Rossmoor Sunshine Villa-Foster

Allegation investigated: Staff handled client in a rough manner.

Licensing Program Analyst (LPA) Joseph Alejandre made an announced 10-day visit to begin the investigation into the allegations listed above. LPA met with Administrator Flormine Resurreccion and explained the reason for the visit. The investigation into the allegation, staff handled resident in a rough manner revealed the following. It was alleged that staff handle residents in a rough manner when providing care or assisting residents. 4 out of 6 residents and 2 out of 2 witnesses interviewed could not corroborate that report. 4 out of 4 staff interviewed denied the allegation. There have been no reports of any type of abuse or mishandling of residents. Based on the evidence gathered the allegation, staff handled resident in a rough manner is deemed unsubstantiated. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of the report provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 22, 2023 · control 22-AS-20230313154427

Allegation investigated: Facility failed to provide adequate supervision resulting in fall Facility failed to provide preventative measures for scabies

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Shobhana Frank for the purpose of delivering findings for the investigation into the above identified complaint allegations. LPA met with Staff April Calaycay and explained the reason for today’s visit. During the course of investigation LPA Shobhana Frank reviewed Special Incident Report (SIR), R1 Physician’s report, conducted interviews at facility with Staff 1 (S1) Staff 2 (S2) Staff 3 (S3) Investigation on allegation Facility failed to provide adequate supervision resulting in fall is as below. Interviews were conducted with S1, S2, and S3 whom did not corroborate allegation. As S3 denied allegation and stated that it happened so fast, she was in R 1’s room checked on her and went to next door R 2”s room to checked and in few second she heard a something fall in R1’s room and came back right away. She observed R1 was seated on the floor and stated she accidently slipped from her bed. Unsubstantiated Investigation on allegation Facility failed to provide preventative measures for scabies is as bellow. Interviews were conducted with S 1, S 2 and S3 whom denied allegation and stated that Facility was following all orders from her primary care doctor. R 1 was treated with her prescribed medication and isolated protocol was being followed with universal precaution for all residents and staffs. Home health nurse was following up and continue to monitor her condition. While R1 was diagnosed with scabies, scabies outbreak was not suspected at the facility. Therefore, the allegations are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there are no preponderance of the evidence to prove or refute the alleged violation occurred; therefore, the allegations of Facility failed to provide adequate supervision resulting in fall and Facility failed to provide preventative measures for scabies are deemed UNSUBSTANTIATED. An exit interview was conducted with Administrator and a copy of report was provided.the state’s words, verbatim · CDSS document, Oct 14, 2022 · control 22-AS-20210907151351

Allegation investigated: Personal Rights Medication

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Shobhana Frank for the purpose of delivering findings for the investigation into the above identified complaint allegations. LPA met with Administrator, Minnie Resurreccion and explained the reason for today’s inspection. On 5/20/2021, 10 day visit was conducted by Valarie Cook During the course of investigation LPA Shobhana Frank conducted interview at facility with Licensee/Administrator, S 1, S 2, reviewed facility Medication Administration Medication Record (MAR) all staff schedules for all facilities (Foster, Kensington, Wembley, Oak Way, and Ruth Elaine). LPA toured the facility, resident rooms and observed medication locked in cabinet near dining area. The investigation into allegations that Administrator is touching the residents inappropriately during visits, revealed following. LPA interviewed Administrator (AD 1) he explained his role at the facility to be primarily as administrative. He denied being involved with any resident care. he does not provide care. Unfounded He denied having any personnel issues with any of the staff. AD 1 adamantly denied ever touching or being inappropriate with any resident or staff. He added that he has always treated everyone as a professional. S1 Stated she has worked for company 20 years and is familiar with AD 1. S 2 stated she has Worked for Six years. Both staff stated that Administrator don’t interact with them and Never seen him being inappropriate with anyone. S1 and s 2 stated that they calls for house maintenance, payroll issues but doesn't stat long and doesn't get involved with any of the residents. S1 and S 2 denied having knowledge of any staff working at all 5 houses. S1 and S2 stated that AD 1 is quiet and available if needed. AD 2 reported handling all staff schedules for all facilities (Foster, Kensington, Wembley, Oak Way, and Ruth Elaine) She denied employing a staff that floats between all five facilities) She admitted that facilities have relief staff that might work three days a week but they work specifically at one or two facilities but not all five. AD 2 reported handling all staff schedules for all facilities (Foster, Kensington, Wembley, Oak Way, and Ruth Elaine) She denied employing a staff that floats between all five facilities) She admitted that facilities have relief staff that might work three days a week but they work specifically at one or two facilities but not all five. The investigation into allegations of 1) Facility not following medications as prescribed, 2) Medications are not locked and 3) Medications that are the same are being shared among residents, revealed the following: LPA Frank inspected all resident rooms and medications storage during visit. LPA observed each resident room clean and clear of any medication. Medication was observed to centrally stored, locked and separated by resident name and picture. medication records reflect all pertaining medication was dispensed accordingly. LPA reviewed centrally stored medication logs, medication records and copy of scabies medication prescription for all involved residents. LPA noted any and all medication dispensed to appropriate resident. Based on reviews of documents, interviews and observation We have found that the complaint allegations are unfounded, meaning that the allegation was false, could not have happened and/or is without reasonable basis. Therefore, the allegations are deemed UNFOUNDED, meaning the allegations are false, could not have happened and/or is without a reasonable basis. An exit interview was conducted with facility representative and a copy of this report provided.the state’s words, verbatim · CDSS document, May 6, 2022 · control 22-AS-20210511162730

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced visit to Rossmoor Sunshine Villa-Foster. The purpose of today's visit was to conduct a Required 1 Year inspection. LPA Velazquez was allowed entry into the facility and met with Assistant Administrator (AA) Flormine Resurreccion. Caregivers Estelita Abella and Virginia Maaghup were also present. The facility is licensed for 6 non-ambulatory residents of which 1 may be bedridden. The facility has a Hospice waiver for 4 residents. There are currently 4 residents living in the facility but a 5th resident was being admitted during the visit. The last emergency disaster drill was conducted on February 6, 2022. LPA Velazquez observed the Complaint poster was not the correct size pursuant to regulation and advised AA to obtain the Complaint poster in the correct size of 20" x 26." At 11:00 AM LPA Velazquez conducted a tour of the physical plant along with AA Resurreccion. The 1 story home consists of 5 resident bedrooms with 4 bathrooms. There is 1 staff bedroom. The facility also has a living room, family room, dining room, and kitchen. The 4 residents in the facility appeared well-groomed and well cared-for. The resident bedrooms had the required furnishings, bed linens, and closet/drawer space to accommodate each resident comfortably. LPA Velazquez observed bed rails in the resident bedrooms. AA Resurreccion indicated there were written physician orders for the bed rails present in the resident files. Resident bathrooms were checked. Resident bath towels and personal hygiene supplies were adequately stocked. Toilets and water faucets worked properly, grab bars were secure, showers were free of mold/mildew and a non-skid surface or mat was in place. LPA Velazquez tested the hot water temperature in the resident bathrooms and the temperature measured at 109.4 degrees Fahrenheit in the first bathroom, at 109.5 degrees Fahrenheit in the second bathroom, at 112.4 degrees in the left sink and at 112.4 in the right sink of the third bathroom, and at 114.9 degrees Fahrenheit in the fourth bathroom which AA Resurreccion verified. LPA Velazquez inspected the kitchen along with AA Resurreccion. Perishable and non-perishable food supply was checked and adequately stocked at the time of the visit. AA Resurreccion informed LPA Velazquez that the dishwasher was inoperable. The fire extinguisher was fully charged. The smoke and carbon monoxide detectors were tested and found to be operational. Medications, toxins and sharps were locked and inaccessible to residents. The auditory alarms throughout the facility were in operating condition. LPA Velazquez observed the presence of cameras in the common areas of the facility. First Aid kit was checked and found to be in order. The facility did have a First Aid manual dated 2011 and LPA Velazquez advised AA Resurreccion to obtain an updated First Aid manual. LPA Velazquez along with AA Resurreccion toured the outside grounds. There were no bodies of water present. There was shading and sufficient seating for residents. Walkways around the home were clear of hazards and the exit gate was operational. There were no security bars or weapons on the premises. No resident or staff files were reviewed at the time of this visit. LPA Velazquez informed AA Resurreccion to ensure a written physician's order indicating the need for the bed rails is present in a resident's file pursuant to Title 22 Regulation Section 87608 Postural Supports which LPA reviewed with AA Resurreccion. Deficiencies cited under California Code of Regulations Title 22, Division 6, Chapter 8. An exit interview was conducted with Assistant Administrator Maria Tavarez and a copy of this report along with the appeal rights, and a copy of the LIC 9098 were provided at the time of this visit.the state’s words, verbatim · CDSS document, Mar 28, 2022