King Road Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Parks arrived on Thursday January 8, 2026, to conduct the unannounced annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident (5) and staff (2) files. All resident files contained the required paperwork. All staff files contained the required paperwork and training. LPA and Licensee Lisa toured the facility together to ensure the health and safety of residents in care. The areas toured included resident bedrooms, bathrooms, kitchen, common area, and backyard. Facility had current inspection tag on fire extinguishers. Water temperatures were within the required range. Facility had a fully stocked first aid kit. All required postings were observed. LPA obtained a copy of the current liability insurance. Exit interview conducted. No deficiencies cited. A copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Jan 8, 2026

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Kerry Hiratsuka and Kayla Adkison arrived on January 23, 2025 to conduct the unannounced annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPAs reviewed 2 resident and 3 staff files. All resident files contained the required paperwork. All staff files contained the required paperwork. LPAs and Licensee Larisa toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, living room, kitchen, and backyard. In the areas toured, there were no health or safety violations observed. Facility was clean and well organized. Facility was current on fire drills. All required posting were observed. No deficiencies cited. Exit interview conducted. A copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Jan 23, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Parks arrived on Wednesday January 31, 2024 to conduct the unannounced annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA Parks reviewed resident (3) and staff files (3). All resident files contained the required paperwork. All staff files contained the required paperwork. LPA Parks and Licensee Lisa toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, living room, kitchen, garage, and backyard. In the areas toured, there were no health or safety violations observed. Facility was clean and well organized. Facility was current on fire drills. All required posting were observed. LPA obtained updated copies of LIC610E and LIC500. No deficiencies cited. Exit interview conducted. A copy of this report was emailed to the facility.the state’s words, verbatim · CDSS document, Jan 31, 2024

Allegation investigated: Medication mismanagement

LPA Parks arrived on Monday November 27, 2023, to conclude a complaint investigation regarding the above allegation. LPA met with Administrator Larisa and explained the purpose of the visit. Throughout the course of the investigation, LPA interviewed R1, Facility staff, residents, and R1’s nurse practitioner. LPA conducted a document review of R1 and R2’s file. Additionally, LPA reviewed documents obtained from R1’s pain management clinic. The result of the investigation is as follows: R1 moved into the facility in February 2022. R1’s physicians report dated 2/23/2022 states that R1 has mild cognitive impairment. The physicians report also states that R1 cannot manage their own medication, specifically administer, perform, and store the medications. Substantiated Upon review of R1’s documents from the pain management clinic, LPA learned that R1’s cheek swab tested as ‘inconclusive’ as to the presence of opioids. R1’s documents reveal the presence of opioids upon further testing. Additionally, notes from the treating physician stated that R1 vocalized that they experienced pain relief from the prescribed opioids. LPA reviewed emails between the Administrator and R1’s POA which took place between April 16 and April 28, 2023. In these emails, both the POA and Administrator acknowledge that R1 was able to keep their evening scheduled pills in their room and take at their leisure. Additionally, the emails reveal that staff observed R1 to be storing some pills (10 pills) in their room to take at a future date. All interviews acknowledge that staff manage medication for all residents at the facility. Additionally, when LPA was conducting the initial 10-day complaint visit at the facility, all residents were interviewed regarding the allegations and their time at the facility. While interviewing R3, LPA noticed that their pills were in a cup beside their recliner in their apartment. There was no staff present in the room with R3. Based on the information detailed above, LPA finds the allegation to be substantiated. A finding that the allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies cited on 9099-D. Appeal rights were printed and given. Exit interview conducted. A copy of this report was left at the facility. Based on information obtained during the investigation, LPA finds the allegation to be UNSUBSTANTIATED- a finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Exit interview. A copy of this report was emailed to the Administrator.the state’s words, verbatim · CDSS document, Nov 27, 2023 · control 59-AS-20230602092816

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Nov 28, 2023

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place . . . This requirement was not met as evidenced by observation and document review. This poses a direct threat to the health and safety of residents in care.the state’s words, verbatim · CDSS document, Nov 27, 2023

Plan of correction: Administrator to email LPA planned training for all staff regarding medication administration and centrally stored regulations.