Inspection Reports for Abria Del Cielo

An unannounced visit was conducted to investigate a complaint received on 2023-05-22 alleging staff did not prevent physical abuse, did not provide adequate care and supervision, and did not prevent financial abuse of residents.

The investigation included observations, document reviews, and interviews with staff and residents. The allegations were found to be unsubstantiated based on interviews where residents and staff confirmed adequate care, supervision, and prevention of abuse.

The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.

The visit was a Case Management - Other type of unannounced inspection to have the Administrator sign an amended Complaint Investigation Report.

The Licensing Program Analyst arrived to the facility to have the Administrator sign an amended Complaint Investigation Report. The report was signed by both parties and a copy was left with the facility.

An unannounced complaint investigation visit was conducted to investigate allegations including staff not treating residents with dignity or respect, financial abuse by staff, failure to provide medication as prescribed, and failure to keep the facility free from pests.

All allegations were found to be unsubstantiated after interviews, record reviews, and observations. Staff denied the allegations, records showed no discrepancies in medication administration, pest control was confirmed to be in place, and no evidence supported claims of financial abuse or disrespectful treatment.

The complaint investigation was unsubstantiated for all allegations: staff did not treat resident with dignity or respect; resident was financially abused by staff; staff did not provide resident medication as prescribed; and staff did not keep the facility free from pests. Evidence did not support the allegations.

Licensing Program Analyst Javier Prieto arrived at the facility to interview additional staff relating to a complaint (18-AS-20211008105248).

The report documents the interview conducted with the Administrator Criselda Espiritu Santo regarding the complaint. No specific deficiencies or violations are detailed in the report.

Investigation related to complaint number 18-AS-20211008105248; no substantiation status provided.

An unannounced complaint investigation visit was conducted in response to allegations that staff did not prevent verbal altercations between residents and did not provide a safe environment for residents.

The investigation included interviews with staff and residents and a review of records. Both allegations were found to be unsubstantiated based on the evidence gathered, with residents and staff affirming that staff intervene appropriately and provide a safe environment.

The complaint investigation was unsubstantiated. Allegations included staff not preventing verbal altercations between residents and not providing a safe environment. Interviews with five staff and nine residents did not support these allegations.

The visit was an unannounced required annual inspection conducted by Licensing Program Analysts to evaluate compliance with licensing requirements at the Residential Care Facility for the Elderly.

The facility was found to be operating within approved capacity and generally in good repair with safe conditions for residents. One deficiency was cited related to improper storage of bleach and cleaning supplies with food, posing an immediate health and safety risk. Technical assistance was provided and a plan of correction was required.

An unannounced complaint investigation visit was conducted in response to an allegation that facility staff was financially abusing a resident.

The investigation included interviews with staff, residents, and a resident's family member. The allegation of financial abuse was found to be unsubstantiated as there was no preponderance of evidence to prove the violation occurred.

The complaint alleged that facility staff was financially abusing a resident. The allegation was investigated through interviews and record review and was determined to be unsubstantiated.

An unannounced complaint investigation visit was conducted in response to an allegation that staff were not ensuring that a resident was receiving services prescribed by their physician.

The allegation was found to be unsubstantiated after interviews with the resident and staff, and review of records showed that the resident was escorted to appointments and received prescribed services at the facility.

The complaint alleged that staff were not ensuring that a resident was receiving services prescribed by their physician. The allegation was unsubstantiated based on interviews and record review.

An unannounced complaint investigation visit was conducted in response to an allegation of illegal eviction received on 2024-09-11.

The investigation found that Resident #1 was currently living in the facility and had refused assistance with personal care multiple times. A 30-Day Eviction letter was issued to Resident #1 on 2024-09-10, consistent with the facility's eviction procedures and admissions agreement. The allegation of illegal eviction was unsubstantiated due to insufficient evidence.

The complaint alleged illegal eviction. The allegation was unsubstantiated as there was no preponderance of evidence to prove the violation occurred.

An unannounced visit was conducted to investigate a complaint alleging that staff do not prevent residents from being hit by other residents.

The allegation was found to be unsubstantiated after interviews and record review. Resident #1 had been moved to another facility, and staff and residents denied witnessing any incidents of residents hitting other residents.

The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violation occurred.

An unannounced complaint investigation visit was conducted in response to an allegation that staff do not ensure residents are not eating expired or moldy food.

The investigation found no evidence to corroborate the allegation. Interviews with residents and staff, as well as observations of food supplies, confirmed that residents were served fresh food and no expired or moldy food was found or served. The allegation was determined to be unsubstantiated.

The complaint alleged that staff do not ensure residents are not eating expired/moldy food. The allegation was unsubstantiated based on interviews, observations, and records review.

The visit was a case management inspection initiated to investigate deficiencies related to staff certification compliance.

The inspection found that Staff #8 did not have the required Food Handlers Training certification, resulting in a deficiency being issued.

The inspection visit was conducted to interview additional residents relating to a complaint identified as 56-AS-20240805145702.

Licensing Program Analyst Javier Prieto toured the facility and interviewed residents with the assistance of Administrator Alexandra Villacis. The report documents the completion of these activities without specifying any deficiencies or violations.

The visit was triggered by complaint number 56-AS-20240805145702. No substantiation status is provided in the report.

An unannounced complaint investigation visit was conducted in response to an allegation of wrongful eviction received on 2024-08-01.

The investigation included interviews and record reviews which found no evidence supporting the allegation of wrongful eviction. The allegation was determined to be unsubstantiated due to insufficient evidence.

The complaint alleged wrongful eviction of Resident 1 (R1). Interviews with staff and outside parties revealed unawareness of any eviction, and no written notice or record of eviction was found. The allegation was unsubstantiated.

An unannounced visit was conducted to investigate a complaint alleging that staff did not keep the facility free of bed bugs.

The allegation that staff did not keep the facility free from bed bugs was found to be unsubstantiated after a facility tour, interviews, observations, and record review. Documentation of monthly extermination service and preventive measures were verified.

The complaint alleging staff did not keep the facility free of bed bugs was investigated and found to be unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violation occurred.

An unannounced complaint investigation visit was conducted in response to an allegation of lack of supervision resulting in a physical altercation between residents.

The investigation included interviews and record reviews. The allegation was found to be unsubstantiated as there was no preponderance of evidence to prove the incident occurred as alleged. Residents and staff reported feeling safe and no past incidents were found.

The complaint alleged lack of supervision resulting in a physical altercation between residents. The allegation was determined to be unsubstantiated based on interviews and record review.

An unannounced visit was conducted to commence a Case Management Deficiency inspection due to observed deficiencies.

The facility was found to be non-compliant with Health and Safety Code 1569.311 for failing to have the required carbon monoxide detectors, posing an immediate health, safety, and personal rights risk to residents.

The inspection was an unannounced complaint investigation conducted in response to allegations that staff were not allowing residents to have visitors in their rooms and were not providing comfortable accommodations for residents.

The investigation found that the facility allows residents to have visitors according to the visitation policy and provides comfortable accommodations for residents, including designated visiting areas and appropriate spaces for spiritual services. The allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated based on interviews with the CEO, residents, and staff, and review of facility policies. The allegations regarding visitor restrictions and uncomfortable accommodations were not supported by evidence.

Unannounced complaint investigation visit conducted due to allegations of staff physically assaulting and verbally abusing residents.

The investigation found no substantiated evidence of physical assault or verbal abuse by staff towards residents. Interviews with residents and staff denied the allegations, and the complaint was determined to be unsubstantiated.

The complaint involved allegations that staff physically assaulted residents resulting in injuries and verbally abused residents. The investigation concluded these allegations were unsubstantiated due to lack of corroborating evidence.

An unannounced complaint investigation visit was conducted in response to an allegation that staff sexually assaulted a resident.

The investigation included interviews with staff and the resident, as well as a review of records. All parties denied the allegation, and based on the evidence, the allegation was determined to be unsubstantiated.

The complaint alleged that staff sexually assaulted a resident. The allegation was investigated and found to be unsubstantiated due to lack of corroborating evidence.

The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE).

The facility was found to be operating within its licensed capacity and in good repair with safe conditions for residents. No deficiencies were cited during the inspection, and all reviewed resident and staff files were in compliance with regulations.

An unannounced visit was conducted for the purpose of a Health & Safety check to assess the facility's compliance with health and safety standards.

No imminent health and/or safety concerns or hazards were observed inside or outside the facility. Sufficient staff were present to provide care, and food supplies were adequate to meet residents' needs.

Licensing Program Analyst Paola Guerrero conducted an unannounced visit to the facility on 4/19/2024 at 11:45 AM for the purpose of a Health & Safety check.

No imminent health and/or safety concerns were observed during the visit. The facility had sufficient staff and adequate food supplies to meet the needs of the residents in care.

An unannounced visit was conducted to investigate a complaint alleging that the facility failed to notify a resident's authorized representative about medical treatment.

The investigation found that the resident's representative was receiving communication about the resident's condition and was aware of the medical treatment situation. The allegation was determined to be unsubstantiated.

The complaint alleged failure to notify a resident's authorized representative about medical treatment. The allegation was found unsubstantiated after review of records and interviews.

The visit was an unannounced complaint investigation initiated due to allegations received on 2023-11-30 regarding staff assistance with resident transfers, medication administration, and authority over resident's social security payee and power of attorney.

All allegations were found to be unsubstantiated after review of records and staff interviews. The resident was able to transfer independently, had refused medication services since August 2023, and the facility denied attempting to become the resident's payee or filing power of attorney without consent.

The complaint involved four allegations: staff not assisting resident with transfers, not giving medications for two years, attempting to become resident's social security payee, and becoming resident's power of attorney without consent. All allegations were unsubstantiated based on evidence and interviews.

The inspection was an unannounced complaint investigation visit triggered by allegations that a resident sustained pressure injuries due to neglect and that staff left a resident in a soiled adult brief.

The allegation that a resident sustained pressure injuries due to neglect was substantiated based on interviews and record reviews, including failure to assist the resident with home health services and inadequate wound care. The allegation that staff left a resident in a soiled adult brief was unsubstantiated due to insufficient evidence.

The complaint investigation was substantiated for the allegation that Resident #1 sustained pressure injuries due to neglect. The resident developed a Stage 4 pressure injury and was not provided adequate wound care or assistance with home health services as ordered. The allegation that staff left the resident in a soiled adult brief was unsubstantiated due to insufficient evidence.

An unannounced complaint investigation visit was conducted in response to an allegation that staff violated a resident's confidentiality.

The investigation found that whiteboards with residents' names and room numbers were visible behind the medication room counter, but no diagnoses were listed. Staff and resident interviews indicated that residents bring discharge paperwork to the medication room and discuss it with licensed staff, with other residents usually ushered out. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff violated resident's confidentiality. The allegation was found unsubstantiated after investigation.

An unannounced complaint investigation visit was conducted in response to allegations received on 2023-06-27 regarding financial abuse, failure to send medication with a resident upon moving, and presence of bed bugs at the facility.

The investigation found all allegations to be unsubstantiated after reviewing records, conducting interviews, and inspecting the facility. No evidence supported financial abuse, medication withholding, or bed bug presence.

The complaint included allegations of financial abuse involving unauthorized withdrawal of $3009 from a resident's government benefit account, failure to send medication with a resident upon discharge, and presence of bed bugs in the facility. All allegations were found unsubstantiated or unfounded after investigation.

The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for the Elderly (RCFE) to assess compliance with licensing regulations.

The facility was found to be operating within its licensed capacity and in good repair with safe conditions for clients. No deficiencies were cited during the inspection. The facility had sufficient staff coverage, proper record keeping, and appropriate medication management.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-05-02 regarding staff handling residents roughly, inappropriate staff speech to residents, and failure to maintain personnel records.

The investigation found all allegations to be unsubstantiated after interviews with residents and staff, observations, and record reviews. Staff were not observed or reported to handle residents roughly or speak inappropriately, and personnel records were maintained as required, though a technical assistance was issued regarding staff training documentation.

The complaint investigation was unsubstantiated for all three allegations: rough handling of residents, inappropriate speech by staff, and failure to maintain personnel records. No evidence supported the allegations.

An unannounced visit was conducted to investigate a complaint alleging that staff did not prevent a resident from attacking another resident while in care.

The investigation found that Resident 1 was residing at the facility during the relevant time, but Resident 2 was not known to staff and no incident reports involving Resident 2 were found. The allegation was determined to be unfounded.

The complaint alleged that staff did not prevent Resident 2 from attacking Resident 1 while in care. The allegation was found to be unfounded after staff interviews and record reviews.

The visit was an unannounced investigation to deliver findings related to complaint number 56-AS-20230330134902.

Technical violations were found including 8 medications scheduled for evening or bedtime marked as already administered in Resident 1's medication record, and the facility lacking a modified menu for residents with diabetes.

Complaint number 56-AS-20230330134902 was investigated; technical violations were substantiated.

The visit was a Case Management - Incident type, unannounced, to address incidents involving residents who had been issued 30 day notices due to observed illegal drugs and a resident pulling a knife on staff.

The report documents incidents involving Resident 1 observed with illegal drugs in their room and Resident 2 pulling a knife on a staff member. Licensing staff advised the facility to proceed with the eviction process ensuring compliance with regulations.

The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff do not ensure resident records are properly maintained and do not properly communicate with residents' medical provider.

The complaint that staff did not ensure resident records were properly maintained was substantiated due to medication records not reflecting the appropriate dosage administered for a resident's variable dose medication. The complaint that staff did not properly communicate with the resident's medical provider was unsubstantiated as evidence showed communication and scheduling of medical appointments.

The complaint investigation was substantiated for the allegation that staff do not ensure resident records are properly maintained, posing a potential health and safety risk. The allegation that staff do not properly communicate with the resident's medical provider was unsubstantiated.

Licensing Program Analyst Anna Bueno conducted an unannounced visit to deliver an amended report of complaint control number 56-AS-20220808095722 regarding allegations against staff.

The findings for the complaint remain unchanged; allegations that staff took money from a resident and did not treat the resident with dignity and respect were found to be unsubstantiated.

Complaint control number 56-AS-20220808095722 involved allegations that staff took money from a resident and did not treat the resident with dignity and respect; both allegations were unsubstantiated.

The inspection visit was an unannounced complaint investigation conducted in response to allegations received on 2022-09-12 regarding sexual, physical, and financial abuse of a resident while in care.

The investigation included staff, witness, and resident interviews and records review. All allegations of sexual, physical, and financial abuse were found to be unsubstantiated based on the evidence and interviews conducted.

The complaint involved allegations that a resident (R1) was sexually abused by unknown individuals, physically abused by a named individual, and financially abused by another resident (R2). All allegations were investigated and found unsubstantiated.

An unannounced complaint investigation was conducted following allegations that facility staff did not dispense resident's medication as prescribed, did not ensure timely medication refills, and failed to transport a patient to a medical appointment.

The investigation found no evidence to support the allegations. Medication records showed all prescribed medications were administered as prescribed, medication refills were timely, and transportation services were provided as scheduled. The complaint was determined to be unsubstantiated.

The complaint was unsubstantiated as there was no preponderance of evidence to prove the alleged violations occurred.

An unannounced complaint investigation visit was conducted in response to allegations received on 08/08/2022 regarding staff misconduct including taking money from a resident and failure to treat a resident with dignity and respect.

The investigation found no evidence to substantiate the allegations. Resident and staff interviews did not support claims of staff taking money or disrespecting residents. One resident was confirmed to be under the influence of illegal substances during an incident, and the complaint was deemed unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included staff taking money from a resident and staff not treating a resident with dignity and respect. Interviews and observations did not support these claims.

An unannounced complaint investigation was conducted following allegations that staff did not ensure residents attended medical appointments and did not provide transportation to residents in care.

The investigation found that the client manages their own medical appointments and transportation services are provided up to three times a week, including third-party transportation. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint was unsubstantiated. Allegations included staff not ensuring residents attended medical appointments and not providing transportation. Interviews and records review showed transportation services were provided and clients managed their own appointments.

An unannounced case management visit was conducted for a Health & Safety check in conjunction with complaint control number 56-AS-20220912152449.

No imminent health and safety concerns were observed. One physician's record was found not up to date, resulting in a technical advisory being issued as the facility has a pre-scheduled appointment for the resident.

Visit was conducted in conjunction with complaint control number 56-AS-20220912152449. No substantiation status explicitly stated.

An unannounced complaint investigation visit was conducted in response to an allegation that the facility did not issue a 30 day notice.

The Licensing Program Analyst verified that the facility had sent a 30 day notice for Resident 1 prior to the complaint being filed. The allegation was determined to be unfounded.

The complaint alleged that the facility did not issue a 30 day notice. The allegation was found to be unfounded.

An unannounced required annual inspection was conducted with an emphasis on the infection control domain.

No health and safety concerns or deficiencies were cited during the inspection. A technical advisory was issued to remind staff about the importance of wearing face coverings.

The inspection was an unannounced complaint investigation visit triggered by allegations of staff verbal abuse, rescheduling of resident appointments without family or medical professional consultation, and lack of assistance with transportation for health appointments.

The investigation found no evidence to support the allegations. Interviews and documentation reviewed indicated that staff were not verbally abusive, appointments were properly managed and confirmed with medical professionals, and transportation logs were maintained. The allegations were deemed unsubstantiated.

The complaint included allegations of verbal abuse by staff, improper rescheduling of resident appointments without family or medical professional input, and failure to assist with transportation for health appointments. The complaint was investigated and found to be unsubstantiated.

An unannounced complaint investigation was conducted in response to an allegation that a resident was sexually assaulted by facility staff.

The investigation included interviews and records review. The resident could not provide consistent statements regarding the allegation, and staff reported the resident has a history of delusions and false allegations. Police records indicated no further action was required. The allegation was determined to be unsubstantiated due to lack of evidence.

The complaint alleged that a resident was sexually assaulted by facility staff. The allegation was found to be unsubstantiated based on investigation findings and police report.

The inspection was an unannounced complaint investigation triggered by an allegation that the licensee did not notify the person responsible for a resident within seven days of the occurrence of an unexplained absence.

The investigation found that the facility attempted to notify the responsible party via email two days after the resident's absence, but the email address was incorrect and no timely follow-up was made, resulting in notification occurring 17 days later. The allegation was substantiated.

The complaint was substantiated based on evidence that the licensee did not notify the responsible party within seven days of the unexplained absence of Resident #1. A missing person's report was filed with the police. The preponderance of evidence standard was met.

The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility has pests.

The investigation found substantiated evidence of pest infestation including bed bugs, roaches, and mice in the facility. Observations included fresh bites on a resident, dead cockroach, bait traps, and mouse traps in resident rooms and staff areas.

The complaint was substantiated based on observations, interviews, and record review. The allegation that the facility has pests was confirmed.

The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 08/27/2020 regarding resident safety, treatment, and facility conditions.

All allegations investigated, including failure to safeguard resident possessions, unlawful eviction, staff yelling at residents, lack of dignity in treatment, pest infestation, privacy concerns, safe environment, and medical care refusal rights, were found to be unsubstantiated or unfounded based on interviews, observations, and document reviews.

The complaint included nine allegations: failure to safeguard resident possessions, unlawful eviction, staff yelling at resident, resident not treated with dignity, facility infested with pests, resident not afforded privacy, facility failed to provide a safe environment, resident not permitted to reject medical care, and unlawful eviction. All allegations were found to be unsubstantiated or unfounded after investigation.

The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2020-09-18 regarding unlawful eviction, resident denied food, facility retaliation against a resident, and failure to transport a resident to doctor appointments.

All allegations investigated were found to be either unsubstantiated or unfounded. The unlawful eviction and resident denied food allegations were unsubstantiated due to insufficient evidence. The allegations of facility retaliation and failure to transport the resident to doctor appointments were unfounded based on interviews and evidence reviewed.

The complaint investigation addressed four main allegations: 1) unlawful eviction, 2) resident denied food, 3) facility retaliation against resident, and 4) facility not transporting resident to doctor appointments. The unlawful eviction and resident denied food allegations were unsubstantiated, meaning there was not enough evidence to prove the violations. The retaliation and transportation allegations were unfounded, meaning the allegations were false or without reasonable basis.

The inspection was an unannounced complaint investigation visit triggered by allegations that the facility failed to provide adequate medical treatment and failed to report an incident.

The investigation substantiated both allegations. Resident #1 experienced a serious medical incident related to untreated high blood sugar and a bump that was not properly addressed. Additionally, the facility failed to report the incident to the responsible party in a timely manner, notifying a sibling instead of the Public Guardian conservator.

The complaint was substantiated based on evidence that the facility failed to provide adequate medical treatment to Resident #1 and failed to report the incident to the responsible party, the Public Guardian, instead notifying a sibling. The preponderance of evidence standard was met for both allegations.

An unannounced complaint investigation visit was conducted in response to an allegation that the facility was not providing resident's records to the responsible party.

The investigation substantiated the allegation that the facility failed to provide resident records to the responsible party. The licensee did not ensure that resident records were provided upon request on one occasion.

The complaint was substantiated based on interviews and record review. The allegation that the facility did not provide resident records to the responsible party was found valid.

An unannounced annual inspection was conducted focused on infection control at the facility.

No deficiencies were cited during the inspection. Technical assistance was provided regarding proper logging of daily temperature checks.

The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff did not meet residents' medical needs.

The investigation included interviews and document reviews, and it was substantiated that the facility staff failed to meet residents' medical needs due to a missed appointment caused by miscommunication and failure to verify information.

The complaint was substantiated based on evidence gathered from interviews and documentation. The allegation was that facility staff did not meet residents' medical needs, specifically a resident missing an appointment due to being taken to the wrong address caused by miscommunication and failure to verify information.

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