Providence Place

Type of visit: Required - 1 Year

On 8/11/2022, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA met with the health wellness director and explained the purpose of the visit. LPA was screened at the front entrance. LPA toured facility and grounds. The facility appeared to be cleaned and tidy. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed (facility continues to conduct COVID-19 testing for staff and residents every 2 weeks). LPA reviewed entry procedures, staff training and policies, resident and staff daily monitoring records, containment strategies. PPE supply and the environmental cleaning supply are adequate, bathrooms are equipped with hand washing instructions, liquid soap and paper towels. Bathroom trash cans are with foot operated lids. Staff is observed to be wearing face covering. The beds in the semi-private rooms are 6" apart from each other. COVID-19 signs, cough etiquette signs and hand washing signs are observed through-out the facility. Medications, toxins and sharps are stored appropriately and inaccessible to residents, a comfortable temperature is maintained, lighting is sufficient for comfort and safety and food supply was checked and observed to be adequate. No deficiency cited. This report is reviewed and discussed with Health and Wellness Director. A copy is provided.the state’s words, verbatim · CDSS document, Aug 11, 2022

Type of visit: Required - 1 Year

On 11/8/2021, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was greeted by caregiver, Joy Bautista then the Health and Wellness Director, Catherine Villegas arrived at the facility and assisted with the annual inspection.. LPA explained the purpose of the visit and LPA was screened at the front entrance. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident and staff daily monitoring records (residents are being screened 3 time per day), containment strategies (facility has designated rooms for isolation and quarantine purposes). PPE supply and the environmental cleaning supply are adequate (facility cleans and disinfects high touched surfaces 2x/shift and floor daily), bathrooms are equipped with hand washing instructions, liquid soap and paper towels. Bathroom Trash cans are with foot operated lids; LPA Han recommended to have foot operated lid or trash can with lid in the kitchen as well. Staff is observed to be wearing face covering and staff will continue to remind residents to wear face covering. The beds in the semi-private rooms are 6" apart from each other. COVID-19 signs, cough etiquette signs and hand washing signs are observed through-out the facility. LPA Han recommended to post hand washing sign by the kitchen sink. Medications, toxins and sharps are stored appropriately and inaccessible to residents, a comfortable temperature is maintained, lighting is sufficient for comfort and safety and food supply was checked and observed to be sufficient. First-aid kit is inspected and complete. During today's inspection, LPA Han requested for the following document to be submitted to the Regional Office by 11/10/2021 - Updated Emergency Disaster Plan LIC 610E No deficiency cited today. This report is discussed and reviewed with the Health and Wellness Director. A copy is provided.the state’s words, verbatim · CDSS document, Nov 8, 2021

Allegation investigated: Staff are not assisting resident with incontinence. Staff are not assisting resident with hygiene. Staff left resident in bed with no clothing. Staff are not allowing family member to take resident on outing. Staff are restricting family visits to resident.

On 8/23/21, Licensing Program Analyst (LPA) Murial Han conducted an unannounced complaint inspection to deliver the findings. LPA met with caregiver, Yvette Arevalo and explained the purpose of the visit. Regarding to staff are not assisting resident with incontinence, staff are not assisting resident with hygiene and staff left resident in bed with no clothing, during LPA's visit on 7/14/2021, LPA observed resident in bed appeared to be calm and comfortable, the linen was cleaned, there was no scent of odor coming from the resident and from the room, the resident was neatly dressed, and hair was cobmbed. LPA interviewed the Health and Wellness Director and the staff members and they denied the allegations. They stated that incontinence care is being provided every 2 hours or as needed and they have never left the resident in bed with no clothes on. When it comes to resident's hygiene, they stated that those tasks are being performed daily such as providing showers, brushing teeth, washing hands, combing hair, etc. Unsubstantiated In addition, LPA interviewed R1's Responsible Party who stated that he/she visits the resident few times per week, some of those visits were pre-scheduled due to the Pandemic and some were not and he/she has never observed R1 having poor hygiene, having odor, not wearing any clothes and having soiled attends. Furthermore, LPA interviewed other resident's Responsible Parties regarding the facility's overall care performance, and they reported that the residents are well cared for; they have never observed their loved ones not wearing any clothes, and having poor hygiene. A couple of them with female residents residing at the facility stated that they were really impressed with the facility when they observed the facility provided manicure to their loved ones. Base on record review and interviews during the course of investigation, this allegation is unsubstantiated. Although the above investigations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Regarding to staff are restricting family visits to resident, there is no addition information forthcoming from the Complainant. LPA reviewed the visitor's sign-in log and observed that there were visitors visiting the facility on a daily basis. LPA interviewed the Health and Wellness Director who denied the allegation and stated that due to the Pandemic, the facility is requesting the family members to call and schedule the visits ahead of time to ensure the designated visitation area(s) is not overly crowded and if there are multiple visitors at the same time, the facility would make other alternate space arrangements to accommodate everyone and to ensure social distancing is maintained. In addition, LPA interviewed R1's Responsible Party who stated that the facility has never restricted the visits and it is understandable that the facility is asking the visits to be scheduled ahead of time to ensure everyone's safety. Furthermore, LPA interviewed other Responsible Parties who also validated that their visits were never restricted and they agreed with calling the facility ahead of time to schedule to visit to ensure everyone's safety. Base on record review and interviews during the course of investigation, this allegation is unsubstantiated. Although the above investigation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Regarding to staff are not allowing family members to take resident on an outing, there is no additional information forthcoming from the Complainant. LPA interviewed the Health and Wellness Director who denied the allegation and stated that the Complainant has never requested to take the resident out on an outing and since the Department updated the visitation and outing guidelines, the facility has honored serval residents going out on an outing with their family members. As part of the investigation, LPA interviewed R1's Responsible Party who stated that he/she has never requested to take R1 out on an outing due to the Pandemic and at the same time, he/she has never been told that he/she is not allowed to do so. In addition, LPA interviewed the other resident's Responsible Parties and they validated that they have never been rejected by the facility to take their loved ones out on an outing and at the same time, they also did not feel that it was safe to do so due to the Pandemic. Base on the interviews during the course of investigation, this allegation is unsubstantiated. Although the above investigation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.the state’s words, verbatim · CDSS document, Aug 23, 2021 · control 14-AS-20210707083128