374604143-2-27-2020-08-AS-TGII-BM8VGU-20200228152608

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604143
Report Date: 02/27/2020
Date Signed: 02/27/2020 11:43:20 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/14/2020 and conducted by Evaluator Jonathan C Pineda

COMPLAINT CONTROL NUMBER: 08-AS-20200114083250

FACILITY NAME:	OCEAN HILLS ASSISTED LIVING & MEMORY CARE		FACILITY NUMBER:	374604143
ADMINISTRATOR:	KURT NORDEN		FACILITY TYPE:	740
ADDRESS:	4500 CANNON RD		TELEPHONE:	(760) 208-3038
CITY:	OCEANSIDE	STATE: CA	ZIP CODE:	92056
CAPACITY:	140	CENSUS: 78	DATE:	02/27/2020
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Kurt Norden, Administrator		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff does not give medications as prescribed
Facility is not sanitary
Staff are not properly trained
Facility is not properly washing the laundry
Facility does not have an emergency disaster plan
Food is not stored properly
Facility is not providing adequate food service
Facility is not responding to resident concerns

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jonathan Pineda conducted an unannounced complaint visit to deliver findings on the above allegations. LPA identified himself and stated the purpose of the visit. LPA was granted entry by Kurt Norden, Administrator.

The Department's investigation consisted of a tour of the facility, observations, interviews with staff, residents, outside sources, and record review.

It was alleged that staff does not give medications as prescribed. Investigation revealed that there hasn’t been any medication errors or incidents regarding medication distribution in the past 6 months. LPA observed facility’s medication management software which accurately, tracks and records medication given to all residents. Six (6) out of Six (6) residents interviewed advised that they have never observed or heard any resident given wrong medication or an excessive dose of medication.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tony Girolami	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR NAME: Jonathan C Pineda	TELEPHONE: (619) 481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020

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 08-AS-20200114083250

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: OCEAN HILLS ASSISTED LIVING & MEMORY CARE	FACILITY NUMBER: 374604143
	VISIT DATE: 02/27/2020

NARRATIVE

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It was alleged that facility is not sanitary. During facility tour, LPA observed hallways, resident rooms, dining area, kitchen, and common areas to be clean and sanitary. Six (6) out of six (6) residents interviewed revealed that they think the facility is clean and facility staff does a good job maintaining the facility. LPA observed a cleaning schedule used by dining room staff that is completed on every shift. Duties include draining and cleaning water dispensers, cleaning and restocking juice area, ensure fresh coffee is always brewed as needed, replace table linen, wipe down countertops, bus dishes and used glasses to kitchen, vacuum dining room area.

It was alleged that staff are not properly trained. Record review revealed that prior to working on the floor, staff who are responsible for care and supervision of residents are required to complete Care Giver Training, Med Tech Training, and 24 hours of shadowing. Once training is complete, a review is scheduled and performed by staff’s supervisor to ensure all required training is complete. Interview with six (6) out of six (6) residents revealed that they feel staff is properly trained and able to meet their needs such as bathing, changing, or medication management.

It was alleged that facility is not properly washing the laundry. During facility tour, LPA observed the clothing in six (6) out of six (6) resident’s rooms to be clean and sanitary. LPA observed linen in resident’s rooms clean and in good repair. Interviews with six (6) out of (6) residents revealed that they have never received laundry that was not properly washed or dirty.

It was alleged that facility does not have an emergency disaster plan. Record review revealed that facility has an emergency disaster plan which details fire evacuation and emergency exit routes. A map of the facility which shows all fire exits are provided in the resident’s handbook at time of move in. Investigation revealed that a town hall meeting is held once a month to discuss disaster preparedness and to address any resident concerns regarding safety. Facility has created a Safety Team comprising of residents to discuss fire and emergency disaster preparedness. Interviews with six (6) out of six (6) residents revealed that they know where of the emergency exits are. Residents are also aware of the town hall meetings held monthly that discuss disaster preparedness and safety. Record review revealed last fire drill was conducted on 12/9/19.

SUPERVISOR'S NAME: Tony Girolami	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR NAME: Jonathan C Pineda	TELEPHONE: (619) 481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20200114083250

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: OCEAN HILLS ASSISTED LIVING & MEMORY CARE	FACILITY NUMBER: 374604143
	VISIT DATE: 02/27/2020

NARRATIVE

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It was alleged that food is not stored properly. Investigation revealed that during meal prep and meal service, staff uses a digital thermometer to measure the temperature of food prior to being served to residents. A temperature log is maintained and reviewed throughout service. During tour of the kitchen, LPA observed facility to be clean and sanitary. LPA observed food to be properly stored and in good quality.

It was alleged that facility does not have adequate food service. LPA toured the kitchen and observed a good variety of fresh vegetables and proteins available and properly stored. Investigation revealed fresh produce is delivered once a week. At any given time, there is always at least a variety of five (5) vegetables available to residents such as broccoli, spinach, carrots, beans, and asparagus. Facility also adheres to resident’s diet restrictions using a diet board that is posted in the kitchen. There is also a variety of gluten free, lower carbs, and sugar free options available to all residents. LPA reviewed the facility’s 5-week rotating menu. LPA observed the menu to have a good variety of several different proteins, vegetables, and desserts. Interviews with six (6) out of six (6) residents revealed they enjoy the food and there is always an adequate variety of choices.

It was alleged that facility is not responding to resident concerns. Investigation revealed that facility holds a resident council meeting once a month and a town hall meeting once a month to address concerns voiced by residents in the community. Some of the topics discussed are emergency preparedness, food service, resident concerns, and resident complaints. Facility also has a suggestion box where residents can submit anonymous suggestions. Interviews with six (6) out six (6) residents revealed that they are aware of the town hall and resident council meetings held once a month and feel that facility staff and management always address and respond to resident’s concerns.

The Department investigated the allegations that facility staff does not give medications as prescribed, facility is not sanitary, staff are not properly trained, facility is not properly washing the laundry, facility does not have an emergency disaster plan, food is not stored properly stored, facility does not have adequate food service, and facility is not responding to resident concerns. Based on observations, review of records, interviews, it is determined that the allegations are UNSUBSTANTIATED. There is not a preponderance of the evidence to prove the allegations occurred.
An exit interview was conducted with Kurt Norden. A copy of this report, LIC-9099 and Licensee Rights (9058 01/16) were left with the Licensee, whose signature on this form confirm receipt of these documents.

SUPERVISOR'S NAME: Tony Girolami	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR NAME: Jonathan C Pineda	TELEPHONE: (619) 481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020

LIC9099 (FAS) - (06/04)

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