Loving Hands Care Home Llc

Continue from LIC 9099 During an interview with resident R1 it revealed that R1 stated R1 did not receive a birthday card from a church that mailed R1 a birthday card last year. R1 thinks that the staff is withholding R1s mail. R1 stated that the birthday card is the only mail that R1 is missing. R1 stated that R1 knows that the church mailed R1 a card because they did so last year. Interview with W2 revealed that in the (very rare) event that R1 receives mail at Loving Hands facility, the facility calls W2 and W2 will go there in person to inspect and likely pick up the mail, If the mail is personal (including notices from the court), W2 would give the mail directly to R1. Interview with S1 revealed that R1 has a conservator that handles all of R1s mail, if mail is received at the facility S1 will contact the conservator and the conservator will come to the facility and inspect the mail and provide R1 with the mail unless it’s a bill or something the conservator needs to take care of. Interview with S2 reveals that when mail is received at the facility it is given directly to the resident it is addressed to. Therefore, this allegation is UNSUBSTANTIATED No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

Continue from LIC 9099 Allegation: Staff are not properly feeding a resident Investigation Finding: unsubstantiated. During interviews with resident R1 revealed R1 is not satisfied with the food the facility is serving, R1 stated that the facility is serving 1 slice of bread for lunch, sometimes Pilipino food and crackers, R1 stated the facility provided R1 with popcorn once and it tasted stale. R1 stated R1 has been eating trail mix, popcorn, licorice and chips, R1 stated the facility gave R1 hot peppers one time. R1 also stated that R1 is starving. Interview with S1 revealed that R1 has a conservator which will explain that R1 constantly complains about R1 care and food at the facility. S1 stated that the facility is serving American nutritious meals and S1 will go out and buy the food items and snacks requested by R1. S1 also stated that R1 likes to sleep until afternoon and wishes to have breakfast, lunch and dinner all at the same time. S1 stated R1 is eating all meals and snacks daily. S1 stated S1 takes photos of meals served and eaten by R1. Interview with W2 revealed that R1 has complained constantly about R1’s care at the facility and that R1 has called the public defender, APS, Legal Assistance for Seniors and multiple other agencies. W2 stated R1 claims are R1 is being starved, being poisoned and having funds and belongings stolen and various other abuses, W2 states that R1’s claims have never been substantiated. W2 also stated that caregivers have overlooked R1’s racial and fat-shaming slurs. W2 states R1’s actions are due to diagnosis. LPA was presented with photos of R1’s snacks, meals, texted food requests and facility menu. LPA did not observe any food being locked or inaccessible to residents. Therefore, this allegation is UNSUBSTANTIATED Continue on LIC 9099C(2) 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 Continue from LIC 9099C Allegation: Staff are interfering with a resident's visitations Investigation Finding: unsubstantiated. During the investigation LPA interviewed staff, conservator and resident. Interview with S1 revealed that visiting hours at the facility is 10:00am to 3:00pm. S1 stated that R1 was a part of the homeless population for over 10 years and R1’s friends are from the homeless population they are welcomed to visit and follow the facility policies, but they bring R1 over the counter drugs. During COVID a friend would not follow COVID guidelines being vaccinated or tested and R1 is not vaccinated. R1 has only a few visitors and a few visitors have restraining orders and are turned away. Interview with W2 revealed that R1 has been homeless for decades and most of R1’s friends can’t make the trip to visit R1 in Rodeo. There are also some friends of R1’s that have restraining orders and are not allowed to visit the facility. W2 stated that R1 has two phones to reach out to friends. W2 stated that R1 has an attorney, and the attorney is well aware of R1’s history and background. Therefore, this allegation is UNSUBSTANTIATED No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

RP stated that R1 was not given medication as prescribed. Based on interviews and information obtained from the MAR (medication administration record) shows that R1 received medications as prescribed, the MAR is signed by staff at the time medication is given. Allegation: Staff do not ensure that resident(s) are provided food that is of quality and in the quantity necessary to meet the needs of the resident(s) – Unsubstantiated During the course of investigation, LPA interviewed 3 staff and 5 residents. LPA observed residents are having lunch. LPA interviewed 5 residents, 5 out of 5 stated that they have no complaints on the quality of their food. LPA reviewed 5 residents files and 5 out of 5 do not have any restricted diet on files. Allegation: Staff are not providing documentation regarding resident to their Responsible Party as necessary – Unsubstantiated During the course of investigation, LPA interviewed 3 staff, 3 out of 3 stated RP have not request any documents from them. S1 stated “I communicate with RP almost daily and have not received any files requested from RP via text, mail, or verbal. 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 . Exit interview conduct and a copy of report provided to Administrator.

Continue from LIC9099 Staff did not provide residents medications as prescribed. RP stated that R1 was not given medication as prescribed. Based on interviews and information obtained from the MAR (medication administration record) shows that R1 received medications as prescribed, the MAR is signed by staff at the time medication is given. 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 . Exit interview conduct and a copy of report provided to Administrator.

Continued from LIC9099. The Department investigated the above allegations and found R1 was living at the facility for less than a month. Intake documents stated R1 moved into facility with preexisting deep tissue injury to the right heel and pressure 2 ulcer on the sacrum. Documents indicated Home Health visited on 4/6/2021, 4/20/2021, 4/23/2021 and completed a head-to-toe assessment for each visit and did not note new pressure sores. Investigation also indicated that R1 was living with family before moving into Loving Hands, and the sores could have reopened under his family’s care. R1 stated during Interview that he felt well taken care of and cleaned regularly. Although the allegations may have happened or is valid, there is 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 05/28/2021, at 9:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct proof of correction (POC) visit. LPA met with Administrator, Cecilia San Diego-Tomas and explained reason for the visit. The following deficiency was cleared by visit: - 87608(a)(5)(B); LPA observed R2's full bed rail has been removed and replaced by a half bed rail. POC letter was printed and handed to administrator. Exit interview conducted. A copy of this report provided.

On 05/05/2021 at 3:30pm, Licensing Program Analyst (LPA), L. Hall conducted an announced health and safety check via FaceTime as a result of the Department receiving a priority 2 complaint. LPA met with Cecilia San Diego-Tomas, Administrator and explained that due to the shelter-in-place order by the Governor, check was being done over the phone. During the health and safety check LPA observed 1 resident sitting at kitchen table eating a snack with caregiver, and 2 residents sitting in the living room. LPA toured the facility with administrator, including but not limited to bedrooms, kitchen, bathroom, and common areas. There was an minimum of 7-day non-perishables and 2-day perishables foods. There was not a date for fire extinguishers expiration. Administrator did not know how to test the carbon monoxide alarm. Fire alarm is wired directly to fire department. Residents in care appear to be safe and there are no imminent health/safety concerns on today's date. No deficiencies were observed during the health and safety check. Exit interview conducted and a copy of this report provided by email.