Iris Care Home

Type of visit: Required - 1 Year

02/14/2023 01:45 PM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with licensee Nicoletta Angheluta and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Mask, gloves. Additionally, LPA Knight was screened by facility staff. LPA Knight, and facility staff toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: resident rooms, common areas, bathrooms, laundry room, storage areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA Knight, and facility staff completed the infection control domain and facility was found to be in substantial compliance at this time. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report was provided to licensee Nicoletta Angheluta.the state’s words, verbatim · CDSS document, Feb 16, 2023

Allegation investigated: Resident has multiple injuries/ fracture

On 05/17/2022, Licensing Program Analyst (LPA) Misty Valencia conducted an unannounced complaint investigation visit regarding the above allegation and met with Nicoleta Angheluta, Administrator (Admin). Prior to initiating the complaint visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted Administrator and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA was screened byNicoleta Angheluta, Administrator. continued on 9099-C Unsubstantiated ***Amended*** due to confidential names needs to be omitted Allegation: Neglect/Lack of Care: The department conducted interviews with staff, residents and reviewed records concluded that Facility staff failed to provide appropriate care resulting in resident R1 sustaining multiple injuries/bruises to be Unsubstantiated. on 03/06/2022, R1 was seen at the Oroville Hospital for a chief complaint of confusion. Hospital records show that R1 sustained a fractured right hip, chest wall hematoma, bruises on her body, and bilateral pleural effusion. Doctor 1 (D1), Oroville Hospital Orthopedic, was interviewed. He stated the cause of R1's hip fracture could have been a seated fall. He explained that minor traumas can cause this type of fracture in elderly individuals. D1 said R1 sustained the fracture within weeks of being sent to the hospital. Doctor 2 (D2), Oroville Hospital Physician, said the cause of R1s bruises, as well as when they were sustained, was unknown. D2 said that since R1 was on blood thinner medication, minor traumas could cause minor bruises, which could become larger bruises due to R1's fragile skin. D2 stated it is not typical for the COVID-19 vaccine to cause bruising. D2 said bilateral pleural effusion can be caused by various aspects such as an infection, swelling in the body, or pneumonia. Some patients may not display any signs/symptoms, while others may have shortness of breath or chest pain. R1 died prior to being interviewed due to cardiopulmonary arrest. Facility residents were interviewed, and they denied seeing R1 sustain a fall or get hurt. Facility residents did not report any serious concerns of mistreatment. Facility staff were interviewed, and they denied that R1 sustained any falls, accidents, or traumas contributing to her injuries. They denied that R1 was taken care of in a rough manner or mistreated by staff. They denied knowing how R1 sustained a hip fracture. Licensee reported that R1 indicated she was in pain when she was transferred from her bed to her wheelchair on the morning of 03/06/2022 and R1 indicated she was in pain when she was transferred to the gurney for transportation to the hospital. Staff reported R1 sustained a chest hematoma shortly after receiving her COVID-19 booster vaccination. Staff reported that R1 was prone to bruises due to her blood thinner medication. Staff reported that they did not observe any changes in R1s condition prior to her hospitalization indicating she had fluid in her lungs. The preponderance of evidence standard has not been met. The allegations are Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted.the state’s words, verbatim · CDSS document, May 17, 2022 · control 25-AS-20220308144737

Type of visit: Case Management - Deficiencies

On 05/17/2022, at 1130 am, Licensing Program Analyst (LPA) Misty Valencia conducted an unannounced Case Management visit and met with Nicoleta Angheluta, Administrator. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted Manager and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPA was screened by Nicoleta Angheluta, Administrator. During an investigation of a recent complaint the Department conducted interviews with staff, residents and reviewed records. It was determined that the facility Failed to seek timely medical attention for a resident in care. Neglect/Lack of Care: Licensee Nicoleta Angheluta failed to seek timely medical attention after observing a large chest hematoma on R1. Conclusion: Nicoleta admitted that after R1 sustained a large area of discoloration on her chest following a COVID-19 booster vaccination on 02/23/2022, she did not seek medical attention for R1. Nicoleta described the chest hematoma as a large purple discoloration from R1's armpit to the middle of her chest. Nicoleta said she felt guilty for not seeking immediate medical attention. She said that she failed to seek medical attention because R1 did not complain of pain or have any significant changes in condition other than the purple discoloration. Staff 1 S1 observed R1 to have the chest hematoma on 02/23/2022 and corroborated that medical attention was not sought for it. Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D. Plan of correction (POC) were discussed. Appeal rights were provided and exit interview conductedthe state’s words, verbatim · CDSS document, May 17, 2022

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(1) · Plan of correction due date: May 19, 2022

87465 Incidental Medical Needs (a)(1) - The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Based upon department interviews and records review, the licensee failed to arrange medical care in for R1 while in care. This poses an immediate health and safety risk to clients in care.the state’s words, verbatim · CDSS document, May 17, 2022

Plan of correction: Licensee agrees to train all levels of staff on arranging and fulfilling medical needs which threatens the welfare, safety or health of any resident. Training to be planned and sent to LPA by 05/18/2022, then completed by 05/31/2022 Licensee will send CCL a notice of the scheduled training by POC date An outline of the training given and a roster w/ signatures will be faxed to CCL no later than 05/31/2022.

Type of visit: Collateral

03/16/2022 4:30 PM Licensing Program Analyst (LPA) Rebecca Knight made an unannounced visit to the facility and met with care staff Rebecca Drummond. The purpose of this visit was to deliver eight (8) resident files that were picked up at the facility for copying on 3/11/2022. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95 Mask, gloves. LPA Knight handed Ms. Drummond the resident files. Licensee signature is proof of delivery.the state’s words, verbatim · CDSS document, Mar 16, 2022

Type of visit: Required - 1 Year

3/7/2022 1:57 p.m. Licensing Program Analyst (LPA) Dawn Keane arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with Administrator (AD) Nicoleta Angheluta and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA contacted AD and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95. Additionally, LPA Keane was screened by AD/staff person. LPA Keane and AD toured facility to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, three (3) bathrooms, six (6) bedrooms, kitchen, storage areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA Keane and the AD completed the infection control domain and facility was found to be in substantial compliance at this time. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report was given to AD.the state’s words, verbatim · CDSS document, Mar 7, 2022

Type of visit: Required - 1 Year

12/15/2021 at 11:50 AM Licensing Program Analyst (LPA) Dawn Keane arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with NICOLETA ANGHELUTA, Administrator (AD) and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA contacted AD and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95. Additionally, LPA Keane was screened by AD/staff person. LPA Keane and AD toured facility to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, three (3) bathrooms, six (6) bedrooms, kitchen, storage areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA Keane and the AD completed the infection control domain and facility was found to be in substantial compliance at this time. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report was given to AD.the state’s words, verbatim · CDSS document, Dec 15, 2021