Inspection Reports for Alexander Gardens

The inspection was an unannounced required annual evaluation visit to assess compliance with Title 22 regulations for a Residential Care Facility for the Elderly (RCFE).

The facility was found to be in compliance with health and safety regulations, including proper food service, clean and appropriate furnishings, adequate emergency preparedness, and proper medication storage. No hazards or violations were observed during the inspection.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 07/09/2021 regarding staff response times to resident call buttons and other resident care concerns.

The investigation substantiated that staff did not respond to resident call buttons in a timely manner, with documented response times exceeding 20 minutes on multiple occasions. Other allegations including insufficient staffing, rough handling of residents, lack of dignity in staff-resident relationships, and failure to safeguard belongings were found to be unsubstantiated.

The complaint investigation was substantiated for the allegation that staff did not answer resident call buttons in a timely manner. Other allegations regarding staffing sufficiency, rough handling, dignity, and safeguarding belongings were unsubstantiated.

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The inspection was an unannounced Annual facility Site Inspection Visit conducted to ensure compliance with Title 22 Regulations for a Residential Care Facility for the Elderly (RCFE).

The facility was found to be in compliance with health and safety regulations, including proper kitchen sanitation, safe medication storage, adequate infection control measures, and well-maintained common areas and resident rooms. No deficiencies were cited during the inspection.

The inspection was a required unannounced 1-year infection control annual visit to evaluate compliance with infection control policies and procedures.

The facility demonstrated full implementation and adherence to infection control protocols including screening, PPE use, isolation procedures, and staff training. The facility maintains adequate PPE supplies, follows current guidance, and has valid certifications and safety equipment inspections.

The visit was a Case Management investigation to review various incidents that occurred from 07/18/2021 through 09/29/2021 at the facility.

The Licensing Program Analyst conducted interviews and requested documents related to the investigation but due to time constraints, further investigation was needed. No deficiencies were issued during this visit.

Investigation of various incidents reported between 07/18/2021 and 09/29/2021; further investigation planned; no deficiencies issued at this time.

This Case Management visit was conducted to address deficiencies noted during a complaint investigation visit on 7/16/2021, specifically to discuss the serious illness/injury reporting requirement as per regulation 87211(a)(1)(D).

The visit found that four fall incidents occurred between 6/25/2021 and 7/16/2021 that were not reported to the Community Care Licensing (CCL) as required, posing an immediate health and safety risk to residents.

The visit was conducted to address deficiencies noted during Complaint Control #29-AS-20210709080012 investigation visit conducted on 7/16/2021.

An unannounced complaint investigation visit was conducted following a complaint received on 07/09/2021 regarding restricted visitation at the facility.

The investigation substantiated that the facility restricted visitation by allowing residents only two visitors at a time on specific days and times by appointment only, which is a violation of residents' personal rights and poses an immediate health and safety risk.

The complaint alleging restricted visitation was substantiated based on interviews and document reviews showing visitation was limited to two visitors at specific times and days by appointment only.

The visit was a case management follow-up conducted telephonically due to a self-reported incident involving Resident #1 who alleged personal rights violations by Staff #1 on three occasions.

No immediate health and safety hazards were observed during the visit. Staff #1 is on leave pending investigation, and further investigation will be conducted by the Community Care Licensing Division's Investigations Branch.

The visit was triggered by a complaint from Resident #1 reporting personal rights violations by Staff #1 on three separate occasions. Staff #1 is currently on leave pending investigation.