Redbud Care Home

Type of visit: Required - 1 Year

On 07/26/ 2023, Licensing Program Analysts (LPA's) Jaynae Boyles and Kerry Hiratsuka arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA's met with Facility Manager Laura Dale explained the purpose of the visit. LPA's Boyles, Hiratsuka and manager toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, garage, backyard, and common restrooms. LPA's observed the facility to be clean, in good repair and odor-free and each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, trash can with lids and 20-second hand-washing poster. Facility has a 2-day perishable and a 7-day non-perishable amount of food and sharps to be locked. Hot water temperature was measured at 110 F. LPA's observed two (2) fire extinguishers, fire detectors, and carbon monoxide detectors. LPA's reviewed a total of three (3) residents' files and two (2) staff files. In the areas toured no immediate health, safety, or personal rights violations were observed. Several topics were discussed. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Jul 26, 2023

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.

Allegation investigated: Facility not allowing visitors Staff not wearing a mask Staff not allowing resident to receive phone calls Resident was transferred to another facility without authorization Facility coerced resident to sign a document Resident’s family was not notified of resident’s death

on 07/06/2022, Licensing Program Analyst (LPA) Misty Valencia conducted an unannounced complaint investigation visit to deliver findings regarding the above allegations and met with Audra Eneix, Administrator. 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 Masks. Additionally, Admin screen LPA at front door. continued on 9099-C Unsubstantiated Facility not allowing visitors- Staff not allowing resident to receive phone calls-Staff not wearing a mask -Resident was transferred to another facility without authorization-Facility coerced resident to sign a document -Resident’s family was not notified of resident’s death The department investigated the above allegations and during interviews with Administrator (Admin), two of two (2/2) staff, three of three (3/3) residents, and records reviewed it was determined that above allegations are all un-substantiated. Facility not allowing visitors or allowing residents to receive phone calls-Interviews concluded that all residents are able to have visitors and make phone calls whenever they want. Residents interviewed reported that they have never had any issues or concerns having visitors at the facility or making/receiving phone calls. Staff not wearing a mask-Interviews concluded that there are no concerns with staff not wearing masks at the facility. Interviews with (Admin), two of two (2/2) staff and three of three (3/3) residents all agreed that staff wear masks all the time while working. Resident was transferred to another facility without authorization, Facility coerced resident to sign a document, and Resident’s family was not notified of resident’s death. Interviews with Admin, two of two (2/2) staff, and record reviewed concluded that R1 was her own decision maker and was never transferred to another facility. R1 was admitted to facility in March 2022 and was there until passing. Per records reviewed LPA observed that R1 was able to make all decisions independently per physician’s report. Interview with Admin concluded that Admin did in fact try to contact R1’s next of kin (NOK), but was not able to get in contact with NOK. NOK was in the hospital at the time of R1’s passing. NOK did in fact come and pick of R1’s belongings five (5) days later. 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, and report emailed to Administrator.the state’s words, verbatim · CDSS document, Jul 6, 2022 · control 25-AS-20220512123739

Allegation investigated: Authorized Representative was not reimbursed after resident's death.

Licensing Program Analyst (LPA) Misty Valencia conducted an unannounced complaint investigation visit regarding the above allegation directed by the department. LPA met with Facility Manager Audra Enieix and explained the reason for the visit. 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 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 by staff at the front door The LPA received a report stating that the Authorized Representative did not receive a refund after a residents death. However, the LPA received confirmation and documentation that a check was sent to the address on file on 06/15/2022. The LPA finds this allegation to be UNFOUNDED - meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted and copy of this report was emailed to Admin. Unfoundedthe state’s words, verbatim · CDSS document, Jun 16, 2022 · control 25-AS-20220615092327

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 05/04/2022 Licensing Program Analysts (LPAs) Misty Valencia and Dawn Keane, arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain. LPAs met with Audra Eneix, Administrator and explained the purpose of the visit. 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 Facility Administrator Melissa Johnson 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, LPAs were screened at the front entrace. LPAs and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, and common restrooms.. In the areas toured no immediate health, safety, or personal rights violations were observed. LPAs and Administrator 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 todays inspection. Exit interview conducted and copy of report emailed to Administrator.the state’s words, verbatim · CDSS document, May 4, 2022

Type of visit: Case Management - Deficiencies

On 02/16/2022, Licensing Program Analyst (LPA) Misty Valencia conducted an unannounced Case Management Health and Safety visit as directed by the department. LPA met with Audra Eneix, Administrator and explained the reason for the visit. 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 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 masks. Additionally, LPA was screened by staff at the front door LPA toured the facility inside and out including but not limited to seven bedrooms, three bathrooms, dining areas, outside areas, and kitchen area. LPA observed that there was sufficient food in the facility and facility has had some renovations done. The following renovations has been completed included; Bathroom remodeled, bathroom added to back bedroom, added counters, cabinets in the kitchen area, new flooring and painting throughout facility, a wall that has been removed, a wall that was put up between livingroom and a bedroom. . LPA asked Administrator if there was a permit application on the changes to the facility. Administrator reports thare was and she has documentation to LPA. LPA asked about residents in care and where have they been throughout the remodeling process. Admin reports that three of four residents are new and one is from their other facility. continue on 809-C LPA requested to see documentation that residents and families have been notified of the movement. Administrator reported that they never provided any documentation regarding the moves and that they have been in contact with all residents and their families verbally. LPA explained to Administrator that LPA will be citing facility regarding, reporting requirements, no fire clearance on renovations, and illegal evictions. Administrator understood and reported that she will contact LPA with any changes to the facility from here on out. Deficiencies are cited on LIC 809D. Exit interview conducted and a copy of report along with appeal rights were giventhe state’s words, verbatim · CDSS document, Feb 16, 2022

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202 · Plan of correction due date: Feb 17, 2022

All facilities shall maintain a fire clearance approved by the city, or county, and county fire department...or the State Fire Marshal. This requirement is not met as evidenced by: Based on LPA observation, licensee did not maintain a fire clearance to the alternations made at the facillity. This poses an as a immedicate health and safety risk to residents in carethe state’s words, verbatim · CDSS document, Feb 16, 2022

Plan of correction: Licensee agrees to get Facility renovations cleared by the fire Marshal and provide clearance to LPA by 2/17/2022

From the deficiency page — Deficiency type: Type B · Section cited: CCR87224 · Plan of correction due date: Feb 17, 2022

Eviction Procedures. (a) The licensee may evict a resident for one or more of the reasons listed ... This requirement was not met as evidenced by: one resident was moved after alterations and not given an approriate 60 day notice. This posed a potential risk to resident's personal rights.the state’s words, verbatim · CDSS document, Feb 16, 2022

Plan of correction: Licensee agrees to submit a statement of understanding of this regulation to LPA by 10/01/2021

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87211(a)(1) · Plan of correction due date: Feb 17, 2022

Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(1) A written report shall be submitted to the licensing agency and to the person responsible for the...This requirement is not met as evidenced by Based on LPA observation, licensee did not inform that facilty was reopened and took in four residents without fire inspection completed. This poses an as a immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Feb 16, 2022

Plan of correction: Licensee agrees that a written plan will be submitted to Licensing stating how facility can ensure a written report is submitted to Licensing in the future by 02/17/2022

Type of visit: Case Management - Deficiencies

On 09/23//2021, Licensing Program Analyst (LPA) Misty Valencia conducted an unannounced Case Management Health and Safety visit as directed by the department. LPA met with Licensee Gurmeel Singh and explained the reason for the visit. 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 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 masks. Additionally, LPA was screened by staff at the front door LPA toured the facility inside and out including but not limited to facility dining areas, outside areas, staff break rooms, kitchen area. LPA observed that the facility has had some renovations done. The following renovations has been completed included; Bathroom remodeled, added counters, cabinets in the kitchen area, new flooring and painting throughout facility, a wall that has been removed, bedrooms and bathrooms has been added. LPA asked Licensee if there was a permit application on the changes to the facility. Licensee reported that “my architect is in the process of getting that completed.” LPA explained to Licensee that when there are any kind of alternations to the facility, licensee needs to report such changes and a permit completed prior to the remodel, which also needs to be approved as well as a fire inspection completed. Licensee reported that he was not aware of having to notify LPA but will from now on. LPA asked about residents in care and where have they been throughout the remodeling. Licensee reported that all residents in care have been removed from the facility in process of remodeling. continue on 809-C LPA requested to see documentation that residents and families have been notified of the movements. Licensee reported that they never provided any documentation regarding the moves and that they have been in contact with all residents and their families verbally. LPA explained to Licensee that LPA will be citing Licensee regarding the unreported alternations in the facility, reporting requirements to LPA on changes, no fire clearance on renovations, and illegal evictions. Licensee understood and reported that he will contact LPA with any changes to the facility from here on out. Deficiencies are cited on LIC 809D. Exit interview conducted and a copy of report along with appeal rights were giventhe state’s words, verbatim · CDSS document, Sep 23, 2021

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87305(5) · Plan of correction due date: Oct 1, 2021

Alterations to Existing Building or New Facilities (a)Prior to construction or alterations, all facilities shall obtain a building permit. This requirement was not met as evidence by: The licensee has made some alterations to the facility and did not seek approval from the licensing agency or the fire marshal, as required. This poses an as a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Sep 23, 2021

Plan of correction: Licensee agrees to submit a floor plan to the licensing agency that indicates the physical floor plan changes. Licensee shall submit the floor plan to the licensing agency by 10/01/2021

From the deficiency page — Deficiency type: Type B · Section cited: CCR87202 · Plan of correction due date: Sep 23, 2021

All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department...or the State Fire Marshal. This requirement is not met as evidenced by: Based on LPA observation, licensee did not maintain a fire clearance to the alternations made at the facillity. This poses an as a otential health and safety risk to residents in carethe state’s words, verbatim · CDSS document, Sep 23, 2021

Plan of correction: Licensee agrees to get Facility renovations cleared by the fire Marshal and provide clearance to LPA by 10/01/2021

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87224 · Plan of correction due date: Sep 23, 2021

Eviction Procedures. (a) The licensee may evict a resident for one or more of the reasons listed ... This requirement was not met as evidenced by: all residents were moved during facility alterations and not given an approriate 60 day notice. This posed a potential risk to resident's personal rights.the state’s words, verbatim · CDSS document, Sep 23, 2021

Plan of correction: Licensee agrees to submit a statement of understanding of this regulation to LPA by 10/01/2021

From the deficiency page — Deficiency type: Type B · Section cited: CCR87211(a)(1) · Plan of correction due date: Oct 1, 2021

Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(1) A written report shall be submitted to the licensing agency and to the person responsible for the... Based on LPA observation, licensee did not maintain a fire clearance to the alternations made at the facillity. This poses an as a otential health and safety risk to residents in carethe state’s words, verbatim · CDSS document, Sep 23, 2021

Plan of correction: Licensee stated that a written plan will be submitted to Licensing stating how facility can ensure a written report is submitted to Licensing and Responsible Party of residents in the future by 10/01/2021

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Konnor Leitzell arrived at the facility unannounced on 7/8/2021 to conduct a Required-1 Year Inspection utilizing the infection control domain, LPA met with Brenda Myers (admin) 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; contacted licensee 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: N-95 Masks. LPA and Brenda toured facility together to ensure no clients were in care. LPA was informed facility currently has a census of zero (0) due to current renovations. Areas toured include but are not limited to: common areas, five (5) of five (5) bedrooms, two (2) of two (2) bathrooms, kitchen, and backyard. In the areas toured no residents were seen to be in care. LPA and admin completed the infection control domain and facility was found to be in substantial compliance at this time. Admin indicated facility will remain closed until renovation are completed. LPA is requesting the following documents to be submitted by COB 7/23/2021 via fax at (916) 263-4744: Designation of Administrative Responsibility (LIC308); Personnel Report (LIC 500); Control of Property; Limited Liability Insurance. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Jul 8, 2021