Westside Elderly Care I

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) B. Miranda arrived at the facility to conduct an unannounced Annual Inspection. LPA introduced herself, met with the Administrator (AD) Maria Tostado and explained the reason for the visit. The facility currently has a license capacity of 6, and there are currently 5 residents. The facility has 4 bedrooms and 3 bathrooms. LPA observed 3 of the 5 residents at the facility interacting with staff in the kitchen. 2 residents were at day program. LPA observed resident bedrooms to be properly furnished. LPA toured the facility inside and out. LPA observed the facility to be odor free and exits to be clear from obstruction. LPA observed water temperature to read at 105.4 degrees Fahrenheit in the kitchen. Fire extinguishers were last serviced 10/5/22, and are in good standing condition. AD stated the fire extinguishers will be serviced this month. LPA observed in the kitchen a few cabinets, water faucet, and dishwasher needing to be cleaned. LPA observed stains in the bathroom toilet bowl needing to be removed. Citation was issued under Title 22, Division 6, Chapter 8. LPA reviewed a sample of staff files and a sample of resident files. Exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights were provided to AD Maria Tostado.the state’s words, verbatim · CDSS document, Oct 30, 2023

Allegation investigated: Resident sustained injury due to staff handling resident in a rough manner Staff are not meeting residents diapering needs Staff are not feeding residents dinner at an appropriate times

Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to deliver the complaint investigation findings. LPA met with Caregiver Antonia Dominguez and explained the purpose of the visit. Administrator (AD) Maria Tostado was contacted and arrived shortly after. 1. The Department investigated the allegation: Resident sustained injury due to staff handling resident in a rough manner. After conducting multiple interviews and reviewing records it was found some residents were handled in a rough manner at times, leading to excessive or unexplained bruising. 2. The Department investigated the allegation: Staff are not meeting residents diapering needs. After conducting multiple interviews and reviewing records there were various times “diapering needs” were not being met properly. 3. The department investigated the allegation: Staff are not feeding residents dinner at an appropriate time. Multiple interviews were conducted, and records reviewed indicating dinner was being served at an “early time”. See LIC9099-C for continuation of this report Substantiated Findings for these allegations were from gathered information from reviewing various records and conducting various interviews with witnesses. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 & Chapter 8), are being cited on the attached LIC 9099D. Per the California Code of Regulations (CCR), Title 22, Division 6, Chapter 8, the following deficiency was observed and cited on LIC 9099D. Failure to correct the deficiency may result in civil penalties. An exit interview was conducted, and a copy of this report dated 12/16/2022 along with 9099A & 9099D. Plan of Correction (POC) were discussed. Appeal Rights (LIC 9058) was provided to Administrator Maria Tostado whose signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, Dec 16, 2022 · control 24-AS-20221021143403

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(2) · Plan of correction due date: Dec 30, 2022

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Based on interviews and record reviews licensee failed to ensure each resident’s personal rights were being met which resulted in infections. This poses a potential health, safety, or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Dec 16, 2022

Plan of correction: Administrator will conduct training on properly cleaning and briefing the residents. Administrator will create a plan so residents can be assisted with bathroom needs in a timely manner. Verification will be provided to LPA.

Type of visit: Required - 1 Year

On 09/16/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit, and meet with Maria Tostado Licensee. All six residents were present during the inspection. Upon entry facility staff was observed with facial covering. Visitor log-in/temperature check was observed upon entry. Hand sanitizer was readily available to residents and visitors. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Social distancing is maintained in the common and dining areas. Social distancing and cough etiquette postings observed. LPA checked residents’ locked medications. LPA observed 30 days PPE supplies. Food supply was checked and appeared to be an adequate supply. Cleaning supplies were stored and locked under kitchen sink and hall cabinets. LPA observed fire extinguisher served date: 10/27/21. All resident’s room toured and observed to be adequately furnished and lit. LPA observed two shared residents’ bed to be at least 6 feet apart and two single occupant room. All bathrooms are observed with securely fastened grab bars and non-skid mat. Trash bin observed with no lid in bathrooms. Hand washing posting observed by bathroom sinks. The exterior tour was conducted. Side gate was self-closing and self-latching. Staff records were reviewed for good health and infection control training. All resident records reviewed to have updated emergency contact information. No deficiencies issued during this inspection. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 09/22/22. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, Lic 9282, control of property, and liability insurance. A copy of this report was provided to Licensee.the state’s words, verbatim · CDSS document, Sep 16, 2022

Allegation investigated: Neglect/ lack of supervision resulted in resident sustaining a fracture. Resident developed pressure injuries while in care. Resident is dehydrated.

On 05/09/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit, and met with Administrator Maria Tostado. The Department conducted interviews with staff, residents, and reviewed file and medical records. Per medical records reviewed, resident had a fracture that was age-indeterminate, therefore it is unknown whether it is an old or new fracture. Medical records also stated resident did not have any skin breakdown or wound/ulcer problems. Facility staff denied the allegations. There is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are Unsubstantiated. Exit interview was conducted. Copy of this report was provided to the Administrator. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 9, 2022 · control 24-AS-20220316170103

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: Required - 1 Year

On 10/22/2021, Licensing Program Analyst(LPA) D. Ayers arrived at facility unannounced to conduct a Required Annual Inspection. LPA met with Licensee Maria Tostado. Administrator certificate is current with renewal date 7/13/2022. LPA toured facility inside and out. All passageways and exits were clear and free from obstruction. All smoke detectors and carbon monoxide detector were functional. Facility was adequately furnished and lit. Facility was at a comfortable temperature. LPA observed adequate supply of nonperishable and perishable food stuffs. LPA observed chemicals and hazardous materials to be stored in locked cabinets. Facility had first aid kit which contained all required items. Medication was secured in locked cabinet and appeared to be administered properly. LPA toured resident bedrooms and bathrooms. All bedrooms were adequately furnished and lit. Bathrooms had secure grab bars and nonskid mats. LPA observed a sufficient supply of extra blankets and linens in hallway cabinets. LPA and Licensee discussed infection control guidelines and best practices. Licensee agreed to provide LPA with LIC 610E and LIC 500 by 11/5/2021. No deficiencies cited during the inspection. Exit interview conducted and a copy of this report provided via email.the state’s words, verbatim · CDSS document, Oct 22, 2021