331800073-1-16-2024-18-AS-JDHS-D2VVRW-20240228154038

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800073
Report Date: 01/11/2024
Date Signed: 01/16/2024 05:24:32 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE AC/SC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/17/2023 and conducted by Evaluator Jacqueline Shaw Ross

COMPLAINT CONTROL NUMBER: 18-AS-20231017142010

FACILITY NAME:	VINEYARD PLACE		FACILITY NUMBER:	331800073
ADMINISTRATOR:	ARLENE CRAWFORD		FACILITY TYPE:	740
ADDRESS:	24325 WASHINGTON AVE		TELEPHONE:	(951) 387-8410
CITY:	MURRIETA	STATE: CA	ZIP CODE:	92562
CAPACITY:	82	CENSUS: 47	DATE:	01/11/2024
		UNANNOUNCED	TIME BEGAN:	04:20 PM
MET WITH:	Nieves Villapando, Clinical Service Director		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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Facility staff are not properly trained on how to transfer residents
Facility is in disrepair
Facility is unsanitary
Facility is malodorous

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Jacqueline Shaw Ross made an unannounced visit to deliver findings for the allegations noted above. LPA met with Nieves Villapando, Clinical Service Director, and explained the purpose of the visit and the elements of the allegations. The investigation consisted of observations, interviews, and records review.

On 10/17/2023, Community Care Licensing received a complaint allegation that facility staff are not properly trained on how to transfer residents and that the facility is in disrepair, unsanitary, and malodorous.

In regards to the allegation that staff are not properly trained on how to transfer residents, it was reported that staff is not trained to properly lift (transfer) resident from wheelchair to toilet or showering. Interviews obtained stated that staff is trained at the start of hire and annually. LPA reviewed training documents that indicate dates and types of training.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Jacqueline Shaw Ross	TELEPHONE: 951-248-0314
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20231017142010

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE AC/SC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: VINEYARD PLACE	FACILITY NUMBER: 331800073
	VISIT DATE: 01/11/2024

NARRATIVE

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Information obtained also revealed that resident did not have a two-person assessment done at the time of admission. LPA was informed by Executive Director, Arlene Crawford who reported that while there was no mention of two assist in assessment, staff can request additional help if necessary.

In regards to the allegation that the facility is in disrepair. It was alleged that the restroom doors are difficult to open and locked. LPA observed the restroom door and noticed it did stick, but was still functional. LPA's interviews with staff indicate they received no complaints about the bathroom doors sticking. Of the interviews with residents conducted, residents were not able to answer LPA's questions regarding the bathroom doors sticking due to their dementia state.

It was also reported that the facility is unsanitary. It was alleged that the floors in resident’s bedrooms and in the dining room are sticky due to urine not being properly cleaned up. LPA observed select bedroom units and noticed a sticky substance on the floors, but it was determined to be a chemical substance used to clean the floors and not urine. LPA interviewed Maintenance Director, George Uhila, cleaning staff, and toured the cleaning station. LPA observed cleaning liquid used to clean the floors was a "wash and walk" substance meaning no rinsing was required. Staff indicated the floors to be sticky due to a build-up of the chemical substance and that the overnight shift conducts a hot water rinse nightly to remove the build-up. LPA attempted to interview Residents regarding this issue, but they were unable to answer LPA's questions due to their dementia state. LPA was informed by house keeping staff that cleaning of the floors is scheduled once a week and is additionally cleaned by Resident Care Assistant on their shifts, two times morning, once in the afternoon.

It was also reported that the facility is malodorous. It was alleged that there is a smell of urine throughout the facility. LPA did observe a urine scent upon entry into the facility. LPA conducted interviews with Maintenance Director, George Uhila, housekeeping staff, and toured the cleaning area.

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Jacqueline Shaw Ross	TELEPHONE: 951-248-0314
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 18-AS-20231017142010

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE AC/SC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: VINEYARD PLACE	FACILITY NUMBER: 331800073
	VISIT DATE: 01/11/2024

NARRATIVE

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It was explained that the smell of urine throughout the facility is due to the type of residents the facility serves. It was further explained that in memory care, residents have incontinence issues and the facility has made efforts to keep the smell under control. LPA was provided records of cleaning schedules, cleaning stations, and observed air fresheners mounted throughout the facility and cleaning stations.

Based on observation, interviews and information obtained, the allegations that the facility staff are not properly trained, facility is in disrepair, unsanitary, and malodorous is UNSUBSTANTIATED. 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 allegation is UNSUBSTANTIATED.

An exit interview was conducted where a copy of this report was provided to Nieves Villapando, Clinical Service Director.

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Jacqueline Shaw Ross	TELEPHONE: 951-248-0314
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024

LIC9099 (FAS) - (06/04)

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