Inspection Reports for MorningStar of Hayward

An unannounced annual required inspection was conducted to evaluate compliance with licensing requirements at the assisted living facility.

The inspection included a tour of the facility and review of various areas including resident apartments, common areas, and safety equipment. Two Type A deficiencies were cited related to unsafe storage of a razor in a memory care unit apartment and improper storage of Tylenol medication for a resident who cannot self-administer medications.

The inspection was conducted as part of a complaint investigation (Control # 15-AS-20230801150316) regarding the care provided to a resident who required a higher level of care than the facility was authorized to provide.

The facility was found to have retained a resident who required a higher level of care than authorized, posing an immediate risk to the resident's health, safety, and personal rights. Staff admitted the resident fell daily and did not believe they could provide the necessary care.

The complaint investigation revealed that the resident (R1) required assistance to get up after falling every day, and staff acknowledged they could not provide the required level of care but retained the resident anyway.

The visit was conducted for case management purposes under 'Other' type of visit, during which the Licensing Program Analyst learned about the facility's new administrator/executive director and reviewed related personnel documentation.

The Licensing Program Analyst verified the new administrator/executive director's credentials and discussed Title 22 Regulations related to hiring a new administrator. Copies of personnel records and related documents were received, and an exit interview was conducted.

The visit was an unannounced complaint investigation conducted in response to an allegation that the facility failed to issue an appropriate refund to a resident's responsible person.

The investigation found that the allegation was unfounded. Documentation and interviews confirmed that the resident moved out on 05/04/2024, the prorated rent was paid, and the refund check issued was cancelled due to a banking error by the responsible person. No deficiencies were cited.

The complaint alleged that the facility failed to issue an appropriate refund for a prorated rent amount after a resident moved out. The allegation was closed as unfounded based on evidence and interviews.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2021-09-01 regarding medication administration, resident falls, safeguarding personal belongings, and notification of injuries.

All allegations were investigated through interviews, records review, and conflicting information. The investigation concluded that there was insufficient evidence to substantiate any of the allegations, resulting in all allegations being unsubstantiated.

The complaint included allegations that facility staff did not administer medication according to physician's instructions, resident sustained falls resulting in injuries due to lack of supervision, staff did not safeguard resident's personal belongings, and staff did not notify the resident's authorized representative of injuries. All allegations were found unsubstantiated due to insufficient evidence.

Unannounced complaint investigation conducted due to a complaint alleging the facility was not responding to a resident's responsible person regarding refund issues.

The investigation found that the facility did not respond promptly to the resident's responsible person as required. The Interim Executive Director was aware of the refund issues but did not communicate with the family member. The allegation was substantiated and a deficiency was cited.

Complaint was substantiated. The allegation was that the facility was not responding to the resident's responsible person regarding refund issues. Evidence showed ongoing lack of communication from May 2024 through January 2025.

The inspection was conducted as part of a complaint investigation (Control # 15-AS-20240319155109) regarding failure to check a resident's blood pressure as ordered and concerns about overgrown toenails.

The facility failed to comply with medical orders to check resident R1's blood pressure on specified dates, and resident R1 was found to have discolored overgrown toenails posing a personal rights risk. Deficiencies were cited under Title 22 California Code of Regulations.

Complaint investigation related to failure to check blood pressure as ordered and resident having overgrown toenails. Licensing Program Analyst was unable to obtain explanation for missed blood pressure checks. Podiatrist confirmed resident was seen in April 2024.

Unannounced complaint investigation visit conducted to investigate allegations received on 2024-03-19 regarding failure to seek timely medical attention, improper assistance with medical needs, lack of staff communication with responsible person, and staff interference with residents' mail.

After review of records, interviews with staff, residents, and responsible parties, and investigation of all allegations, the complaint was found to be unsubstantiated with no deficiencies cited.

The complaint included allegations that the facility failed to seek timely medical attention for resident R1, improperly assisted R1 with medical needs, staff did not respond to the responsible person's communication requests, and staff interfered with residents' mail. All allegations were investigated and found unsubstantiated due to lack of sufficient evidence.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were not ensuring residents' rooms were clean and the facility was not kept free of insects.

The investigation found substantiated evidence of roach infestations in residents' apartments, including dead roaches and roach traps with dead roaches. The facility was found not to be maintaining cleanliness and pest control, posing potential health and safety risks. A repeat violation was cited.

The complaint was substantiated based on interviews with residents, family members, staff, and observations of roaches and unclean conditions in residents' apartments.

The inspection was an unannounced complaint investigation visit triggered by an allegation that non-medical staff members were administering injections.

The investigation substantiated the allegation that non-medical staff administered insulin injections to residents. Interviews and records review confirmed that some residents received insulin injections from med-techs who are not licensed medical professionals.

The complaint was substantiated based on interviews with residents and staff, and review of resident records. The allegation was that non-medical staff members were administering injections, which was confirmed during the investigation.

An unannounced annual required inspection was conducted to evaluate compliance with licensing regulations and facility operations.

The inspection identified multiple deficiencies including unsafe storage of hazardous materials accessible to residents, medications stored improperly in resident rooms, stained and soiled carpet flooring, incomplete staff training hours, and lack of physician orders for postural supports for some residents. Plans of correction were requested with due dates.

The inspection was an unannounced complaint investigation visit conducted due to allegations that the facility failed to supervise resident (R1) resulting in intoxication and failed to assist resident (R1) with hydration.

The allegation that the facility failed to supervise resident (R1) resulting in intoxication was substantiated based on evidence including hospital records and facility alcohol intake logs showing R1 was given more alcohol than permitted. The allegation that staff did not assist resident (R1) with hydration was unsubstantiated due to lack of sufficient evidence.

The complaint was substantiated regarding failure to supervise resident (R1) resulting in intoxication. The allegation regarding failure to assist resident (R1) with hydration was unsubstantiated. The investigation included interviews, review of resident and staff records, and hospital discharge summaries.

The visit was an unannounced case management visit conducted in response to an Unusual Incident Report regarding discrepancies with residents' narcotic medications.

The investigation found discrepancies in narcotic medication containers, which led to an in-service training for med-techs and notification of local law enforcement. No deficiencies were cited during the visit.

The inspection was an unannounced complaint investigation visit conducted to investigate multiple allegations including unsafe storage of hazardous materials, improper food service sanitation practices, presence of roaches, inappropriate serving of alcohol to residents, staff drinking alcohol at the facility, and obstruction in passageways.

The investigation substantiated two allegations: unsafe storage of hazardous materials posing immediate risk and kitchen staff not observing proper food sanitation practices, resulting in a $250 civil penalty for repeat violations. The allegations regarding roaches, inappropriate alcohol serving, staff drinking alcohol, and obstruction in passageways were unsubstantiated or unfounded.

The complaint investigation was substantiated for unsafe storage of hazardous materials and food service sanitation violations. A $250 civil penalty was assessed for repeat violation of Regulation section 87309(a). Other allegations including presence of roaches, inappropriate alcohol serving, staff drinking alcohol, and obstruction in passageways were unsubstantiated or unfounded.

The visit was an unannounced complaint investigation conducted in response to allegations that the facility was isolating residents, delivering residents meals cold, and not providing activities for residents.

The investigation found that the dining and activity rooms were closed per Local Public Health recommendations during a COVID-19 outbreak, and meals were delivered to residents' rooms with caregivers warming food when residents were ready to eat. Residents expressed understanding or acceptance of these measures. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint was unsubstantiated. Although the allegations may have happened or be valid, there was not sufficient evidence to prove the alleged violations occurred.

The visit was an unannounced case management follow-up on Death Reports and Unusual Incident Reports (UIRs) received by the Department.

The inspection found deficiencies related to failure to update resident re-appraisals and failure to submit incident reports for a resident, posing potential health and safety risks. Two resident deaths and two unusual incidents involving falls and injuries were reported and reviewed.

The visit was an unannounced continuation of the annual required inspection that was started on 2023-10-04.

The Licensing Program Analyst reviewed 5 residents' records, checked medications against doctor's orders and centrally stored medication records, and found no deficiencies cited.

Unannounced case management visit conducted as a follow-up on the Death Report received by the Department on 2023-12-11.

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

An unannounced annual required inspection was conducted by Licensing Program Analyst Alicia Delmundo to evaluate compliance with regulatory requirements at the assisted living facility.

The inspection found several deficiencies including unlocked hazardous items in resident-accessible areas, staff lacking required first aid certification and medication training, and outdated infection control plans. A $250 civil penalty was assessed for a repeat violation related to storage of dangerous items.

The inspection was conducted as a result of the Department receiving a priority 1 complaint (Complaint # 15-AS-20230801150316). The Licensing Program Analyst arrived unannounced to conduct a health and safety inspection.

The inspection found multiple safety and documentation deficiencies including unsecured cleaning, salon, and art supplies posing immediate safety risks, missing medical assessments and pre-admission appraisals for residents, inconsistent medical documentation regarding residents' medication administration abilities, and missing required 'Oxygen in Use' signage on resident doors.

The visit was triggered by a priority 1 complaint (Complaint # 15-AS-20230801150316).

Unannounced case management follow-up visit was conducted in response to an Unusual Incident Report regarding a resident with dementia who left the facility unassisted.

The inspection found that a resident with dementia was able to leave the facility unnoticed, posing an immediate safety risk. Additionally, the front door's auditory device was not working, which also posed safety risks to residents.

Unannounced infection control annual inspection conducted to evaluate compliance with infection control and safety regulations.

The facility was found to have several deficiencies including missing COVID-19 related signage, unlocked storage of construction tools and chemicals posing safety risks to residents with dementia, and failure to submit updated infection control plans. The Associate Executive Director immediately locked the unsafe room and plans to conduct staff training.

The visit was an unannounced complaint investigation conducted due to an allegation that the facility is unsafe due to construction.

The investigation found that residents felt safe during the renovation, elevators were functioning normally, and scaffolding was checked daily for safety. There were no imminent health or safety concerns, and the allegation was unsubstantiated.

The complaint was unsubstantiated based on interviews and observations. Although the allegation may have been valid, there was not a preponderance of evidence to prove the violation occurred.

An unannounced infection control annual inspection was conducted to evaluate compliance with health and safety regulations, including COVID-19 mitigation measures.

The facility had an approved COVID-19 mitigation plan and generally maintained infection control practices, but deficiencies were noted including expired food items, lack of handwashing signage, missing visitor and cough etiquette posters, and trash cans without lids in resident rooms.

The visit was an unannounced case management inspection conducted in response to Unusual/Injury Incident Reports (UIRs) submitted by the facility concerning four residents (R1, R2, R3, and R4).

The Licensing Program Analyst reviewed incident reports and related documents for the four residents. Two residents (R1 and R4) had not returned to the facility at the time of the report. No deficiencies were cited during the visit, and a follow-up visit will be conducted if warranted.

The inspection was conducted unannounced as a result of a complaint received by the Department (Control # 15-AS-20210901144412).

The inspection found several health and safety deficiencies including the presence of insect killers and pieces of metal in the patio, uneven pavement, frayed carpet flooring in a resident's room, and bathroom doors in one resident's room needing repair.

The visit was triggered by a complaint (Control # 15-AS-20210901144412).

The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility was not ensuring resident (R1) receives sufficient meal.

Based on all information obtained, including interviews with staff, family members, and hospice nurse, the allegation was found to be unfounded. The resident's refusal to eat was attributed to medical condition and hospice care status, and no facility fault was found.

The complaint alleged that the facility was not ensuring resident (R1) received sufficient meals. The complaint was investigated and closed as unfounded, meaning the allegation was false or without reasonable basis.

The visit occurred for case management and other reasons, including discussion of a conditional use permit for capacity increase, construction upgrades, delayed egress installation, application process for capacity increase, and fire safety inspection request.

No alterations to the physical plant were observed; ongoing work consisted of upgrades. The Licensing Program Analyst reviewed facility conditions and plans for capacity increase and fire safety inspection submission.

Unannounced case management follow-up visit conducted to review compliance with previous case management findings related to resident supervision and safety.

The facility was found non-compliant with supervision requirements as resident R1 was able to leave the facility unnoticed, posing immediate health and safety risks. A deficiency was cited for failure to submit proof of correction by the due date.

The visit was a case management tele-visit conducted due to a self-reported incident call from the administrator regarding an alleged elder abuse incident reported by a resident.

No deficiencies were observed during the tele-visit. The alleged staff member was placed on administrative leave pending an internal investigation.

The visit was triggered by a complaint of alleged elder abuse where a resident reported being hit by staff on 3/21/2021. The complaint was investigated during the tele-visit, and no marks or bruises were observed on the resident.

The visit was a case management incident conducted regarding incident reports for two residents received on the day of the visit, December 15, 2020.

Resident R1 was found missing from his room on December 12, 2020, and returned with police escort after staff search. Resident R2 was found injured on December 10, 2020, requiring emergency hospitalization. The licensing analyst requested submission of various resident and staff documents following the interview.