Inspection Reports for
Sequoia Springs Senior Living

The complaint alleged that staff allowed a minor to administer medications. The allegation was investigated and found to be unsubstantiated.

The investigation found that children often participate in activities during summer months under supervision, but there was no evidence that children assisted with medications or activities of daily living. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The inspection found that the door alarm had been left turned off by kitchen staff the day prior, allowing a resident to exit unsupervised. The facility updated procedures to ensure exit alarms are monitored and operational. No citations were issued during the visit.

No citations or deficiencies were issued during this visit. The Licensing Program Analyst met with the new Executive Director to discuss reporting requirements and requested paperwork to officially change the Administrator.

The Licensing Program Analyst found that the facility had not had access to their computer records system since January 1 due to a management change, resulting in handwritten documentation for medications and incidents. The facility food stores were within regulation at the time of the visit, and the facility was in the process of securing food vendors while purchasing food from local grocery stores. No citations were issued during this inspection.

The complaint involved allegations that staff made inappropriate comments regarding a resident and mishandled residents' pendants. The investigation was unsubstantiated due to lack of evidence.

The investigation found no preponderance of evidence to substantiate the allegations. Staff did remove a resident's pendant during bathing and forgot to return it for approximately 4 hours, but no issues occurred during that time. Overall, the allegations were unsubstantiated.

The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations occurred.

The investigation found that residents have the right to walk freely, staff were able to redirect the wandering resident and were aware of their location at all times, and the facility administrator position was vacant for approximately 30 days but oversight was maintained by corporate management and department heads. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The visit was triggered by multiple SOC 341 reports of suspected dependent adult/elder abuse, including resident altercations and a former staff member allegedly taking a resident to a bank to withdraw money. The staff member left employment in November 2023, and the bank visit was reported on 12/29/2023. Follow-up with law enforcement is planned.

Several incidents involving resident altercations in the memory care section were documented, including yelling, pushing, and one resident being kicked after a fall. Staff intervened promptly, and care plans were adjusted accordingly. Additionally, a former staff member was reported to have taken a resident to a bank to withdraw money, with follow-up planned with law enforcement. No citations were issued during this visit.

The complaint was unsubstantiated, meaning the allegations were false, could not have happened, or lacked reasonable basis.

The investigation found that the resident was their own responsible party and had signed their own admission agreement. The resident was not isolated and was free to move about the facility. Transportation to medical appointments was provided if needed, and the resident arranged their own transportation. The resident did not wish to visit with certain people and provided a written note to that effect. The facility did not disclose information to unauthorized persons and charged only the basic rate without additional fees. The complaint was determined to be unsubstantiated.

The report documents a meeting involving facility management and licensing officials to address financial concerns and review relevant agreements and staffing plans. No specific deficiencies or violations are noted in the report.

The report notes that the Administrator on record is no longer with the company and requests submission of documentation for a new Administrator and the facility's entire Plan of Operation by 09/29/2023. The Technical Support Program was discussed and offered, with agreement from the Executive Director and Executive Nurse.

No citations were issued during this visit. The Licensing Program Analyst requested submission of specific documents including LIC 500, staff schedules for June, and actual worked staff hours for June by 07/17/2023.

The complaint investigation was unsubstantiated as there was not a preponderance of evidence to prove the alleged violations did or did not occur.

The investigation found that the facility lost electrical power due to an earthquake, and the heating system was not supported by the emergency generator. Portable heaters and blankets were provided, and staff conducted frequent resident checks. Documentation regarding a waiver of in-room meal costs was missing, leading to an eviction notice that was later rescinded with a revised plan agreed upon. The allegations were unsubstantiated due to insufficient evidence.

The complaint alleged that staff left a resident soiled for an extended period. The investigation was unannounced and conducted by Licensing Program Analyst Christopher Arnhold. Based on interviews and records, the allegation was unsubstantiated due to lack of evidence.

The investigation found no evidence to support the allegation that a resident was left soiled for an extended period. Interviews and record reviews indicated the resident was assisted multiple times during the night, and the allegations were determined to be unsubstantiated.

The complaint was unsubstantiated based on the investigation findings.

The investigation found that residents were tested for COVID on 2022-12-16 and responsible parties were notified accordingly. Although the allegations may have happened or are valid, there was not a preponderance of evidence to prove the alleged violations occurred, and therefore the allegation was unsubstantiated.

The facility was found to be clean, with all exits unobstructed, fire extinguishers charged and inspected within the last 12 months, and toxins stored securely. PPE supplies and an infection control plan were in place, medications were secure, and all staff wore masks during the visit. No deficiencies or citations were found.

The complaint was investigated and found to be unsubstantiated, meaning the allegations were false, could not have happened, or lacked reasonable basis.

The investigation found that staff did provide timely assistance to residents, the meal options were consistent with recommended dietary allowances, and the facility always had at least one staff person on duty with CPR and first aid training. The allegations were determined to be unsubstantiated with no citations issued.

The complaint involved a resident who sustained a skin tear on 2022-04-20, with subsequent redness and swelling observed on 2022-04-29, leading to hospital admission on 2022-05-03. The facility was found to have complied with reporting requirements.

The Licensing Program Analyst reviewed the incident and facility records, found that the facility followed all required reporting procedures, and no citations were issued.

The facility was found to be clean, with all exits free from obstruction, and proper storage of toxins and medications. Fire extinguishers were inspected within the last 12 months. The facility has an approved Covid Mitigation plan with appropriate signage and PPE supplies. No deficiencies or citations were found during the inspection.

The incident involved a medication error where a resident received medication not prescribed. The staff involved no longer works at the facility. The facility retrained staff and notified the physician. Resident was placed on alert charting for observation. No citations were issued.

The Licensing Program Analyst met with the Executive Director, reviewed the incident, confirmed staff retraining and physician notification, and found the facility to be following regulations with no citations issued.

The complaint alleged that the facility was refusing to take back residents from the hospital. The allegation was unsubstantiated based on interviews and evidence gathered during the investigation.

The investigation found that although the facility had been hesitant in the past to accept residents back from the hospital unless they were at baseline, currently the facility accepts residents back as long as they meet regulatory requirements. The allegation was determined to be unsubstantiated.