Select Senior Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Edward Tapia made an unannounced required annual inspection at this facility. LPA met with staff and stated the purpose of this visit. Administrator Daniel Datcu arrived after the inspection. The facility is a two-level structure and licensed for six non-ambulatory with a hospice wavier for three. One may be bedridden. This facility offers Resident Care Facility for the Elderly. At about 2:08 pm, LPA Tapia was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. For this visit, LPA observed residents in care and staff members on duty. LPA toured the interior and exterior portions of the facility. There were 7 resident rooms, 2 rooms were vacant. The second floor of the facility offers staff rooms which are inaccessible to residents. Resident rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Manual smoke detectors, carbon monoxide and auditory exit alarms were tested to be operational. Bathrooms were observed to be in good repair and hot water was measured at 107.6 degrees Fahrenheit. Facility met the minimum two-day supply of perishable and seven-day supply of non-perishable food stock requirements. Facility had adequate supplies of personal protective equipment in place. Fire extinguisher was observed. Kitchen was in good repair with cleaning supplies and sharps inaccessible to residents in care. Medications were kept locked separately. Facility offers a 2-car garage mainly used for storage with a refrigerator, a car and an operational washer and dryer. For the exterior portion, facility had outside furniture in good repair; and grounds were free of tripping hazards. LPA Tapia reviewed the COVID 19 mitigation plan and the Emergency Disaster Plan of the facility. LPA discussed Assembly Bill 665 that requires a licensee of any adult care residential facility that has internet service to provide at least one internet access device, such as a computer, smart phone, tablet or other device, that: can support real-time interactive applications; is equipped with video conferencing technology, including microphone and camera functions; and is dedicated for resident or resident use. For this visit, no deficiency was noted in areas observed. LPA Tapia conducted an exit interview with Administrator Daniel Datcu and a copy of this report was explained and left at the facility.the state’s words, verbatim · CDSS document, Nov 1, 2022

Type of visit: Case Management - Incident

Licensing Program Analyst MIchelle Reed arrived at the facility to conduct a case management visit. The visit was conducted to discuss an unusual incident report that was sent to the Licensing office on 6/28/22. Upon arrival, LPA met with Licensee Daniel Dactu and Carmen Daraban. On 6/27/22 R1 was visited by his Daughter. The visit was conducted outside due to Covid precautions. R1's Daughter took R1 from the facility and told staff that she would be back after dinner. When R1 was not returned to the facility, Mr. Dactu contacted R1's POA. The POA stated that the Daughter would be keeping R1 overnight in San Diego. Mr. Dactu notified the POA that R1 did not have any medications. R1 missed his evening and morning medications. R1's Daughter took him to the hospital on 6/27/22 for a skin tear and he was returned the next day to the facility by the POA. Based upon inteviews and a review of records, no Title 22 regulations were violated. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jul 8, 2022

Allegation investigated: Staff did not seek medical attention timely

Licensing Program Analyst Michelle Reed arrived at the facility to deliver findings of this complaint.Upon arrival, LPA met with Carmen Daraban. Administrator Daniel Dactu was grocery shopping and arrived a short while later. The investigation consisted of interviews with Administrator, staff and witnesses as well as documentation. Resident #1(R1) was not interviewed due to his diagnosis or cognitive skills. The following was determined: R1 was admitted into the facility on 7/8/21. According to records reviewed, R1 needed maximum assistance and two people to transfer. He was unable to make his needs known due to his diagnosis and required assistance with all Activities of Daily Living. Upon arrival to the facility interviews disclosed that R1 was very stiff and had pain in his right leg and shoulder. R1 was assisted to the restroom by two staff. Staff #1 stood by as R1 had a habit of trying to get up from the toilet. According to staff, R1 continued having pain during transfers and changing. Medical attention was not sought by staff or the POA. On 7/17/21 R1's POA contacted 911. R1 was diagnosed with a hip fracture. (Continued) Substantiated Based upon interviews and documentation, the preponderance of evidence standard has been met and the above allegations are substantiated. See attached LIC9099D for cited deficiencies per California Code of Regulations, (Title 22, Division 6, Chapter 8). An exit interview was conducted and a copy of this report and appeal rights were provided to Daniel Dactu.the state’s words, verbatim · CDSS document, Apr 19, 2022 · control 22-AS-20210722114338

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(g) · Plan of correction due date: Apr 20, 2022

Incidental Medical and Dental Care-The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis. This requirement was not met as evidenced by: On 7/8/21 Licensee noted that R1 had pain in his right leg and shoulder. Responsible party was made aware. Licensee failed to seek medical treatment or contact 911. R1's responsible party contacted 911 on 7/17/21. R1 was diagnosed with a hip fracture. This poses an immediate health and safety risk as well as personal rights risk to residents.the state’s words, verbatim · CDSS document, Apr 19, 2022

Plan of correction: Licensee understands that it is his responsibility to ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided to meet the residents needs. Licensee agrees to provide proof of understanding of Section 87465 in writing by 4/20/22.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Albert Marin made an unannounced required annual inspection in this facility. LPA met with Administrator (AD) Daniel Datcu and stated the purpose of this visit. The facility is a two level structure and licensed for six non-ambulatory of which one may be bedridden; and hospice waiver for three. For this visit, there was one resident under hospice care. About 12:35 PM , LPA Marin was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. For this visit, there were six residents in care and two staff members on the floor. LPA toured the interior and exterior portions of the facility. There were six private resident's rooms. Rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke carbon monoxide, and auditory exit alarms were tested to be operational. Paging system was in place and observed to be operational. Bathrooms were observed to be in good repair; and provided with handrails and nonskid-floor mat. Hot water was measured at 120 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food stock requirements. Medications, cleaning supplies and sharp items were inaccessible to residents in care. Fire extinguisher was mounted and charged. LPA observed personal protective equipment in place. For the exterior portion, facility had outside furniture in good repair. Grounds were free of tripping hazards. Side exit doors were self closing and self latching. LPA Marin reviewed the COVID 19 mitigation plan of the facility. LPA MArin advised to send all incident reports and general correspondence to CCLASCPOrangeCountyRO@dss.ca.gov No citation was issued during this visit. LPA Marin conducted an exit interview with AD Daniel Datcu and copy of this report was left in the facility.the state’s words, verbatim · CDSS document, Feb 28, 2022