Palm Villas

Allegation investigated: - Resident sustained multiple falls while in care - Insufficient staffing during the evening hours for the residents

On this day, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver findings regarding the allegations received. LPA met with resident services director Nora Saavedra and explained the purpose of today's visit. During the investigation LPA conducted interviews and reviewed documents regarding R1. Incident reports are received documenting the falls. The facility does not have one on one care unless the responsible party agrees to pay for that additional care from an outside agency. This was not initiated by the responsible parties. The facility attempted to work with the family in order to increase supervision but the falls kept occurring naturally. Night staffing in place according to staffing schedule received. These allegations are unsubstantiated. Based on these observations, the above allegations are UNSUBSTANTIATED. Although the allegations 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 above allegations are unsubstantiated at this time. Report is reviewed with Nora. A copy is provided on this day. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 31, 2023 · control 14-AS-20230227163514

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.

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced required 1 year annual inspection. LPA met with resident services director Nora Saavedra who also holds a valid administrator certificate. The administrator Garry Sneper is not present on this day. LPA met with Nora and explained the purpose of today's visit. LPA was allowed entry into the facility that is licensed to serve 49 residents all of whom may be non-ambulatory. Annual Fees are current. The physical plant was toured inside and outside to ensure the safety of the residents. LPA observed the facility kitchen which is locked from resident access. Knives are stored within the kitchen behind closed door. Perishable and non-perishable food items are observed as in place. LPA observed the the medication room is behind a counter and has a lockable door. Resident medications are in place and current. The first aid kit is maintained in the medication room and is complete with required items. LPA observed a pull alarm fire system, fire extinguishers through out the facility inspected 02/23/23, smoke detector/carbon monoxide detectors, fire sprinklers through out, and central heating in the facility as in place. PPE and additional food supplies are observed on the second floor of the facility. Laundry room is also observed on the second floor as fully operational. Emergency exit routes are observed inside and outside to be free and clear of obstructions. LPA reviewed resident files and staff files which are all current. The facility does not handle resident money. Liability insurance is observed as in place and current. Current administrator certificate shows as pending renewal as of 06/05/2023. Upon a file review the following items are requested to be submitted by 11/07/2023: - Infection Control Plan (LIC9282) - Designation of Facility Responsibility (LIC308) - Personnel Report (LIC500) to include the Administrator presence in the facility - Updated administrator Certificate - Emergency Disaster Plan (LIC610E) - Copy of certificate of liability insurance Per the California Code of Regulations, Title 22, Division 6, Chapter 6, no deficiencies observed or cited. Report reviewed with Nora Saavedra.the state’s words, verbatim · CDSS document, Oct 31, 2023

Allegation investigated: Staff failed to address a resident's change in level of care

On this day at 1000 hours, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced comlaint investigation visit to deliver the findings for complaint allegations received. LPA met with administrator/licensee Garry Sneper and explained purpose of today's visit. Regarding the allegation above, it was discovered that staff did recognize a change in R1 baseline status before R1 was transported to the hospital for evaluation. Staff noticed that R1 was more tired and quiet than baseline but no other symptoms were a cause for concern as R1 preferred to be in bed. R1 did not have adverse effect due to receiving second dose of COVID vaccine. Medical review was conducted and there was no indication of respiratory issues, or UTI, that would have alerted staff to hold off on the second dose of the vaccine. This allegation is unfounded. This agency has investigated the complaint alleging that staff failed to address a resident's change in level of care. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. Report reviewed with administrator. Unfoundedthe state’s words, verbatim · CDSS document, May 6, 2022 · control 14-AS-20210506152640

Type of visit: Required - 1 Year

On this day at 1400 hours, Licensing Program Analysts (LPA) Jaime Vado conducted an unannounced infection control annual required inspection. LPA met with administrator Garry Sneper and explained purpose of today's inspection. LPA toured facility's building and grounds. Upon entry LPA was screened for COVID with temperature taken and COVID related questions asked. COVID signs are posted on door prior to entering main facility. Additional social distancing signs and masking signs to be posted in main hallways. There are no accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident monitoring and staff monitoring, containment strategies, environmental preparation and cleaning are in place. PPE supply is observed as in place. Medications, toxins and sharps are stored appropriately and inaccessible to residents in medication room. Medication cart observed as locked with narcotic medications. Facility ambient temperature is comfortable and lighting is sufficient for residents and staff safety. Toilet and bathing facilities are equipped with grab bars and non-slip mats. Liquid soap is available in resident bathrooms and paper towels for resident use. Hand washing signs in bathrooms are advised to be posted. First-aid kit is inspected as complete. A Disaster and Mass Casualty Plan observed dates 4/2/2022. All staff observed are wearing masks. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed as current. Administrator certificates are current. All residents and staff are fully vaccinated and with booster. Mitigation plan is present and is reviewed. Additional COVID materials are reviewed in Disaster Manual binder. According to him the mitigation plan is current and is still in use. Staff first aid cards are current and in place as well as training. The following updated forms are requested to be submitted to CCLD by 05/13/2022: • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • LIC 610E Emergency Disaster Plan • LIC 9020 Resident Roster • Updated copy of administrator certificate No deficiencies cited. Report is reviewed with Garry.the state’s words, verbatim · CDSS document, May 6, 2022