice services. Facility is licensed for 4 non-ambulatory and hospice waiver of 4. During this visit, LPA reviewed 6 out of 6 resident files. LPA and Administrator toured the interior of the facility including bathroom, resident bedrooms, laundry room, kitchen, and common areas. In the areas toured, no immediate health, safety, and personal rights violation were observed. LPA observed the facility to have 2+ days of perishables and 7+ days of non-perishable foods. LPA observed paper towels, soap and hand washing signs in bathroom. LPA observed sharps, toxics and medication to be locked and secured. LPA observed Administrator Certificate #6025206740 to be up to date. LPA completed the infection control domain and at this time the facility was found to be at substantial compliance. LPA requested copy of LIC 500 Personnel Report, LIC 308 Designation of Facility Responsibility, Administrator Certificate and current Liability Insurance to be emailed to LPA Yang by Friday December 9, 2022. As a result of today's inspection, no deficiencies were observed. Exit interview was conducted. A copy of report was left at facility.the state’s words, verbatim · CDSS document, Nov 29, 2022

Allegation investigated: Staff sexually abused resident while in care Staff pushed a resident in care

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to deliver findings to a complaint investigation for a complaint received on July 5, 2022. LPA met with staff, Emidio "Jimmy" Arreola, who contacted Administrator, Cornelia Cata, by phone. LPA spoke to Administrator, Cornelia, by phone, and explained purpose of inspection. Administrator stated she was at an appointment now and could not attend the inspection but authorized caregiver, Jimmy to sign today's reports. Prior to initiating today's inspection, LPA completed required COVID-19 Department protocols and was screened per Covid-19 precautionary measures upon entering the facility. LPA ensured she applied hand sanitizer before entering the facility and wore a surgical mask. LPA was informed by caregiver that (2) residents were currently at a medical appointment. LPA observed (4) residents present. During the course of the investigation, the Department interviewed Administrator, staff (S1 and S2), resident (R1), other residents, Ombudaman and a family member of resident (R1). The Department reviewed documentation pertaining to resident (R1), including but not limited to, physician's report, preappraisal, and care plan. The results of the investigation are as follows: cont on 9099C(1).. Unsubstantiated 9099C(1).. Allegation: Staff sexually abused resident while in care. Complaint alleges that resident (R1) was being sexually abused by staff (S1). who allegedly hit her on her behind after she used to restroom and touched her breast inappropriately.. Resident (R1) stated in an interview that staff member (S1), was too aggressive with her and he slapped her bare bottom one day after she used the toilet. In the same interview, R1 stated she doesn't believe S1 had sexual intentions and there was only one incident and she would like to "drop the whole subject", and she doesn't want S1 to have any "strikes" against him and that if she was indeed sexually abused, she would "stand by it". R1 reiterated that what happened to her was not sexual abuse and she wants to forget the whole subject. Administrator stated that she has had no issues with S1 for many years and he is a "super nice man" who the residents like a lot. Administrator stated that R1 immediately wanted to go home when she arrived at the facility and would have hallucinations, at times, and would "hear voices". Staff (S1) denied both physical and sexual abuse allegations made by R1 and stated although R1 was not clinically diagnosed with Dementia, her doctor said she did have it. Resident's pre-appraisal states that resident has "some confusion, forgetfulness and hallucinations". S1 stated he has been a caregiver for a long time and knows the residents' rights and would never slap a resident or touch them inappropriately. Resident's family member stated that R1 has a history of "making stores up" in order to be removed from the care home and has done this for the past (3) years. Resident's family member stared that S1 is a "lovely" caregiver who is kind and caring and does not believe that S1 would touch her mom inappropriately. Based on information obtained, the Department finds the allegation to be UNSUBSTANTIATED- A finding that a complaint allegation 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. cont on 9099C(2).. 9099C(2)... Allegation: Staff pushed a resident in care. Complaint alleges that after finishing using the toilet, resident (R1) got up with her bottom still bare and staff (S1) slapped her on the bottom using his hand and S1's wife (S2) was present and witnessed the whole incident. Staff (S1) denied the slapping R1 when asked and staff (S2) stated she never witnessed resident being slapped on the buttocks after using the toilet, and the allegations are "false". S1 stated on 7/6/22 that R1 has had a "very difficult time adjusting to living at the facility since she moved in two weeks ago". Administrator stated that these allegations "didn't happen" and residents are very happy to be placed at the facility with the good caregivers she has. Administrator stated there is no question in her mind that S1 did not physically or sexually abuse R1. (3) residents were interviewed. (1) resident (R2) indicated that they have had a positive experience living at the facility and staff are always available to assist. Resident (R3) stated he receives "excellent" treatment by staff and he has no complaints, stating staff are "nice and accommodating". Resident (R4) stated that he is "generally quite satisfied" with the care he receives at the facility and S1 provides most of his daily care, stating S1 is "quite competent" and very helpful. R1's family member does not believe R1 and stated R1 has a history of making false allegations so she can leave her current placement. and stated she did not understand why R1 was not diagnosed with Dementia. R1's family member stated she has had lots of interactions with S1 and S1 is "lovely", kind and caring and she has no concerns about any mistreatment at the facility. R1 reiterated that she believes R1 "manipulated" in order to be removed from the home. Based on information obtained, the Department finds the allegation to be UNSUBSTANTIATED- A finding that a complaint allegation 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. Exit interview with caregiver, Jimmy Arreola, who was authorized to sign today's report by Administrator. . Copy of report left at the facility.the state’s words, verbatim · CDSS document, Nov 9, 2022 · control 25-AS-20220705100749

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Emidio Arreola, caregiver. Administrator, Cornelia Cata, arrived shortly to the facility and LPA explained purpose of inspection. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols and confirmed the facility does not currently have any positive Covid-19 diagnoses. Additionally, LPA was screened per Covid-19 precautionary measures upon entering the community. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Facility currently has (6) residents and (2) residents are on hospice. LPA observed (5) residents to be in their rooms and (1) resident watching television in the common area. Facility has (2) live-in caregiver staff. LPA and Administrator toured the interior of the facility. LPA observed it to be clean and in good repair. LPA observed various Covid posters throughout- LPA to send additional posters. Rooms toured include (6) private bedrooms with half/full bath, kitchen, laundry, staff room and common areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA, Administrator and caregiver completed the infection control domain and facility was found to be in compliance at this time. Inside temperature was observed to be 74* F. Fire extinguisher last serviced 1/14/2021. LPA observed sufficient 2+day perishable and 7+day non-perishable food. LPA observed paper towels, soap, sanitizer and trash cans with lids in the bathrooms. Sharps, toxins and medications are secured appropriately. LPA and Administrator discussed vaccination status of residents and staff. LPA requested an updated copy of LIC308 and obtained a copy of the current liability insurance and Administrator certification. There were no deficiencies observed during today's inspection. Exit interview. Copy of report provided to Administrator.the state’s words, verbatim · CDSS document, Nov 2, 2021