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13 | On 08/31/2023, Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to investigate the above allegations. LPA met with Licensee, Svetlana Calamaro who was informed of the purpose of the visit. During the visit, staff and resident were interviewed.
Regarding the allegation “Staff speaks to resident in an inappropriate manner” it was alleged staff yelled at resident and was aggressively speaking to resident. Resident was interviewed, the interview revealed staff yells at resident. Licensee was interviewed who acknowledged speaking to resident and resident’s daughter in a raised voice because licensee heard the facility caregiver names mentioned during resident and resident daughter's conversation with a Kaiser Nurse (Substantiated).
Regarding the allegation “Staff did not accord resident personal privacy with visitors” it was alleged staff was ear dropping on resident and resident daughter's conversation with nurse. Staff was interviewed who denied was ear dropping on residents’ conversation. Staff stated resident’s room door was open and staff could hear the conversation while sitting on the couch in the Livingroom. Staff heard caregiver names mentioned in the conversation, so staff went into resident’s room to explain. The nurse and resident’s daughter were interviewed who acknowledged resident’s bedroom door was open and wasn’t too far from the Livingroom where staff was sitting, and staff could have heard the conversation. However, staff barged into resident’s bedroom without knocking, started yelling, was so loud and banging on the table.
Based on interviews, the above allegation is found to be substantiated. California Code of Regulations (Title 22, Division & Chapter number 6) is being cited on the attached LIC 9099D). An exit interview was conducted, and a copy of this report was reviewed with and provided to Jennifer Carrillo. |
| Substantiated | Estimated Days of Completion: |
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13 | On 08/31/2023, Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to investigate the above allegation. LPA met with Licensee, Svetlana Calamaro who was informed of the purpose of the visit. During the investigation, staff, residents, Kaiser Nurse, and Resident’s daughter were interviewed and resident records were reviewed.
Regarding the allegation “Staff does not ensure resident's hygiene needs are being met resulting in resident sustaining a UTI”, Staff was interviewed who stated when resident moved into the facility, resident was using catheter and had UTI. Staff stated staff empties resident urine bag, cleans, and changes resident’s diaper daily. Interview with resident revealed staff empty resident's urine bag, cleans, and changes resident’s diaper daily. Resident acknowledged had UTI before being admitted into the facility. Kaiser Nurse was interviewed who stated individuals who uses Catheter’s are prone to UTI’s and R1 has a history of developing UTI’s. Resident’s medical records were reviewed and revealed resident has a history of developing UTI’s prior to being admitted into the facility.
Based on interviews and resident file review, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to Jennifer Carrillo. |
| Unsubstantiated | Estimated Days of Completion: |
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Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
02/12/2024
Section Cited
CCR
80072(a)(3) | 1
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7 | Personal Rights;
(a) Except .... each client shall have personal rights which include, but are not limited to, the following:
(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature.... | 1
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7 | Licensee stated moving forward resident will be spoken to in a respectful tone and a written statement of understanding of the regulation cited will be provided to LPA by the POC 2/12/2024. |
 | 8
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14 | This requirement is not met based as evidence by interview. The licensee did not comply by yelling at resident which poses a potential health, safety, or personal rights risk to persons in care. | 8
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14 | |
Type B
02/12/2024
Section Cited
CCR
87468.2(a)(1) | 1
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7 | Personal Rights;
To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups | 1
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7 | Licensee stated a written statement of understanding of the regulation cited will be provided to LPA by the POC 2/12/2024. |
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14 | This requirement is not met based as evidence by interview. The licensee did not comply by barging into resident’s bedroom without knocking and not accord resident personal privacy which poses a potential health, safety, or personal rights risk to persons in care | 8
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