Sunflower's Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Ingrid Henry, caregiver and explained purpose of inspection. LPA then met with Melania Mititti, Administrator, and Lucian Mititti, Co-Administrator. LPA observed (3) residents in the common area watching television and (3) residents to be in their rooms at the start of the inspection. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver for (3). Currently there are (0) residents under hospice care. LPA and Administrator, Melania, toured the interior and exterior of the facility including the common areas, (6) resident bedrooms with half bathroom each, (2) separate full bathrooms, kitchen, office, large activity room, staff rooms (2) and laundry area. The upstairs area is not used by residents. LPA observed the facility to be clean, in good repair and odor-free. LPA observed the bathrooms to have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. There are hand-washing and cough etiquette posters in the kitchen. LPA observed sufficient 2+day perishable, including fresh produce, and 7+day non-perishable supply of food. Sharps and toxins are secured in the kitchen. Resident medications are secured in the office area and only prepared for the current day. The inside temperature was 75*F and the hot water measured 108*F in a resident bathroom. LPA observed the hot water temperature to be set at 115*F on the inside thermostat. Fire extinguisher was last serviced 3/24/23 and is tested monthly and documented. Smoke/monoxide alarms are in working order and the fire door closes automatically when the alarm is activated. The facility conducts monthly fire drills -staff and residents will practice exiting the facility from different approved locations. LPA observed sufficient linens and PPE supplies. The facility conducts a variety of activities, including cooking, crafts, holiday celebrations, movies. LPA reviewed (3) resident files and found them to contain current documentation. Medications were reviewed for these (3) residents- medications are being administered as ordered and accurate records are maintained for both scheduled and PRN medications. cont on 809C-1... 809C-1.. LPA reviewed (3) staff files. All staff are cleared and associated and have completed or in the process of completing required ongoing training. First Aid/CPR is current also. There are no pools or bodies of water. LPA observed an open area to exit from the backyard and there are no locked gates. There is a complete First Aid kit on site. LPA observed a current copy of liability insurance. LPA observed Administrator certificates (3) posted in the office for Melania Mititii, Lucian Mititi and Christian Mititi. There are no changes to the LIC308 or LIC500. There are no deficiencies issued during today's inspection. Exit interview with Administrator. Copy of report provided.the state’s words, verbatim · CDSS document, Nov 8, 2023

Allegation investigated: Residents are chemically restrained with medication Facility staff not fingerprint-cleared Staff are using drugs while on duty Facility staff are abusing residents

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to deliver findings to complaint received on 03/28/2023. LPA met with Luciano Mititi, Co-Administrator, and Melania Mititi, Co-Administrator, and explained purpose of inspection. LPA observed staff in the ktichen and was advised staff are currently on a break. LPA observed (1) resident to be watching television in the common area and (5) residents in their rooms. There are currently (2) residents on hospice. The results of the investigation are as follows: During the investigation, LPA interviewed (2) Administrators, (3) staff and (2) residents, reviewed personnel files for staff (S1-S3) and staffing schedules LPA also reviewed ordered medications to those being administered for (2) residents as well as Centrally Stored Medication Record (LIC625) and PRN documentation. The results of the investigation are as follows: Allegation: Residents are chemically restrained with medication. Complaint alleges that staff are giving residents medication to keep them sleeping. *cont on 9099C(1)... Unfounded 9099C(1)... Medications were reviewed for (2) residents on 5/16/23, and it was determined that all medications are being administered as ordered with no discrepancies found. Medications are being logged correctly on the LIC625 and PRN medication is also being documented when given. Co-Administrator added a column to record "resident's response" on the PRN log, per Regulation 87465. Co-Administrator stated that no residents take cough syrup, which can cause drowsiness, on a regular basis. One staff stated "Maybe once in a while, one resident wakes up to use the bathroom" at night. Another staff stated that residents sleep well through the night. Co-Administrator, Melania, stated that the Administrators are on-call during the night and care staff only works during the day. One resident stated she receives her medications correctly and timely and "takes quite a bit of meds", and confirmed she receives the same meds every day. A second resident stated the Co-Administrator takes care of all of the meds- and puts them in little cups", and there are "no errors" with medications, she receives the same meds at the same time daily, and also receives showers as scheduled. All staff stated that the owner oversees all medications administered to the residents. Both Administrators stated that one of them will administer the medications to residents on a daily basis. LPA observed (4) of (6) residents to be awake during today's inspection. (2 residents are currently on hospice. Based on information obtained, LPA finds the allegation to be UNFOUNDED- means that the allegation is false, could not have happened, and/or is without a reasonable basis. Allegation: Facility staff not fingerprint-cleared. Complaint alleges that some staff are undocumented and are not finger-print cleared. LPA reviewed staffing records and schedules and confirmed that all staff are finger-print cleared and associated to the facility. In addition, LPA confirmed multiple staff's identity in person from a photo ID or passport provided. Based on information obtained, LPA finds the allegation to be UNFOUNDED- means that the allegation is false, could not have happened, and/or is without a reasonable basis. cont on 9099C(2).. 9099C(2)...Allegation: Staff are using drugs while on duty. Complaint alleges that staff are using drugs while on duty. One staff stated all staff are awake and able to do their job with a second staff stating that no staff are under the influence of any drug or alcohol while working. Both Administrators stated that one of them is always at the facility and oversees the care being provided. One resident stated staff are doing their jobs safely and well, everything is good with care and confirmed they will help her when she needs assistance. A second resident stated all (3) staff are "doing a great job", 'they treat us beautifully", are always awake and alert and "never under the influence" of any drug/alcohol and "everything is on time". LPA observed staff to be competently assisting residents and able to perform their jobs on on 5/16/23, 4/5/23 and during another inspection in November 2022. Based on information obtained, LPA finds the allegation to be UNFOUNDED- means that the allegation is false, could not have happened, and/or is without a reasonable basis. Allegation: Facility staff are abusing residents. Complaint alleges that staff are abusing residents with no specific details provided. One resident stated staff are doing their jobs safely and well, everything is good with care and confirmed they will help her when she needs assistance. A second resident stated all (3) staff are "doing a great job", 'they treat us beautifully", are always awake and alert and "everything is on time". Co-Administrator stated she is at the facility daily and if there any concerns with resident care, she would address it immediately with the staff and resident. Co-Administrator that she trains her caregivers that "when the client is happy, everyone is happy". LPA observed staff to be competently assisting residents and able to perform their jobs on on 5/16/23, 4/5/23 and during another inspection in November 2022. Based on information obtained, LPA finds the allegation to be UNFOUNDED- means that the allegation is false, could not have happened, and/or is without a reasonable basis. All allegations were determined to be unfounded. There are deficiencies cited and the complaint is being dismissed. Exit interview. Copy of report provided to Administrator.the state’s words, verbatim · CDSS document, May 16, 2023 · control 59-AS-20230328180729

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Ingrid Henry, caregiver and explained purpose of inspection. LPA met with Melania Mititti, Administrator, and Christian Mititti, Assistant staff. LPA observed Lucian Mititti, Co-Administrator, who assists with medication. LPA observed (1) resident in the common area watching television and (4) residents to be in their rooms at the start of the inspection. LPA was informed that (1) resident was at a doctor's appointment. Currently, there is (1) resident on hospice. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver for (3). Prior to initiating today's inspection, LPA completed required COVID-19 protocols, and was screened per Covid-19 precautionary measures upon entering the facility. LPA wore a surgical mask. LPA and Administrator toured the interior and exterior of the facility including the common areas, (6) resident bedrooms with half bathroom each, (2) separate full bathrooms, kitchen, large activity room, staff room and laundry area. The upstairs area is not used by residents. LPA observed the facility to be clean, in good repair and odor-free. LPA observed the bathrooms to have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters posted. LPA observed sufficient 2+day perishable and 7+day non-perishable supply of food, and locked sharps and toxins in the kitchen and medications to be secured in the office area. LPA observed the inside temperature to be 74*F. Fire extinguisher was last serviced 3/15/2022 and facility conducts quarterly fire drills. Discussed vaccination status of residents/staff, eligibility for boosters and visitation protocols. LPA provided booster flyer. LPA observed all required posting throughout - Administrator to post additional Covid posters. There are no pools or bodies of water. LPA observed an open area to exit from the backyard. LPA observed sufficient PPE, incontinent and paper supplies on hand. LPA observed Administrator certificates (2) posted in the office for Melania Mititii and Christian Mititi. LPA requested an updated copy of LIC500, LIC308 and current liability insurance by 11/30/22. There are no deficiencies issued during today's inspection. Exit interview with Administrator. Copy of report provided.the state’s words, verbatim · CDSS document, Nov 22, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct an annual inspection. LPA met with administrator Lucian Mititi during today's 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. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Masks. LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured 6 resident rooms, 1 staff room, 6 bathrooms, kitchen, common living spaces, backyard and the garage area. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA observed 2-day perishable and 7-day non-perishable amount of food present in facility. Administrator stated there has been no positive COVID cases at the facility, but have sufficient amount of PPE. LPA and admin completed the infection control domain and facility was found to be in substantial compliance at this time. Administrator to send into CCL LIC500, updated LIC308, updated administrator certificate, and liability insurance into CCL by 11/20/21. No deficiencies are being cited as a result of todays inspection. Exit interview conducted.the state’s words, verbatim · CDSS document, Nov 2, 2021