Veterans Home of California-Fresno

Type of visit: Required - 1 Year

On 09/27/2023, Licensing Program Analysts (LPAs) Walton and Padgett arrived at the facility unannounced to conduct an Annual Required Inspection. LPAs introduced themselves, stated the purpose of the visit, and requested to meet with the Administrator. LPAs met with Standards Compliance Coordinator, Cheryl Cardoza and Administrator, Scott Richards. LPAs conducted a tour inside and outside of facility. Facility observed to be clean, odor free and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. LPAs toured the following rooms: 224, 217, 213, 328, 324, 356, 458, 442, 418, 420. Resident rooms appeared clean and had required furnishings. LPA observed an adequate supply of linen. Resident bathrooms were properly equipped with securely fastened grab bars in toilet and tub/shower areas, and resident bathrooms were equipped with non-skid tiles. Hot water temperature measured between 113.5 and 119.8 degrees F. Kitchen toured, appeared clean, observed a 7-day supply of non-perishable and 2-day supply of perishable food. Exterior tour conducted, all exits open and free of obstructions. Fire extinguisher serviced on 11/2/2022. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Last fire drill conducted on 08/22/2023. LPAs reviewed staff and client records. Medications reviewed and observed to have original labels and be administered as prescribed. No deficiencies issued during today’s visit LPA is requesting the following documents be submitted to the Fresno CCL office by 10/11/2023: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond Exit interview conducted. A copy of this report was discussed and provided to Administrator, whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Sep 27, 2023

Allegation investigated: Staff left resident in feces for an extended period resulting in hospitalization

On 06/09/2023, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Standards Compliance Coordinator, Cheryl Cardoza and Administrator, Scott Richards. During today's visit LPA conducted staff interviews. Based on record review, the allegation: Staff left resident in feces for an extended period resulting in hospitalization is UNSUBSTANTIATED. Although the allegation may have happened or is valid there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiencies issued. Exit interview conducted and a copy of the report was discussed and provided to Administrator, Scott Richards, whose signature on this form confirms receipt of this document. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 9, 2023 · control 24-AS-20230222155337

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Case Management - Health Checks

On 12/6/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct a case management - health and safety inspection. LPA introduced self, stated the purpose of the visit, and requested to meet with the Administrator. LPA met with Administrator, Scott Richards. LPA conducted a facility tour and observed residents in care. LPA requested copies of the complete resident file for R1 and the complete personnel file for S1. LPA will return to obtain the copies by close of business today. No deficiencies issued. Exit interview conducted. A copy of this report was discussed and provided to Administrator, Scott Richards, whose signature on this form confirms receipts of this document.the state’s words, verbatim · CDSS document, Dec 6, 2022

Type of visit: Case Management - Other

On 12/6/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct a case management visit. LPA introduced self, stated the purpose of the visit, and requested to meet with the Administrator. LPA met with Administrator, Scott Richards. The purpose of this visit is to obtain copies of the complete resident file for R1 and the personnel file for S1. No deficiencies issued. Exit interview. A copy of this report was provided to Administrator, Scott Richards via email. Report was signed on-site by facility representative.the state’s words, verbatim · CDSS document, Dec 6, 2022

Type of visit: Required - 1 Year

On 10/05/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Scott Richards. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point LPA conducted a facility tour. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathrooms have a trash cans with lid. Hand washing posters were observed by the bathrooms. Bedrooms are single occupant. LPA checked residents’ locked medications. Food supply was checked and there appeared to be an adequate supply. Cleaning and PPE supplies were checked and there appeared to be an adequate supply. Facility staff was observed with mask on. Residents wear masks when away from the facility. Resident’s files have updated emergency contact information. LPA is requesting the following documents be submitted to the Fresno CCL office by 10/19/2022: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond No deficiencies issued during this inspection. Exit interview conducted. A copy of this report was discussed and provided to Administrator, Scott Richards, whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Oct 5, 2022

Type of visit: Case Management - Incident

On 09/12/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct a Case Management inspection. LPA introduced self, stated the purpose of the visit and met with Standards Compliance Coordinator, Cheryl Cardoza and Assistant Hospital Administrator, Thai Nguyen. The purpose of today's visit is to follow up on an incident that was reported to the Fresno CCL office. No deficiencies issued during today's inspection. Exit interview conducted. A copy of this report was discussed and provided to Standards Compliance Coordinator, Cheryl Cardoza whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Sep 12, 2022

Allegation investigated: Staff did not adequately address resident's change in health condition

On 08/25/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit and met with Administrator, Scott Richards and Standards Compliance Coordinator, Cheryl Cardoza. Based on interviews and records review, Facility staff addressed the change in health condition for R1 and are in the process of locating placement. This agency has investigated the complaint alleging: Staff did not adequately address resident's change in health condition. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted. A copy of this report was discussed and provided to Administrator, Scott Richards, whose signature on this form confirms receipt of this document. Unfoundedthe state’s words, verbatim · CDSS document, Aug 25, 2022 · control 24-AS-20220729092622

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Case Management - Incident

On 08/25/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct a Case Management Inspection. LPA introduced self, stated the purpose of the visit and met with Administrator, Scott Richards and Standards Compliance Coordinator, Cheryl Cardoza. The purpose of today's visit is to follow up on an incident that was reported to the Fresno CCL office on 08/09/2022. It was reported that R1 was struck by a vehicle while riding R1's bike. LPA obtained the following documents for R1: LIC602, Needs and Services Plan, Admission Agreement, and Emergency contact information. No deficiencies issued during this visit. An exit interview was conducted. A copy of this report was discussed and provided to Administrator, Scott Richards, whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Aug 25, 2022

Allegation investigated: Staff are mistreating a resident while in care

This is an amended report. On 04/06/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to commence a complaint investigation at the above facility. LPA introduced self, stated the purpose of the visit and reqeusted to meet with the Administrator. LPA met with Administrator, Scott Richards. Today's inspection included resident and staff interviews and record review. This agency has investigated the complaint alleging: Staff are mistreating a resident while in care. We have found that the complaint was UNFOUNDED, meaning the allegation was false, could not have happened or is without a reasonable basis. No deficiencies issued. Exit interview conducted. A copy of this report was discussed and provided to Administrator whose signature on this form confirms receipt of this document. Unfoundedthe state’s words, verbatim · CDSS document, Apr 6, 2022 · control 24-AS-20220328091220

Type of visit: Required - 1 Year

On 10/27/2021, Licensing Program Analyst (LPA) A. Walton arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit and requested to meet with Administrator. LPA met with Administrator (ADM), Scott Richards, Infection Preventionist (IP), Ronnel Cruz, and Supervising Registered Nurse (SRN), Jasleen Dhillon. The facility has one central entrance and exit. Upon entry, LPA was screened for COVID-19 symptoms. LPA observed a visitor log-in/temperature check at facility entrance. LPA conducted a facility tour with ADM, IP, and SRN. Buildings 2 and 3 were toured. Facility documents resident temperature checks daily. Residents at the above facility have private apartments. Common bathrooms were observed to be stocked with paper towels and liquid soap and hand washing postings. LPA observed signs promoting social distancing, and cough/sneeze etiquette throughout the facility. Hand-sanitizer was readily available throughout the facility. The facility is cleaned and sanitized every 30 to 45 minutes including high traffic areas. LPA checked a sample of resident medications and observed a 30 day supply. Building 2 rooms 201-205 are utilized as an isolation unit. LPA observed trash cans with lid and a isolation cart stocked with PPE. Facility has at least a 30 day supply of PPE and cleaning supplies. Tour continued to the dining room. Tables have been modified to allow for social distancing with two residents per table. Facility offers staggered meal times. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. LPA reviewed a sample of resident records and observed residents to have updated emergency contact information. LPA reviewed a sample of personnel records for good health. CONTINUED TO 809C LPA is requesting the following documents be submitted to the Fresno CCL office by 11/10/2021: Current copy of Administrator Certificate Designation of Facility Responsibility (LIC308) Administrator Organization (LIC 309) Affidavit regarding Client/Resident Cash Resources (LIC 400) Liability Insurance Emergency and Disaster Plan LIC 610E Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A) No deficiencies issued during this inspection. Exit interview was conducted with ADM and SRN. As a COVID-19 precautionary measure, a copy of this report will be provided to ADM via email and an electronic read receipt confirms receiving this document. Facility Representative signature on file.the state’s words, verbatim · CDSS document, Oct 27, 2021