Loving Hands Senior Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Renita Hall conducted an unannounced annual required visit to the above-mentioned facility. Upon arrival, LPA met with the House Manager. The facility operates as a Residential Care facility for the Elderly with Dementia. A facility tour was conducted, which included indoor activity areas, restrooms, kitchens, and outdoor space. All areas were clean, safe, and in good repair. Furniture and equipment were in good condition and appropriate for the clients in care. The facility has sufficient space and seating for all clients, with no exit obstructions. The restrooms were equipped with grab bars and adequate supplies. The hot water temperature measured within the required range of 105°F to 120°F, with signs posted for caution: hot water. Staff prepared meals, and menus were available at the time of the visit. A random sample of client files was reviewed. Files contained current physicians’ reports, admission agreements, emergency information, needs and services plans, and other required documentation. Staff records reviewed contained criminal record clearance, health screening, current first aid/CPR certification, and required training. Continued on 809C LPA conducted interviews with 1 staff member; zero residents were asleep, and all 3 were on hospice. No concerns were noted. The facility’s emergency disaster plan was observed to be current and posted. Fire drills are conducted as required, and documentation is available for review. Fire extinguishers were serviced within the past year, and smoke/carbon monoxide detectors were operable. No deficiencies were cited during today’s visit. An exit interview was conducted with the House Manager, and a copy of this report, along with the Licensee Rights (LIC 9058), was provided to the House Manager. Her signature on this form confirms receipt of the documents.the state’s words, verbatim · CDSS document, Nov 4, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Renita Hall, conducted an unannounced Required 1 year Annual Visit. LPA was allowed entry by Stephanie Walker, Caregiver/Manager. LPA identified herself and disclosed the purpose of the visit with the Manager. Physical Environment: The facility was clean, maintained, and free from any safety hazards. Adequate lighting and ventilation were observed in all areas of the facility. All necessary safety equipment, such as fire extinguishers and emergency exits, were present and in good working condition. The facility's outdoor spaces were properly maintained and accessible to residents. Staffing and Training: The facility had a sufficient number of qualified staff members to meet the needs of the residents. The staff member was observed to be professional, courteous, and knowledgeable in their respective roles. All staff members had completed the required training and certifications per the licensing regulations. Staffing schedules were posted and adhered to, ensuring adequate coverage. Resident Care and Services: Residents' care plans were reviewed and found to be up-to-date. Medication administration was observed to be in accordance with the facility's policies and procedures. Residents' nutritional needs were met, and the meals provided were nutritious and well-balanced. Recreational activities and social engagement opportunities were available to residents. Continued 809C Health and Safety: Regular health assessments and monitoring of residents' well-being were conducted by qualified healthcare professionals. Infection control measures were in place and followed by staff members. The facility had established protocols for emergencies and evacuation plans were readily available. Overall, the facility was found to comply with the licensing regulations. An exit interview was conducted and a copy of this report along with the Licensee Rights (LIC 9058) was provided to Stephanie Walker, Caregiver/Manager. Her signature on this form confirms receipt of the documents.the state’s words, verbatim · CDSS document, Nov 26, 2024

Allegation investigated: Staff are not adequtely trained.

Licensing Program Analyst (LPA)Tiffany Holmes conducted an unannounced complaint visit to the facility to close out the complaint and the above-mentioned allegation. LPA gained access to the facility, identified herself, and met with Stephanie Conwright, Staff to discuss the purpose of the visit. During the visit, LPA toured the facility, reviewed and obtained copies of facility records and conducted interviews. It was alleged that staff are not adequtely trained. Interviews revealed the staff worked for the prior administrator. Interviews revealed that the administrator trained the staff. LPA observed staff files and did not observe any documentation of any training the staff completed. Interviews revealed they did not have any proof of the trainings the other administrator provided. Interviews revealed the staff have been working at the facility since it opened under new management in October of 2023. There was supporting witness statements and no documents to substantiate staff are not adequtely trained. A deficiency is cited per Title 22 California Code of Regulations. An exit interview was conducted with Stephanie Conwright, Staff. A copy of this report and the Licensee's Rights (LIC9058 03/22) were provided at the conclusion of the visit. Substantiated It was alleged that staff did not prevent resident from falling. Interviews revealed R1 did have a fall. Interviews revealed that the staff work closely with the residents and sometimes they just fall. Interviews revealed that staff can be right next to the residents and they will still fall. All staff try to prevent residents from falling and hurting themselves. Interviews revealed that R1 fell on October 2, 2023 by tripping over their foot after exercising and sustained injuries to the side of their face. Interviews revealed staff called 911 and R1 sustained a cut above their right eyebrow. Interviews revealed they contacted R1s RP and advised them of the incident. It was alleged that staff did not ensure that resident was adequately hydrated. Interviews revealed the staff kept the two clients hydrated by asking them did they want water and when they refused they offered for them to take a sip. Interviews revealed there was also something available for the residents to drink to stay hydrated at all times. Interviews revealed there were times one of the residents would refuse to drink but after a few prompts they would take a drink. Interviews revealed the staff conducted rounds hourly or as needed and the staff would ask if they would like something to drink each round. Interviews revealed all residents have a 16 oz cup of water in their rooms that is refilled as needed. It was alleged that staff did not follow resident's care plan. Interviews revealed the care plan was followed and maintained by staff. Interviews revealed the staff shower R1 twice a week at minimum. Interviews revealed staff would change R1 clothes everyday as well. Interviews revealed that there was no set care plan in place for showers they just completed the task. It was alleged that staff did not effectively communicate with resident's responsible party. Interviews revealed the staff communicated with the Responsible Party (RP) daily or as needed. Interviews revealed the RP would call and request things of the staff and they would comply. The staff know how to call 911 and the administrator in case of an emergency and can effectively communicate with emergency personnel if need be and the RP. It was alleged that staff did not allow resident's responsible party access to resident's room to retrieve the resident's clothing. Interviews revealed that R1 shared a room with another resident. Interviews revealed one day the RP arrived at the facility while the other resident was taking a nap and they requested to go in and retrieve R1’s items. Interviews revealed staff explained to them the the other resident was asleep and that staff would retrieve the items for them. Interviews revealed anytime there was an issue the staff would contact the RP with the issue. It was alleged that staff are not available to the residents at night. Interviews revealed the staff are awake staff and they continuously monitor the residents as they sleep, watch television or just lay in their beds. The staff will continue to do their rounds and check to make sure all of their needs are met. It was alleged that staff did not follow resident's admission agreement. Interviews revealed that the staff followed R1s admission agreement. They did not provide transportation for the residents. The agreement was signed and it stated that they would provide the transportation. Interviews revealed R1 and the RP discussed transportation and stated that they would try to assist in transportation and once staff spoke with their insurance they decided they would not be providing transportation to residents. Interviews revealed that once the decision was made not to provide the transportation they contacted the RP and advised them of the situation. RP was not happy with the decision and voiced their concerns about the facility not providing the transportation as stated in the admission agreement. It was alleged that staff did not assist resident with making phone calls. Interviews revealed that staff assisted R1 in making phone calls to their significant other. Interviews revealed there were times when R1 would want to talk and other times they did not. Staff revealed they cannot make the resident talk on the phone if they don't want too. Interviews revealed that there were a couple of times the significant other did not answer their phone, however staff would leave a message. There were not any supporting witness statements to substantiate the allegations of the staff did not seek resident timely medical attention, staff did not prevent resident from falling, staff did not ensure that resident was adequately hydrated, staff did not follow resident's care plan, staff did not effectively communicate with resident's responsible party, staff did not allow resident's responsible party access to resident's room to retrieve the resident's clothing, staff are not available to the residents at night, staff did not follow resident's admission agreement and staff did not assist resident with making phone calls. An exit interview was conducted with Stephanie Conwright, Staff. A copy of this report and the Licensee's Rights (LIC9058 03/22) were provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Aug 15, 2024 · control 08-AS-20231127171640

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(c)(6) · Plan of correction due date: Aug 30, 2024

The licensee shall maintain documentation pertaining to staff training in the personnel records, as specified in Section 87412(c)(2)... This regulation is not met as evidenced by: Based on interview with Administrator, training was provided with previous owner, however, upon a review of S1, S2, S3, S4s, records, there was no documented staff training or training documented for new staff. This poses a potential safety risk to 2 of 2 (R1 & R2) residents in care.the state’s words, verbatim · CDSS document, Aug 15, 2024

Plan of correction: Administrator stated they will document the training for all staff and will provide the Department with proof of training by POC date. Administrator will also create a training log for each staff to ensure required training are documented and will provide the training logs to the Department by the POC date of 08/30/2024.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Dang Nguyen conducted an announced Pre-Licensing visit to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted by, identified himself to, and explained the purpose of the visit to the applicant’s representatives, Henry Conwright, Joshua Conwright, and Stephanie Conwright. The facility fire clearance was granted on 08/17/2023 and reflected that the facility was approved for six (6) residents in total, of which all may be non-ambulatory but none may be bedridden. The facility's fire clearance did not include delayed-egress door or secured perimeter endorsements, and neither were present during today's visit. The submitted facility sketch was consistent with the current layout of the facility. During today’s visit, LPA, accompanied by the applicant’s representative, toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were well lit and free of obstruction and slip hazards. Resident bedrooms allowed for easy passage and contained the required furnishings. Toilets, sinks, and showers were in working order. The facility’s ambient internal temperature was compliant at 74 degrees F. Hot water temperature at taps accessible to residents were also compliant: Kitchen sink was 112.5 F, Bathroom #1 sink was 107.8 F, Bathroom #2 sink was 107.1 F, Bathroom #3 was 105.4 F, and Bathroom #4 was 105.4 F. The facility has enough linens, hygiene supplies, cooking and dining supplies, and perishable and non-perishable food for resident use. All kitchen appliances were in working order. Refrigerator temperature was 39 F, and freezer temperature was 0 F. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and resident activities. The facility has locked areas for storage of medication and confidential resident and staff records. No pools or bodies of water were observed on the premises. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. Per the applicant’s representatives, no firearms or ammunition are or will be stored at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all operational. The facility fire extinguisher was serviced within the last 12 months. A complete first aid kit was present. Required licensing postings were observed in visible areas of the facility. The items reviewed were complaint with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. The applicant passed the pre-licensing inspection. LPA also provided the Component III Training during today’s visit. The Conwrights were advised that the facility’s application is pending management final review and approval. An exit interview was conducted with the applicant’s representatives, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Oct 12, 2023