The Orchards Assisted Living

Allegation investigated: Facility is charging fees for services not provided.

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced 10-day visit to the facility for the complaint received on 10/10/23 and to deliver the findings. LPA De Perio explained the purpose of today's visit, was greeted by facility administrator (AD) Brooke Patterson. During the investigation, LPA De Perio toured the physical plant of the facility, conducted interviews, and requested copies of pertinent records reviewed. It was alleged that the facility is charging fees for services not provided. LPA conducted an interview with staff that revealed that resident 1 (R1) voluntarily wanted to extend time in the skilled nursing portion of the facility, therefore was charged, and that the current fees owed of $413.28 are from the outstanding balance that R1 had not yet paid for prior to moving out of the facility. It was also revealed that staff 1 (S1) spoke to R1 via phone call to explain about the fees, due to the services provided during the time at skilled nursing, however R1 was unable to recall what the bill was for. Unfounded Based on LPA’s interviews which were conducted, review of documents obtained, and observations, this allegation was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. For today's visit, no citations were issued. An exit interview was conducted with AD Patterson. A copy of this report was provided and explained.the state’s words, verbatim · CDSS document, Oct 18, 2023 · control 22-AS-20231010161029

Allegation investigated: Licensee did not abide by the terms of the admission agreement.

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced 10-day visit to the facility and to deliver the findings. LPA De Perio explained the purpose of today's visit, and was greeted by facility administrator (AD) Brooke Patterson. During the investigation, LPA De Perio toured the physical plant of the facility, conducted interviews, and requested copies of pertinent records reviewed. It was alleged that licensee did not abide by the terms of the admission agreement. An interview conducted with the resident (R1) who stated that the facility had mailed R1 copies of documents and invoices per R1 request, but "forgot" about it. R1 also verified with LPA De Perio that a copy of the admission agreement was given to R1, however, R1 misplaced it, but confirmed that the facility did provide it to R1. Unfounded Based on LPA’s interviews which were conducted, review of documents obtained, and observations, this allegation was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted with AD Patterson. A copy of this report was provided and explained.the state’s words, verbatim · CDSS document, Sep 14, 2023 · control 22-AS-20230908144438

Type of visit: Collateral

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced collateral visit in conjunction with complaint investigation 22-AS-20230410142343 at another licensed facility. LPA was greeted and granted entry into the facility by Administrator Kelly Conk and explained the reason for the visit. During the visit, LPA met with Resident 1 (R1) to gather information pertaining to complaint #22-AS-20230410142343. Resident agreed to speak with LPA and the interview was conducted in the resident's room. Exit interview conducted and a copy of this report was emailed to Administrator.the state’s words, verbatim · CDSS document, May 30, 2023

Type of visit: Required - 1 Year

On 10/31/2022 at 10:08am, Licensing Program Analyst (LPA) Jessica Cho arrived at The Orchards Assisted Living to conduct an unannounced visit. The purpose of today's visit was to conduct a Required 1 Year with an emphasis on Infection Control. At 10:13am, LPA Cho was greeted and granted entry by Receptionist Nancy Chavez. LPA completed the Coronavirus 2019 (COVID-19) screening procedure and met with Administrator (Admin) Kelly Conk and Assisted Living Director (ALD) Amy Cole. There are no active COVID-19 cases as of today. Facility documents daily temperatures of visitors on a sign in sheet. LPA observed the required COVID-19 precautionary signs were posted on the main entrance and throughout the facility. The Complaint Posters (PUB475) did not meet the size requirement and were observed in the size of 11.5"x17.5." The facility is licensed for ninety non-ambulatory residents and has a hospice waiver for six. There are currently fifty residents living in the facility of which one is receiving hospice care. At 10:34am, LPA Cho conducted a tour of the physical plant with Admin Kelly Conk and ALD Amy Cole. Also present were Safety Director Thad McKay and Plant Operations Manager Geoff Harvey. LPA observed all the common areas and randomly selected and inspected nine resident bedrooms. The resident bedrooms had the required furnishings. The resident bathrooms were checked. Grab bars were secure, the toilets worked properly, the showers were free of mold/mildew, and non-skid mats were in place. Resident bath towels and personal hygiene supplies were adequately stocked with hand soaps. LPA observed hand washing signs in resident and public bathrooms. LPA Cho tested the hot water temperatures and the water temperatures measured between the ranges of 110.8 to 113.7 degrees Fahrenheit. Perishable and non-perishable food supplies were checked and adequately stocked at the time of the visit. The fire extinguishers were mounted, fully charged, and serviced on 10/2022. Smoke/carbon monoxide detectors and auditory devices were tested by Dynalectric Service & Systems Group on 1/2022 and operational. Medications, toxins, and sharps were locked and inaccessible to the residents. LPA Cho toured the outside grounds. No body of water was present. There was shading and sufficient seating for residents. Walkways around the facility were clear of hazards, and there were no security bars or weapons on the premises. LPA observed sufficient supply of emergency food/water and PPEs. Based on the observations made during today's visit, no deficiency is cited in this review as per Title 22 Division 6 of the California Code of Regulations. An Advisory Note (LIC9102) was issued during the visit. An exit interview was conducted with Administrator Kelly Conk and Assisted Living Director Amy Cole, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Oct 31, 2022

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced visit to The Orchards Assisted Living. LPA Velazquez was allowed entry into the facility and met with Administrator Kelly Conk and Assisted Living Director Amy Cole The purpose of today's Case Management visit was to follow-up on an Incident Report received in the Orange Regional Office on May 27, 2022 regarding Resident (R) #1. On today's visit LPA Velazquez conducted interviews with staff. Per facility staff, R1 is currently out of the community spending time with family. LPA Velazquez was provided with copies of pertinent documentation from R1's file. There were no deficiencies issued during this Case Management visit. An exit interview was conducted with Administrator Kelly Conk and Assisted Living Director Amy Cole and a copy of this report along with the LIC 811 was provided at the time of this visit.the state’s words, verbatim · CDSS document, Jun 13, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kathrina Chin conducted an unannounced required annual inspection in this facility. LPA met with Kelly Conk, Executive Director, Amy Cole, Assisted Living Director and Pam Lahr, Wellness Coordinator and stated the purpose of this visit. LPA Chin was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. Facility has 35 residents in care and 24 staff members on the floor. LPA toured the interior and exterior portions of the facility. 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. Bathrooms were observed to be in good repair; and provided with grab bars and non-skid floor mats. Hot water was measured at 107-109.2 F 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 were mounted and charged. For the exterior portion, facility had patio furniture in good repair, and grounds were free of tripping hazards. LPA observed the emergency disaster and evacuation plans. Facility has back-up emergency food and water supply as well as PPE supplies. LPA Chin reviewed the COVID 19 mitigation plan of the facility. For this visit, the facility was observed to be in substantial compliance with Title 22 ,Division 6 of the California Code of Regulations. LPA Chin conducted an exit interview with Kelly Conk, Executive Director and a copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 29, 2021

Type of visit: Case Management - Incident

This unannounced case management visit is being conducted by Licensing Program Analyst (LPA) Kathrina Chin to follow up on an incident reported to Community Care Licensing. LPA met with Kelly Conk, Executive Director and Amy Cole, Assisted Living Director and explained the purpose of today’s visit. LPA made a case management visit in order to address four incident reports dated 10/2/2021,10/18/2021, 10/19/2021, 10/20/2021. It was reported that resident 1 (R1) pulled a patio chair to the gate and climbed over the secured/alarmed courtyard gate and wandered away from the facility for approximately twenty minutes on October 2, 2021. A private duty was put in place for 72 hours and a care conference meeting. The responsible party made an appointment for a neurologist and his Primary Care Physician(PCP). PCP came to the facility on October 8, 2021 and R1's medications were adjusted. On October 18, 2021, resident set off the delayed egress courtyard door causing an alarm. Care staff approached the resident and the resident took off his belt, wrapped it around his hands and came toward the staff. The staff called the safety team who responded and contacted 911 emergency personnel. Staff were able to re-direct resident to his room. On October 19, 2021, resident broke off the window stopper and pushed the screen off the window. Staff was able to see the resident attempting to climb out the window and resident came back in to his room. A 1:1 staff from a private vendor provided 24 hour supervision. On October 20, 2021, a companion entered the resident's room and the resident punched the male companion on the face. The facility contacted 911 emergency personnel and the paramedics did not take the take the resident to the hospital. A Primary Care Physician(PCP) was contacted today, October 2021 and will be consulting with a psychiatrist. There are new medications orders for resident 1. Ms. Conk stated that facility will hold another care conference to discuss a possible placement to a higher level of care. Based on the observations made during today’s visit, no deficiencies were noted today per Title 22 Division 6 of the California Code of Regulations.the state’s words, verbatim · CDSS document, Oct 21, 2021