Ccib's Case Study

CCIB LPA Perryman-French received a call from John. John is a part time employee, brought in by Michael Darmoody, at the beginning and then to be the face for licensing until his live in staff cleared. (John said the live-in staff were told to hide until their clearances came through). John would have come forward earlier, however he was told by Michael that CCL would take away his clearance if he said anything to anyone. John stated that the resident, Keith Laird, had gotten diarrhea at his work program (Elwyn). The staff called Michael, and received no response at first. The program got a hold of John who picked up Keith. Keith was anxious and although somewhat non-verbal, he indicated to John that he thought that since he was going home,

CCIB LPA received a call from Theodore and his girlfriend, Linda Lubert. Theodore and Linda were in a skilled nursing (rehab) facility until May 9th, 2015. They were given 24 hours to move and ended up at this facility. When they arrived, they were not appraised, given any care plan or schedule. Both need assistance getting up, dressed and with hygiene, they have to beg for staff to help them. The doors to their rooms are locked at night and they are not allowed out of them. This happens during the day sometimes as well. Since he has arrived he has had to wait five days for assistance with showering, staff say they do not have time or the towels are in the dirty laundry. Both Theodore and Linda have noted that their medications are not being

On August 26, 2015 around 2335 hours, Security Supervisor Steven Evans, Security Officer Allan Topher, and I was dispatched to room 5104 in response to a non-Baker Act patient, Lillie M. Smith (FIN:84487321) who was arguing with medical staff. Upon arrival, we made contact with Nurse Julia, who stated that Mrs. Smith did not want to leave her room. She further stated that Mrs. Smith was going to be transported to room 510 bed #2. Security staff went inside the room and observed a very confused 86 years old patient who stated that she pays rent in the hospital and that the hospital is her house. Nurse Julia tried to convince her nicely to sit on the wheel chair in order to be transported to room 510. After several attempts from Nurse Julia,

In March 2015, RP overheard one of the caregivers state that one of the residents had scabies but facility never notified the families. RP stated that an order for Benadryl was made for the resident on 7/12/16 but the resident never received the medication because it was reported that the order was not signed. Staff never contact the physician to request a signed order so the resident was without the medication for 16 days. Resident's husband contacted RP on 9/9/16 and said that he had a confirmed case of scabies. On 9/10/16, RP spoke with administrator who disclosed that there has been confirmed cases of scabies. Administrator stated that due to the resident and resident's family members contracting scabies, Terminex was at the facility on 9/12/16 to treat residents room. RP also mentioned that on one occassion she visited the resident and the room "reeked" of urine and the resident's Depends was on the floor. RP stated that there is not enough staff to handle the amount of residents in the facility. RP stated that on one of her visitis, there were residents sitting in the living room for over 2 hours before anyone was able to check on

Client continues to report she wants to be transferred to another shelter, because she mistrusts staff and residents, there is no structure in the room and residents and staff are very inconsiderate towards her. She also states that worker are hacking her email account and also stealing things from her locker.

CCIB received a complaint via phone call from RP stating that the facility has had multiple bed bugs outbreaks in the last four years. RP reported that she has saw bed bugs in room #225 which is occupied by resident Cecil Walters. RP stated that she thinks the facility did not treat Cecil’s room when the facility had there last outbreak. RP also have seen bed bugs in the laundry room, due to staff putting bed bug infested laundry bags in the room for days at a time. RP stated on 3/17/2017 she told the Administrator Anita and Lizel (Med tech) about the bed bugs, RP stated their response was “they did not know and that we will take care of it”. RP is concerned about the residents and that the facility will get another outbreak.

CCIB received CPS referral #1242-9207-2024-5044009. It was reported that resident Celia Rangel (DOB: 06/17/02) has been living in the facility since July 2017. RP drives to the facility to provide counseling for the resident every other week. The resident disclosed to RP that she met a man named, "Coco" who is in his 20s through another young lady named Shakira (both individuals are unknown). Coco picked her up in his BMW during the resident's "unsupervised time" and drove her to the South Side of San Jose by the river and provided resident with THC and alcohol. The resident disclosed that she hung out with Coco on a couple of occasions; each time he provided with marijuana and alcohol. Resident stated that Coco has made an advance toward her.

CCIB Intake received a call from reporting party Merle Brownle (760) 840-8927 who disclosed additional information regarding another resident affected by lack of caregivers. According to the RP on 3/14/17 resident Lawrence Eugene in room #143 was found on the floor in his room comatose at approximately 1:30AM - 1:40AM. At the time there were only two caregivers on duty, Mindy Mickerich and Eva Snaer. In addition the RP stated a student nurse whose first name is Soslia her last name is unknown. There is no one associated to the facility by that name.

CCIB received a telephone call with an allegation against the facility. RP reported today 7/28/2017, she received a call from Edward stating that he could not take care of Bruce (Bruce has mental problems) anymore. RP stated on the call Edward stated that the family would have to come get Bruce’s belongings, Due to Bruce’s behavior is not appropriate for the facilities setting. RP stated that she told Edward that he would have to do the proper procedures to have the family remove Bruce. RP stated that that Edward said that he will not accept any rent payments for August 2017. RP reported that she and or any family member have received any eviction notice to terminate services and care for Bruce, but just a verbal warning that Bruce need to

CBHI is an inter-agency initiative of the Massachusetts Executive Office of Health and Human Services. The goal is to fortify and increase state services into an inclusive, community-based structure of care, to promise that children and their families with substantial behavioral, emotional and mental health needs receive the support needed for success in the home, school and community. An IHT staff member’s role is to create a strengths-based, therapeutic, rapport between other clinicians in the agency, the youth & family. IHT strives to improve the family’s capability to create effective support for their children in the home. The overall goal is to avoid the children from being admitted to an inpatient hospital, psychiatric residential treatment

CCIB LPA Perryman-French received a call form Delores. Her mother, Bernice Howard (DOB 02/24/1925) has Alzheimers and dementia. Her mother was living at another facility, when she required an awake night staff. She was moved into this location around June 20 or 21st, 2015. Delores left the area and then returned on 07/05/15. During that time, she had her son checking on her. Sometime around 07/01/15 or 07/02/15, her son told her that he was told there was an altercation between staff "La" and Bernice in the kitchen. The result was bruises on her arms (where she was grabbed) and a visible scratch. Bernice informed her that she was hit, slapped, grabbed and scratched and also reported that she responded by getting her (La) back. The family had

RP disclosed she is not associated to the facility and have no back ground clearance. The RP stated she spoke with caregiver Larry who explained that he always arrives at 8PM and that the administrator's father supervises the resident for 2 hours. The RP disclosed that the resident is placed in bed at 6PM and left in bed for more than 20 hours at a time. Subsequently the resident walks around without shoes on tile floors with a walker wearing socks (resident is a known fall risk). The resident was continent of bowel and bladder and never wore diapers prior to admittance. The resident was placed in adult diapers and never assisted to the toilet. The RP discovered the resident didn't receive a shower for 2 weeks and only received bed bath a few time a week. The caregivers excuses were concern for the surgical wound and fear the resident would fall. According to the RP, the resident received one hour of physical therapy a day. The therapist would have instructed the caregivers in transporting resident if asked. Prior to the resident fall on 6/10/16 he was fully independent living on his own and able to make his own decisions. The resident's soiled linen and bedding was left outdoors for 3-5

The reporting party (RP) stated on 11/16/16 at approximately 9:30AM a visit was made to the facility to visit resident Noel Cua DOB: 3/5/52. According to the RP Mr. Cua is the brother of owner/administrator Arcely Pua. During the visit Mr. Cua was observed wearing oven mitts on his hands and tied to the side rails of his bed. The RP stated the administrator disclosed the resident would pull out his feeding tube. Subsequently the resident has a feeding tube and a Foley catheter. The RP stated the administrator indicated she was a Registered Nurse. The RP was informed the facility is non-medical therefore feeding tubes are prohibited. The RP stated the resident requires a higher level of care and should be placed in a skilled nursing

Majority of students are confused about what classes to take for their major, and they go to the advisors to seek for help. Each time they go to the advising office they meet different advisors, and they give student different information. This make students feel frustrated and overwhelmed. This is why it would be great if CCBC have knowledgeable advisors to guide and mentor students to the right path for their career.

CCIB received CPS referral #1457-4429-5768-40009153 from RP stating that while her client (unknown) resided at this facility, she reported that the facility was "filthy" with dead cockroaches and rat droppings. RP's client also reported seeing the children left in dirty diapers while the licensee was on her phone most of the time. RP's client stated disclosed that on one occasion, she went into the bedroom because she heard a "raise" and found 3 children, 2 boys and a baby girl. One of the boys (age unknown) was trying to take off the baby's diaper and the other had his penis out and was rubbing it on the baby's face. The client reported this incident to licensee who laughed at the client. The client also has a concern about licensee's 15 year