Inspection Reports for Point Loma Elder Care

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

The facility was found to be in compliance with all licensing requirements. No deficiencies were issued during the inspection. The facility was clean, safe, and well-maintained with all required equipment and documentation in place.

Licensing Program Analyst Iby Strong conducted an unannounced quarterly Case Management/Legal Non-Compliance visit to evaluate the licensee's ongoing compliance with the requirements described in LIC9111 and the terms of a compliance plan agreed upon on January 22, 2025.

The facility was clean, safe, and in good repair with current and complete records. No immediate health or safety concerns were observed, and no deficiencies were issued during this compliance visit.

An unannounced Case Management visit was conducted by Licensing Program Analyst Sabel Martinez to tour the facility, obtain Plan of Correction documents, and secure signatures.

No immediate health or safety concerns were observed during the visit. The administrator received a copy of the report and licensee rights via email.

An unannounced Case Management visit was conducted by Licensing Program Analyst Sabel Martinez to review facility operations and request staff training records.

The Licensing Program Analyst toured the facility, secured report signatures, delivered amended reports, and conducted an exit interview with the Administrator. No deficiencies or violations were explicitly stated in the report.

An unannounced Case Management visit was conducted in response to a previously substantiated complaint alleging neglect resulting in a resident sustaining a stage 4 pressure injury.

During the visit, an immediate $500 civil penalty was assessed related to the substantiated complaint of neglect. The civil penalty assessment is under review by the Program Administrator of the Community Care Licensing Division.

The complaint (Complaint # 08-AS-20190809110049) was substantiated on September 30, 2020, regarding neglect causing a stage 4 pressure injury to a resident.

An unannounced Case Management visit was conducted to assess compliance and address a previously substantiated complaint allegation regarding resident care.

During the visit, an immediate $500 civil penalty was assessed related to a previously substantiated complaint about a resident being left in soiled clothing. The deficiency was amended from a Type B to a Type A deficiency.

The visit was in response to a substantiated complaint (Complaint # 08-AS-20191231162534) reported on December 31, 2019, and substantiated on June 18, 2021, regarding staff leaving a resident in soiled clothing.

The visit was an unannounced Case Management inspection conducted in response to a previously substantiated complaint regarding lack of supervision of a resident.

During the visit, an immediate $500 civil penalty was assessed related to the substantiated complaint. The deficiency was amended from a Type B to a Type A deficiency.

Complaint # 08-AS-20220912085344 was substantiated on October 12, 2023, regarding lack of supervision of a resident.

The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements for the Point Loma Elder Care Facility.

The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required safety equipment, furnishings, and supplies were present and in working order. Staff and client records contained the required documents.

The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff did not treat a resident with dignity, physically assaulted a resident resulting in injuries, and destroyed the resident's personal belongings.

The investigation substantiated that a former employee did not treat a resident with dignity, citing a physical confrontation with the resident. However, allegations that staff assaulted the resident causing injuries and destroyed personal belongings were unsubstantiated due to conflicting statements and lack of corroboration.

The complaint investigation was substantiated for the allegation that staff did not treat a resident with dignity. The allegation that staff physically assaulted the resident resulting in injuries and destroyed personal belongings was unsubstantiated due to insufficient evidence and conflicting statements.

An unannounced Required Annual Inspection was conducted to evaluate compliance with licensing requirements for the facility.

The facility was found to be organized, clean, and in good repair with no safety hazards observed. All required furnishings, equipment, and supplies were present and properly maintained. No residents were bedridden or receiving hospice care, and no deficiencies or violations were noted.

The inspection was conducted as an unannounced complaint investigation visit following a complaint received on 2022-09-12 alleging neglect and lack of supervision of a resident.

The investigation substantiated that facility staff failed to provide required assistance to one resident, resulting in a fall and minor injuries. The staff member omitted pertinent facts in the incident report, and immediate corrective action was taken by the administrator.

The complaint alleged neglect/lack of supervision of a resident who fell and sustained minor injuries. The allegation was substantiated based on interviews, observations, and records review.

The Licensing Program Analyst conducted a visit to deliver findings for an investigation and to conduct a case management visit.

No deficiencies were cited during the visit. Technical advisories were provided to the Co-Administrator.

An unannounced complaint investigation visit was conducted in response to allegations that staff did not afford residents dignity, yelled at residents, and did not afford residents to be free from intimidation.

The investigation included interviews with staff, residents, and outside sources, as well as observations and records review. The allegations were found to be unsubstantiated due to insufficient evidence supporting claims of staff misconduct regarding dignity, yelling, or intimidation.

The complaint alleged that staff did not afford residents dignity, yelled at residents, and intimidated residents. The investigation found no evidence to support these allegations, and they were deemed unsubstantiated.

An unannounced complaint investigation was conducted in response to an allegation that meals did not meet a resident's needs.

The investigation included interviews, record reviews, and a facility tour. It was found that the resident required a mechanical soft diet and assistance with all activities of daily living. The resident's medical condition declined and they were admitted to hospice care, where poor meal intake was noted. There was no evidence of denial of food or water, and the allegation was deemed unsubstantiated.

The complaint alleged that meals did not meet the resident's needs. The allegation was investigated and found unsubstantiated based on interviews and records review.

An unannounced required 1-year visit was conducted to evaluate the facility's compliance with licensing requirements and infection control protocols.

No deficiencies were cited or observed during the inspection. The facility's infection control mitigation plan, including disinfection, testing surveillance, screening protocols, and use of personal protective equipment, was evaluated and found satisfactory.

An unannounced complaint investigation visit was conducted regarding an allegation that staff failed to follow the admission agreement and increased rent for Resident 1 improperly.

The investigation found that although the allegation may have occurred, there was insufficient evidence to substantiate the violation. The facility did not increase Resident 1's rent until over a year after the complaint was filed, and proper written notice was provided as required.

The complaint alleged failure to follow the admission agreement and improper rent increase for Resident 1. The investigation determined the complaint to be unsubstantiated.

An unannounced case management visit was conducted to follow up on a self-reported incident received by the Regional Office on 12/3/2021.

No deficiencies were observed or cited during the visit. The Licensing Program Analyst observed residents and reviewed facility records.

An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with licensing requirements and COVID-19 mitigation protocols.

The Licensing Program Analyst conducted a tour and observed the clients in care, providing technical assistance on infection control. No deficiencies were cited or observed during this inspection.

A virtual case management visit was conducted via FaceTime to deliver an amended report to the facility administrator.

The Licensing Program Analyst informed the licensee of the reasons for the amended report and provided the updated report for their records. An exit interview was conducted via video-call.

Unannounced complaint investigation visit conducted due to allegations that staff left a resident in soiled clothing, failed to provide proper care, and that the resident's signal system was not operating.

The investigation substantiated the allegations that due to staffing shortages, residents, including Resident 1, did not receive adequate incontinence care during night shifts, and staff failed to ensure bed and chair alarms were operational, posing potential health and safety risks. The facility implemented schedule changes and policies to address these issues.

The complaint investigation was substantiated based on evidence that staff left a resident in soiled clothing, failed to provide proper care, and did not maintain the resident's signal system. The preponderance of evidence standard was met, validating the allegations.