Inspection Reports for Cadence at Rancho Cucamonga by Cogir

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 approved capacity and in good repair with no obstructions, sufficient furniture, clean bathrooms, and proper safety equipment. Staff had required clearances and certifications, medications were dispensed appropriately, and no deficiencies were cited.

The visit was a case management visit regarding an incident involving resident #1 at the facility.

The Licensing Program Analyst conducted interviews and reviewed documentation related to the incident. No deficiencies were cited during this visit.

An unannounced annual required visit was conducted to evaluate the facility's compliance with licensing regulations.

The facility was found to be operating within licensed capacity and maintaining safe physical conditions, adequate food supply, competent staffing, and proper medication management. No deficiencies were cited during the inspection.

An unannounced complaint investigation was conducted due to an allegation that a resident eloped from the facility without staff knowledge, sustaining an injury.

The investigation substantiated the complaint that staff did not provide adequate care and supervision when the resident left the facility unsupervised and sustained an injury. The facility has since increased supervision, added door alarms, provided staff training on elopement, and the resident's family arranged additional supervision and physician intervention.

The complaint was substantiated based on observations, record reviews, and staff interviews. The resident eloped on 01/15/24, sustaining a knee injury. The facility was found to be inadequately supervising the resident at that time.

The inspection was an unannounced complaint investigation conducted in response to allegations received on 2023-02-09 regarding staff not following COVID protocols, not meeting the needs of COVID positive residents, and insufficient staffing affecting timely meal service, feeding assistance, and toileting assistance.

The investigation found that the facility was following COVID protocols with proper PPE and sanitation stations, and staff were meeting the needs of COVID positive residents. Interviews with staff and residents confirmed that meals, feeding, and toileting assistance were provided in a timely manner. Therefore, the allegations were deemed unsubstantiated due to lack of sufficient evidence.

The complaint investigation was unsubstantiated. There was not enough evidence to prove that staff failed to follow COVID protocols or meet resident needs related to COVID positive care and timely assistance with meals, feeding, and toileting.

The inspection was conducted as a complaint investigation regarding allegations that the facility doors are too heavy for residents in wheelchairs to open and exit at will, and that sinks are not wheelchair accessible.

The investigation found that the facility doors are fire doors installed since 2020 and while some doors are heavy, residents have means to request assistance. The facility has wheelchair accessible sinks limited to the memory care section. The allegations were deemed unsubstantiated due to insufficient evidence.

The complaint was unsubstantiated based on the investigation findings. The Licensing Program Analyst met with the Executive Director, toured the facility, and interviewed residents. The Executive Director acknowledged concerns and stated plans for renovations to meet building codes.

An unannounced complaint investigation visit was conducted in response to allegations received on 2022-02-09 regarding medication administration, notification of change in condition, and missed medication at the facility.

The investigation found that although some medication administration issues were noted, the evidence was insufficient to substantiate the allegations. The complaint was determined to be unsubstantiated after review of records and interviews.

The complaint included three allegations: 1) Staff did not administer medications according to physician orders; 2) Staff did not notify authorized representative of change in condition; 3) Resident missed medication. After investigation, all allegations were unsubstantiated due to lack of preponderance of evidence.

An unannounced annual inspection was conducted with an emphasis on infection control to assess compliance with regulatory requirements.

The facility was found to be in compliance with infection control practices, including COVID-19 mitigation measures, and no deficiencies were observed or cited during the visit.

An announced pre-licensing video conference inspection was conducted due to COVID-19 to evaluate the facility's readiness for licensure as a Residential Care Facility for the Elderly (RCFE).

The facility was observed to have appropriate screening procedures, adequate PPE supplies, fire safety equipment, and suitable living accommodations including assisted living and memory care units. The fire inspection was conducted and approved, and the facility appears ready for licensure.