Inspection Reports for Sherry’s Senior Living

An unannounced annual inspection was conducted by Licensing Program Analyst Vincent Moleski to evaluate compliance with licensing requirements at Sherry's RCFE facility.

The inspection found multiple deficiencies including unauthorized residential use of the garage, staff working without criminal clearance, incomplete personnel records, failure to report incidents and hospice care initiation, medication administration errors, water temperature out of required range, and fire clearance violations. Civil penalties totaling $1000 were assessed.

The inspection was an unannounced annual inspection conducted by Licensing Program Analyst Vincent Moleski to evaluate compliance with facility regulations.

The facility was found to be in compliance with no deficiencies cited. The inspection included review of resident and staff files, facility tour, and interviews with staff and residents. Safety equipment, food supplies, and environmental conditions met required standards.

An unannounced case management deficiencies inspection was conducted to address observations that the garage had been converted to a bedroom and was not part of the facility's fire clearance.

The inspection found that the facility was not in compliance with its fire clearance because a bed was observed in the garage, which was not identified as a staff bedroom on the facility sketch. This poses a potential health, safety, and personal rights risk to residents.

An unannounced complaint investigation was conducted based on allegations that staff did not address a resident's toileting needs and did not assist the resident with showering.

The investigation substantiated that staff failed to provide required assistance with toileting and showering as indicated in the physician's report, posing a potential health, safety, and personal rights risk. Another complaint regarding food services was unsubstantiated with no deficiencies cited.

The complaint investigation was substantiated for neglect/lack of supervision related to failure to assist a resident with toileting and showering needs. The complaint regarding food services was unsubstantiated.

The inspection was conducted as a required 1 year annual inspection to evaluate the health and safety of residents and compliance with regulations.

The facility was found to be clean, odor-free, and in good repair with adequate safety measures such as secured pool, fire extinguishers, smoke and carbon monoxide detectors, and secure medication storage. However, the Licensing Program Analyst was unable to verify all staff documentation and training, resulting in cited deficiencies.

An unannounced complaint investigation visit was conducted to investigate allegations that staff yelled, intimidated, and threatened residents at Sherry's RCFE.

The investigation found the allegations unsubstantiated as interviews with residents and staff did not corroborate the claims. No deficiencies were cited per California Code Regulation, TITLE 22.

The complaint involved allegations of staff yelling, intimidating, and threatening residents. The allegations were determined to be unsubstantiated based on interviews with residents and staff. One alleged victim was not interviewed due to unknown whereabouts, and one alleged victim did not identify any issues.

An unannounced Plan of Correction (POC) inspection was conducted to ensure previously cited deficiencies have been corrected and to review medication administration logs for continued compliance with regulations.

The Licensing Program Analyst reviewed medication administration records for all residents and observed no errors. The previously cited deficiency has been cleared and a POC clearance letter was generated.

An unannounced complaint investigation was conducted in response to an allegation that the facility was accepting residents beyond the level of care they can provide.

The investigation found the allegations unsubstantiated based on interviews with Resident #1, staff, and the administrator. No deficiencies were noted or cited under California Code Regulation, TITLE 22.

The complaint was unsubstantiated. Resident #1 denied being unable to transfer from bed, and staff confirmed assistance with a sliding board and wheelchair transfers. The facility used a Hoyer lift which the resident often refused. The resident has since been relocated, preventing further demonstration of transfer.

The inspection was a Case Management - Deficiencies visit conducted to address documentation issues related to residents' medication administration records (MAR).

The Licensing Program Analyst observed that residents' MARs were not completed in a timely manner, with missing documentation for medications on 10/26/22, 10/27/22, and 10/28/22. Two of three residents did not have documentation that medications had been given, posing potential health, safety, and personal rights risks.

The inspection was conducted as a pre-licensing visit to evaluate the facility for initial licensure.

The facility was observed to be clean, odor-free, and in good repair with required safety features such as pool fencing, fire extinguishers, smoke detectors, and carbon monoxide detectors. However, one bathroom still required installation of a non-slip mat and grab bars for the shower and toilet before licensure approval.

The visit was conducted for the purpose of a Component III Orientation as part of the prelicensing process for Sherry's RCFE facility.

The Licensing Program Analyst discussed operating requirements, physical environment, personnel requirements, resident records, and health-related services and conditions with the facility administrator. Responsibilities of both the department and the administrator were reviewed, including reporting and documentation requirements. An exit interview was conducted.

The visit was an initial licensing evaluation for a Residential Care Facility for Elderly (RCFE) to assess the administrator's understanding of California Code Title 22 Regulations and readiness for licensing.

The administrator successfully completed Component II, demonstrating understanding of facility operation, admission policies, staffing requirements, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness.

Initial licensing evaluation of a Residential Care Facility for Elderly (RCFE) to assess administrator knowledge and compliance with California Code Title 22 Regulations.

The administrator participated in the Component II interview but did not demonstrate sufficient knowledge of the program and regulations, resulting in an unsuccessful completion. The Component II interview will be rescheduled.