Inspection Reports for Villa Alamar

An unannounced complaint investigation was conducted based on an allegation that facility staff were inappropriately restraining a resident.

The investigation found that the facility has a 'No Restraint' policy, staff are knowledgeable and adhere to this policy, and no evidence of improper restraint was observed. The allegation was unsubstantiated and no deficiencies were noted.

The complaint alleging inappropriate restraint of a resident was investigated and found to be unsubstantiated based on interviews, observations, and record review.

An unannounced required Annual Inspection was conducted to evaluate compliance with licensing requirements for the Residential Care Facility for the Elderly.

The facility was found to be in good repair with no deficiencies noted. The physical environment, fire safety equipment, kitchen, medication storage, and resident files were all inspected and found compliant. Staff files and certifications were also reviewed and found complete.

The visit was an unannounced complaint investigation triggered by allegations of illegal eviction and improper notice for rate increases at the facility.

The investigation found insufficient evidence to substantiate the allegations. The facility did not initiate eviction procedures but warned of possible future eviction if payment was not made. The facility provided over 60 days' notice for rate increases, which were justified by increased operational costs.

The complaint involved two allegations: 1) Illegal eviction notice sent by email with only 15 days' notice to Resident 1's Responsible Party, and 2) Facility staff did not provide proper notice for rate increases. Both allegations were found unsubstantiated after review of documentation, interviews, and observations.

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

The facility was generally found to be in compliance with health and safety regulations, including proper maintenance of physical plant, kitchen, common areas, bedrooms, restrooms, medication storage, infection control, and documentation. However, a Type A deficiency was cited for failure to ensure one staff member was associated with the facility prior to working, posing an immediate safety risk.

The visit was conducted as a Case Management - Incident investigation following a self-reported incident where a visitor witnessed a caregiver slapping a resident on the back of the head while guiding the resident for a change of briefs.

Licensing Program Analysts toured the facility, interviewed staff, residents, and witnesses, and requested relevant documents. Further investigation is needed and will continue at a later date.

The complaint involved an incident reported on 03/16/2023 regarding an event on 03/12/2023 where a caregiver allegedly slapped a resident. The incident was not reported to the facility administrator until 03/15/2023. Investigation is ongoing.

The inspection was an unannounced 1-year infection control annual visit to evaluate the facility's compliance with infection control protocols.

No deficiencies were observed during the visit. The facility has implemented and is following all infection control protocols, including screening, PPE use, isolation procedures, and staff training.

The inspection visit was an unannounced continuance of an Annual Inspection and Infection Control Inspection due to time restraints from a prior inspection conducted on 2022-02-25.

The facility was found to be generally well maintained, clean, and in good repair with appropriate postings and accommodations for residents. However, deficiencies were cited related to staff criminal record clearance, as two staff members were not associated with the facility prior to working, posing an immediate safety risk.

An unannounced Annual Required visit and Infection Control Inspection of the facility was conducted to evaluate compliance with licensing requirements.

No deficiencies were noted during the inspection. The Licensing Program Analyst conducted a tour and discussed infection control procedures with staff.

The inspection was conducted as a case management investigation due to a reported incident where a resident eloped from the facility, and to implement COVID-19 mitigation measures.

The investigation found that the facility failed to supervise the resident who eloped, posing an immediate health and safety risk, and also failed to have a signed Admission Agreement on file for the resident.

The visit was complaint-related due to a report that resident #1 eloped from the facility on 03/17/21. The complaint was substantiated based on findings of inadequate supervision and missing Admission Agreement.