Megan Care Home

On 11/20/2024 at 11:25 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Melaine Rona and explained the purpose of the visit. Administrator, Tayyaba Chaudhry arrived at 12:45PM The facility’s fire clearance was approved for 6 non-ambulatory of which 1 may be bedridden. LPA toured facility with staff including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms which 6 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 119.8 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide dectector were in operating condition during visit. Fire extinguisher was last serviced on 11/01/2023. Emergency Disaster Plan was last posted on 09/26/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 10/09/2024. At 11:50am, LPA reviewed 5 residents records. At 12:30pm, LPA reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 8/24/2023, LPA interviewed R2 and R3 who both have Dementia and were not aware of what medications they take. Based on interviews conducted with the Administrator and staff, they all denied over medicating the residents. All staff interviewed state they administer medications based on the doctor’s order. Based on interviews and record reviews conducted, the above allegation 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, therefore the allegation is unsubstantiated. There is no deficiency noted for this visit. A copy of this report was provided to the Administrator.

At 3:10PM Licensing Program Analyst (LPA) A. Gomez and Licensing Program Manager Y. Flores-Larios arrived unanounced to conduct a 1-Year Annual Required visit and met with Care taker, Melaine Rona . Administrator Tayyaba Chaudhry arrived at 3:25PM. LPAs toured and inspected the facility inside and outside with staff including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of seven (7) total bedrooms which Four (4) bedrooms are occupied by the residents and One (1) bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There were no bodies of water present at this facility. LPA observed medication to be locked. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the residents’ shared bathroom was measured at 109.3 degrees F. Resident's bathrooms have grab bars inside the shower and next to the shower. The shower has a non-skid mat. Hygiene items, extra linens and toiletry supplies were checked and sufficient. Fire extinguisher in kitchen was last serviced on 3/27/2023 , smoke detectors and carbon monoxide were operational. First aid kit was inspected and was incomplete. Food supplies were sufficient to meet 2-day perishable and 7-day non-perishable requirements. LPA observed a sample of medication. continued on LIC809-C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Resident records were reviewed at approximately 3:40pm. Staff records were reviewed at approximately 3:50PM. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 12/04/2023: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Updated facility sketch Exit interview conducted and a copy of this report provided.

Continued from LIC 9099 Based on interviews the staff did call 911 from a mobile line but was redirected to an operator/queue because the call did not come from a land line. S1 was informed that a land line would get through quicker and S1 hung up and recalled on land line. Based on interviews with staff and residents. The staff denied mocking the residents in care. LPA observed that staff treat residents with dignity. Spoke with staff and residents. It is unclear whether staff were mocking or condescending to the resident. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided.

On 12/06/2021 at 9:30 am Licensing Program Analysts (LPAs) G. Clark and L. Francisco arrived unannounced to conduct Infection Control Inspection. LPAs met with Administrator, Tayyaba Chaudhry and explained the purpose of the visit. During the Infection Control Inspection, LPA toured facility including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen and backyard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. Visitors policy is posted on the front entrance. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Facility has a mitigation plan and maintains record of routine screening for residents and staff. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.