Diana's Care Home

The Department interviewed residents (R1, R2, R3), staff (S1, S2, S3 and administrator) and reporting party (RP) on 9/12/23. The Nurse Practitioner (NP) was also interviewed on 9/13/23 and medical records were reviewed. R1 stated he needs assistance in transferring. R1 denied ever being abused and falling or getting injured while at the facility. R1 also denied having fracture and stated had only fractured his ribs when shot while serving in the military. The other 2 residents made no disclosures of ever being hurt and mistreated at the facility, having any complaints about the facility staff, and stated never seen any other residents get hurt or mistreated while at the facility. The four facility staff reported they did not know R1 had fractured ribs or how R1 could have sustained the injuries. They denied R1 ever falling at the facility. They stated R1 requires two person assistance during transfers, and that staff would pick R1 up from underneath R1’s armpits. Reporting Party (RP) and Nurse Practitioner (NP) both stated they did not know if the injuries R1 sustained are old or new. NP stated the medical records showed the injuries to be sub-acute but not sure, and stated the injuries could be due to infiltration. Review of medical records showed a right 2nd to 6th rib fractures. Previously, only right 4th and 5th rib fractures were seen. The fractures were noted to be “acute/subacute” fractures. Based on interviews and records review, the allegation is unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiency cited. Exit interview conducted and copy of this report provided.

Allegation: Staff took resident’s phone as retaliation: Unsubstantiated During the course of investigation LPAs reviewed R1 files indicated that R1 is diagnose with schizo affective. LPAs interviewed 4 staff 4 out of 4 stated that R1 is not medication compliance. R1 stated “My mind is clear, and I don’t want to take any medication”. S1 stated R1 phone is with the facility due to R1 excessive calling the police. LPAs confirmed with R1 family member that they are aware that R1 phone is with the facility staff. LPAs noted that R1 is conserved by San Mateo County Public Guardian, and R1 conservator/ family members asked the facility to keep R1 phone, which are not to retaliation. Therefore, the allegation is unsubstantiated. Allegation: Staff are not ensuring resident is seen by medical doctors: Unsubstantiated During the course of investigation LPAs conducted residents’ files reviewed, and staffs interviewed. After reviewing R1 records of doctor visit/ notes showed R1 doctor seen R1 at the facility once a month, and as needed. S1 and S2 indicated at time R1 doesn’t want to see R1 doctor. Therefore, the allegation is unsubstantiated. Allegation: Staff did not safeguard resident’s personal belongings: Unsubstantiated During the course of investigation LPAs conducted interviewed with R1, and staffs interviewed. R1 stated that some of R1 paper are missing. LPAs reviewed LIC 621 and when asked R1 regrading the missing paper LPAs observed that R1 was not able to explain what exactly what was missing in R1 belonging. LPAs observed R1 pull out papers from different folders indicating that R1 believes that R1 paper is missing. 4 out of 4 staffs indicated that R1 is very specific about R1 belonging, therefore staff is not able to touch R1 belonging without R1 being present. Therefore, the allegation is unsubstantiated. Report continues on LIC 9099c... 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 Allegation: Staff did not allow resident to call CCL to file a complaint: Unsubstantiated During the course of investigation LPAs conducted interviewed with R1, and staffs interviewed. R1 stated that staff didn’t let R1 used the phone when someone is in used of the facility phone. S1 and S2 stated that “we never said no to R1 only when the phone is being used by other residents, so we asked/ explained to R1 that R1 have to wait”. S1 and S2 stated that majority of the time R1 is the one that used the facility phone. Therefore, the allegation is unsubstantiated. Allegation: Staff does not treat resident with dignity and respect: Unsubstantiated During the course of investigation LPAs conducted interviewed residents and staffs. All indicated that staffs treated residents with respect and do not put any residents down. 4 out of 4 staffs states “they have not seen, witness, heard, or themselves disrespect or put any residents down”. R3 stated that “I get treated with respect here”. Therefore, the allegation is unsubstantiated. Allegation: Staff are not meeting residents needs: Unsubstantiated During the course of investigation LPAs conducted residents and staff’s interview. 4 out of 4 staff indicated that we observed residents and look at the needs and service plan to assist residents. Residents indicated that the staff at the facility meet all their needs. Therefore, the 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. An exit interview is conducted, and this report provided.

During the visit, Administrator showed LPAs a photo of R1 eating salad, beef, and Jell-O. However, the facility was unable to provide LPAs a copy of R1's special diet menu. Based on interviews conducted and photo proof presented, the allegation that the resident was not provided appropriate dietary meals 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.

On this day, August 23, 2023, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct a health and safety inspection as a result of the Department receiving a Priority 1 complaint (Complaint # 15-AS-20230818151513). LPA met with Grace Aquino, administrator, and informed the reason for visit. LPA toured the facility inside and out including but not limited to living room, kitchen, dining room, shower and bathrooms, side and bakyard. LPA randomly selected 8 residents rooms for inspection. Food supplies were observed sufficient for 2 days of perishable and 7 days of non-perishable. Hot water in one of the common bathrooms was tested and measured at 110.8 degrees Fahrenheit. Hallways and yards were observed free of obstructions. Laundry room was observed locked. Thirty four (34) residents were present during inspection, 17 of which were in the dining room playing bingo, 5 watching tv in the living room and the rest were in their rooms. One of the resident was out in the day program. No deficiency observed on this day. Exit interview conducted, and copy of this report provided.

On 2/3/2023 at 1:50 PM, Licensing Program Analyst (LPA) P. Watson arrived unannounced to conduct an annual Infection Control Inspection. LPA met with Administrator, Grace Reano-Aquino and explained the purpose of the visit. During the Infection Control Inspection, LPA toured facility with Grace including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen, and patio areas. Facility has a sufficient two day perishable and one week non-perishable food supply. Visitors policy is posted on the front entrance. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed . Common touched surfaces are disinfected at least once daily. Bathrooms are equipped with liquid soap, paper towel and trash bins. Facility staff were observed to be wearing proper PPE. F acility has a 30 day supply of PPEs maintained at central location and easily accessible for staff. Facility has a mitigation plan. Smoke and carbon monoxide detectors were observed and are connected to the sprinkler system. First Aid kit was complete. Fire extinguishers were observed. LPA observed facility passages inside and out free of obstruction. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.