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13 | On November 14, 2024, Licensing Program Analyst (LPA) John Calandra arrived at the facility to conclude a complaint investigation. Initial complaint was conducted on 10/23/2024. On previous visit on 10/23/2024, LPA interviewed residents and staff. Also, LPA requested documents during last visit and those have been reviewed. LPA Calandra was greeted by Ricardo Aban, Executive Director and explained the purpose of the visit.
Regarding the allegation that facility staff did not properly address a pest infestation in the facility, LPA interviewed staff and collected documents. Based on record review, it was found that the facility’s pest control company was providing bed bug mitigation services indicating that the facility had a bed bug infestation from 3/1/2024 to 8/1/2024 which led to a resident being sent to the hospital for the worst case of bed bugs.
Regarding the allegation that facility staff did not ensure timely medical attention resulting in injury, LPA interviewed staff and Executive Director. Based upon interview of Executive Director, it was found that (R2) had been found in R2’s room with R2’s head bleeding. Facility staff provided first aid care and then waited for the Executive Director to come to the facility before calling 911. While being transported to the hospital R2 reported being attacked by R2’s roommate.
A finding that the complaint is SUBSTANTIATED means that the allegations are valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal rights provided.
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| Substantiated | Estimated Days of Completion: |
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Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Request Denied
Type A
11/15/2024
Section Cited
CCR
87307(d)(2) | 1
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7 | 87307(d)(2): Personal Accommodations and Services - The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment.
This requirement is not met as evidenced by:
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7 | Licensee/Administrator shall submit a plan in writing from the exterminator showing how all bed bugs will be eradicated from the facility including the date when services will be concluded.
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14 | Based on record review, it was found that the facility’s pest control company was providing bed bug mitigation services indicating that the facility had a bed bug infestation from 3/1/2024 to 8/1/2024 which led to a resident being sent the hospital for the worst case of bed bugs. a resident (R1) went to the hospital with a nurse reporting that R1 was infested with bed bugs. This is an immediate health and safety hazard to residents in care. | 8
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Request Denied
Type A
11/15/2024
Section Cited
CCR
87468.1(a)(2) | 1
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7 | 87468.1(a)(2): Personal Rights of Residents in All Facilities - To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.
This requirement is not met as evidenced by:
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7 | Administrator/Licensee to submit a plan of correction showing how they will ensure the safety of residents in the facility. This shall include any trainings provided to staff, list of staff attending, and any other changes to protocol. |
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14 | Based on interview of Executive Director and staff, R2 was found in R2’s room with blood on R2’s face. 911 was called by the Executive Director to rule out possible further injuries and told the Paramedics and Police that R2 was attacked by R2’s roommate which shows that R2 was not afforded safe, healthful accommodations and is an immediate health, safety, or personal rights risk to persons in care. | 8
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