Inspection Reports for
Friendship Care Home

The complaint was substantiated. The responsible party alleged the facility did not give a refund despite multiple requests. The resident was admitted on 2020-10-30 and passed away on 2025-03-09. The refund amount agreed upon was $3,477.46, which was issued during the visit.

The allegation was substantiated. The investigation found that the facility failed to issue a refund to the resident's responsible party in a timely manner, posing a potential health and safety risk. The refund check was issued and mailed to the responsible party during the visit.

The complaint investigation was substantiated. Allegations included insufficient afternoon and night staff, inadequate dining area accommodations, and insufficient administrator presence. The investigation included interviews with staff and review of personnel records, residents roster, and incident reports.

All three allegations were substantiated. The facility lacked sufficient staff during PM and night shifts to meet residents' needs, the dining area was inadequately equipped with insufficient tables causing residents to be fed in the activities/TV room, and the administrator was present only 1 to 2 times per week for about an hour, which was insufficient.

The facility demonstrated correction of several previously cited deficiencies including posting of the PUB 475 poster, availability of dining areas, food quality and storage, hiring of additional staff, and kitchen cleanliness. However, new deficiencies were observed related to failure to create and follow a weekly menu and inaccurate completion of the Medication Administration Record (MAR), resulting in a civil penalty.

Multiple deficiencies were observed including incorrect poster dimensions, insufficient dining area causing residents to eat in walkways, undocumented postural supports for residents, expired food items, dirty kitchen floors, improper food storage, incomplete medication administration records (MAR), incomplete resident files, insufficient staff supervision, unlocked scissors accessible to residents, and failure to develop and follow a weekly menu.

The visit was triggered by a priority 1 complaint. The complaint was substantiated as multiple immediate safety and personal rights violations were found.

Multiple deficiencies were observed including locked exit doors with child locks hindering exit, blocked fire exits and walkways, unsecured kitchen with unattended hazards, unlocked room containing dangerous chemicals, and facility disrepair with broken locks and doors. A civil penalty of $500 was assessed.

The inspection found several deficiencies including common hallway flooring needing repairs, water leak causing floor buckling and mold, a large hole in the back porch asphalt driveway posing a safety hazard, and a disorganized office with unfiled documents. The facility had proper infection control measures and safety equipment in place.

The complaint investigation was substantiated regarding the facility withholding a resident's personal belongings from the authorized representative on 11/01/23. The resident's family became aggressive when refusing to sign the release form for the remaining personal items. The allegation that the facility did not prevent damage to the resident's personal belongings was unsubstantiated.

The allegation that the facility withheld a resident's personal belongings was substantiated based on interviews, observations, and record reviews. The allegation that the facility did not prevent resident's personal belongings from becoming damaged was found to be unsubstantiated after investigation and review of records and interviews.

The inspection found several deficiencies including a damaged automatic front gate, insufficient food supply for the census, broken kitchen vents, lifting flooring between Shower 2 entry and hallway, and peeling walls in Shower #2. These issues posed potential health and safety risks to residents.

The complaint investigation was substantiated for the allegation that staff did not safeguard resident R1's belongings, which were missing after the resident passed away. Other allegations regarding neglect, inadequate assistance, unauthorized medical procedures, poor communication, failure to turn resident, lack of dignity, and unsanitary medical equipment were unsubstantiated.

The investigation substantiated the allegation that staff did not safeguard a resident's belongings, with missing personal items confirmed. All other allegations related to resident care, including pressure injuries, assistance timeliness, permission for medical procedures, communication, turning, dignity, and equipment sanitation, were found unsubstantiated due to lack of preponderance of evidence.

The complaint was substantiated. The allegation that the facility did not provide an authorized representative a copy of resident R1's records was confirmed by the Licensing Program Analyst during the unannounced visit.

The investigation confirmed that the facility did not provide the authorized representative a copy of the resident's records as requested, which was substantiated based on observations, interviews, and record reviews. A deficiency was cited for failure to maintain confidentiality and provide records as required.

The complaint was substantiated. The allegation was that the licensee did not issue a refund. The investigation confirmed a late refund issuance beyond the 15-day period after the resident's death and belongings removal.

The investigation found that the licensee issued a refund check five days late beyond the required 15-day refund period after the resident's belongings were removed. A final refund check of $45 was issued as full payment. The allegation was substantiated and a deficiency was cited for violation of Title 22 Section 87507 refund regulation.

The complaint investigation was substantiated for allegations that residents were locked inside the facility and staff failed to adhere to COVID-19 infection control by not screening visitors or requiring sign-in. Other allegations were unsubstantiated due to lack of evidence.

The investigation substantiated that the front main entrance door was locked, restricting residents' personal rights, and that visitors were not consistently screened or required to sign in, posing health and safety risks. Other allegations such as lack of call buttons, inadequate nighttime assistance, room temperature issues, staff under influence, disrepair of lights, and refund issues were unsubstantiated.

The facility was found to have multiple deficiencies including insufficient food supplies, inadequate staffing levels, deteriorating flooring, broken blinds, and elevated indoor temperature posing health and safety risks to residents.

A deficiency was cited for failure to submit the required unusual incident report related to COVID positive residents, violating Title 22 California Code of Regulations. The administrator must submit a plan of correction by the due date to avoid civil penalties.