Sterling Court

Type of visit: Required - 1 Year

LPA Audrey Jeung toured facility, which consists of 21 assisted living apartments on the ground floor of this four story community, including a designated dining room. All units have private patios and small kitchens with refrigerators and microwaves. Emergency signal system is tested and consists of pull cords in bathrooms, living rooms and bedrooms, which sends audible alert to staff. Operable carbon monoxide detectors are installed in all apartments and tested. There are no accessible bodies of water or fire safety hazards observed. Medications and sharps are stored in locked medication room--inaccessible to clients--a comfortable temperature is maintained, passageways are clear, and lighting is sufficient for comfort and safety. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material and hygiene supplies are maintained. Hot water temperature tested in room 102. Food supply and first-aid kit are inspected. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as staff records, including training. Client files are reviewed. Novie Villafuerte is a certified RCFE administrator (x 1/28) that oversees assisted living operations. Executive director Sarah St. Charles oversees the entire building, which includes the independent units not subject to licensing authority. The following information/forms are provided to LPA today: - Emergency Disaster Plan (LIC610E) - Personnel REport (LIC500) - proof of current liability insurance - Designation of Administrative Responsibility (LIC308) - Administrative Organization (LIC309) Deficiency of the California Code of Regulations, Title 22 is cited on following page. See also Technical Advisory Notes--2 pages.the state’s words, verbatim · CDSS document, Feb 12, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87303(e)(2) · Plan of correction due date: Feb 13, 2026

MAINTENANCE AND OPERATION ...Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F and not more than 120 degree F. This requirement is not met, as hot water temperature tested in room 134 at 124 degrees F. Licensee failed to ensure that hot water twmperature is maintained within range of 105 to 120 degrees F, which poses an immediate health, safety or personal rights risk to clients in care.the state’s words, verbatim · CDSS document, Feb 12, 2026

Plan of correction: Hot water temperature shall be lowered and maintained between 105 and 120 degrees. Proof of correction to be sent to CCLD BY DUE DATE

Type of visit: Required - 1 Year

LPA Audrey Jeung toured facility, which consists of 21 assisted living apartments on the ground floor of this four story community, including a designated dining room. All units have private patios and small kitchens with refrigerators and microwaves. Emergency signal system is tested and consists of pull cords in bathrooms, living rooms and bedrooms, which sends audible alert to staff. Operable carbon monoxide detectors are installed in all apartments and tested. There are no accessible bodies of water or fire safety hazards observed. Medications and sharps are stored in locked medication room--inaccessible to clients--a comfortable temperature is maintained, passageways are clear, and lighting is sufficient for comfort and safety. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material and hygiene supplies are maintained. Hot water temperature tested at 108 degrees in room 109. Food supply and first-aid kit are inspected. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as staff records, including training. Client files and medications records are reviewed. Novie Villafuerte is a certified RCFE administrator (x1/26) that oversees facility operations. Executive director Sarah St. Charles oversees the entire building, which includes the independent units not subject to licensing authority. The following information is requested to be submitted to CCL by 3/6/25: • LIC 500 Personnel REport Deficiencies of the California Code of Regulations, Title 22 are cited on following pages. See also Technical Advisory Notes--2 pages.the state’s words, verbatim · CDSS document, Feb 20, 2025

Type of visit: Required - 1 Year

LPA Audrey Jeung toured facility, which consists of 21 assisted living apartments on the ground floor of this four story community, including a designated dining room. There are no accessible bodies of water or fire safety hazards observed. Operable carbon monoxide detectors are installed in all apartments and tested. Medications and sharps are stored in locked medication room--inaccessible to clients--a comfortable temperature is maintained, passageways are clear, and lighting is sufficient for comfort and safety. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material and hygiene supplies are maintained. Food supply and first-aid kit are inspected. Emergency signal system is installed in each apartment--in living room, bedroom and bathroom--and is tested. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as staff records, including training. Novie Villafuerte and Sarah St. Charles are certified RCFE administrators (x 1/2026 and (7/2025) that oversee facility operations. Client files and medications records are reviewed. The following updated forms are given to LPA: • LIC 610E Emergency Disaster Plan • LIC 309 Administrative Organization • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel REport The following information is requested to be submitted to CCL by 3/25/24: - Facility sketch (floor plan) - Proof of current liability insurance (including coverage limits) - LIC 309 Administrative Organization (for Fifty Peninsula Partners) Deficiencies of the California Code of Regulations, Title 22 are cited on following pages.the state’s words, verbatim · CDSS document, Mar 11, 2024

Allegation investigated: - Staff did not seek timely medical attention - Facility does not adhere to residents' Admissions Agreements - Staff did not observe residents for changes in condition - Staff did not respond to residents' calls for assistance in a timely manner

LPA Jeung interviewed assisted living director and obtained copies of relevant client records. Based on reviews of facility records--including signed admission agreement--and documents provided by complainant--including 100+ pages of text messages from/to facility staff--medical records, and interviews with staff, these allegations are determined to be unsubstantiated. On 10/24/21, staff noticed that client #1 had a change of condition and attempted to contact PoA immediately and 9-1-1, despite client's request NOT to call 9-1-1. Possibly due to extreme weather, 9-1-1 did not respond to call. PoA responded 30 minutes later after convincing client to agree to staff calling 9-1-1. Staff called 9-1-1 again; the line was busy and not answered. Another 9-1-1 call was made; caller was placed on hold. Staff pressed the Mobile Help Life Line and requested help while waiting for 9-1-1 to respond to call. EMTs arrived 25 minutes later. This incident was reported to CCLD as required. - Continued on next page - Unsubstantiated It is alleged that client was charged for transportation to medical appointments and that this service is included in the admission agreement. According to the Admission agreement signed by PoA for client #1, non-emergency transportation will be planned and/or arranged to medical appointments, and "facility will assist in arranging for a transportation provider...and the resident is responsible for the fare, if any." Client #1 developed deep tissue injury of heels due to pressure, which was documented in resident notes in April 2021 and treated by home health RNs. Client was already receiving home health visits since March 2021 for physical and occupational therapy. Wound care for heel wounds was documented by home health visit reports starting in May 2021. Request for healing wound exception was submitted to CCLD on 6/23/21 with physician's report. Care plans, assessment from vascular surgeon and home health RN visit notes dated in June 2021 and August 2021 were reviewed. Client #1 was admitted 11/19/20 and discharged 1/31/22, but was out of the facility for almost 4 1/2 months hospitalized, in rehabilitation, or other. According to text messages to assisted living director, staff failed to respond to client's emergency calls in timely manner on several occasions. History report of calls and responses was not available until LPA requested administrator to contact Tek Tone to make this information accessible to staff on 2/18/22. Based on call history report for client #1 for August, September, October 2021, client called for staff up to 6 times per day; in August, staff responded after 16 minutes; in September, there was a 25 minute response and a 21 minute response; in October, there was a 16 minute response. Staff responded to all other calls in a timely manner--most within 5 minutes. These lengthy response times were rare occurrences and not indicative of failing to respond to calls timely. Although the allegations may have occurred or are valid, there is not enough evidence to prove the alleged violations did or did not occur.the state’s words, verbatim · CDSS document, Nov 15, 2023 · control 14-AS-20220209160848