Dimond Care

Continued from LIC 9099 Investigation Findings: It was reported to the department that the facility is retaining a resident who is mentally incapable of caring for their catheter. LPA toured the facility and found only one resident with a catheter. Record review of R1 showed R1 requires assistance with all Activities of Daily Living (ADLs). LPA reviewed R1’s Care Plan that shows that Center for Elderly Independence Program of All-Inclusive Care for the Elderly (CEI PACE) providers are responsible for all medical care of the catheter via CEI Home Care Nurses, visits to the CEI Clinic, or Emergency Room (ER). The CEI nurse comes every six weeks to change out R1’s catheter. If CEI is unavailable, staff will take R1 to the emergency room if it needs to be replaced. LPA called CEI and spoke with W1, a register nurse, that confirmed W1 trained the facility staff in the care of R1’s catheter and is one of two nurses that will come out to the facility every six weeks to change out R1’s catheter. Staff in the facility only empty out the bag when it gets full. LPA obtained training records that show six staff members were trained by a registered nurse from CEI, W1, in how to handle and care for the catheter. Staff members are scheduled in a manner that ensures coverage by both the facility staff and CEI’s nurses for R1’s catheter. Based on the information obtained, observation and interviews, this allegation is unsubstantiated. A finding that the 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 deficiencies cited during the visit. Exit interview conducted and a copy of this report provided.

On 9/3/2021 starting at 3:15PM, Licensing Program Analysts (LPAs) Catherine Lin and Grace Luk arrived unannounced to conduct Infection Control Inspection. LPAs met with Administrator John Blain. During the Infection Control Inspection, LPAs toured facility with administrator including but not limited to front entrance, screening station, bedrooms, common areas, dining areas, kitchen, and back yard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. Facility has one entry point for universal screening for staff, residents and visitors. A sign-in policy, temperature check were observed at screening station and documented. LPAs were asked to sign-in before entering to facility. Cough/sneeze etiquette, face-covering, and hand washing posters were observed throughout the facility. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPEs maintained at central location. Facility has a mitigation plan, emergency disaster plan, and maintains records of routine screening for residents, staff and visitors, resident's changing of health conditions on file. Exit interview conducted, and a copy of this report provided.

On 08/20/2025 at 12:45 PM, Licensing Program Analyst (LPA) David Doidge unannounced to conduct 1-Year Annual Required Inspection. LPA met with Administrator Helen Blain, and explained the purpose of the visit. LPA toured the facility inside and out with Administrator Helen Blain. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, front, side and back yards. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. Hallway temperature was maintained at 74 degrees Fahrenheit. The hot water temperature was measured in a shared bathroom at 110 degrees Fahrenheit. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition. Fire extinguisher was last serviced on 04/28/2025. Emergency Disaster Plan was last posted on 08/06/2025. Emergency disaster and fire drills are conducted quarterly; last conducted on 07/14/2025. First aid kit was observed to be complete. LPA reviewed five (5) residents records and five (5) staff records; all were complete. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.