Ccib's Corrective Plan Of Action (CAP)

CCIB received correspondence from reporting party (RP) stated that he has been investing the owner of this Independent Living facility, Elvira Ferreria, who currently has a hospice resident who requires 24 hour care. Ms. Ferreria has billed the resident's family for her services (2 checks have been written on the resident's account by Ms. Ferreria). When interviewed last week by RP, Ms. Ferreria acknowledge she was acting as an unlicensed facility back in 2015. Ms. Ferreria also currently has another hospice resident in this home (no names provided for either resident). RP stated that Ms. Ferreria stated that she regularly receives resident from UCSD.

CCIB Intake received a formal complaint letter from California Advocates For Nursing Home Reform (CANHR) Long Term Care Justice and Advocacy stating the facility failed to maintain the required liability insurance to cover injury to resident or guest. The reporting wrote in closing, "I look forward to hearing from you once you've commenced your investigation. Please let me know if you have any questions or need any more

The reporting party (RP) stated her brother, resident Luis Gallegos DOB: 8/26/70 was transferred to the facility from a skilled nursing facility (Premier Care). According to the RP the resident was admitted to Premier Care on July 13, 2016. The RP stated prior to her brother's stay in Premier he was able to make his own decisions and therefore didn't require a POA or a conservator. Consequently, Premier transferred her brother without notifying his authorized representative, his sisters. When the RP and her sister attempted to visit the resident they were refused. A caregiver named Jessie informed the RP that she had no authority to remove the resident. The RP stated her sister Chelsea visited the resident was not allowed to visit in private.

CCIB Intake received a call from reporting party Linda Babiac who disclosed she contacted the corporate office and spoke with a Martin Brown (703) 273-7500. Mr. Brown is the Director of Patient Relations. According to the RP the financial issues with the facility has been resolved and is no longer an issue. However, the issue of her father’s falls continues to be a

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

CCIB Intake LPA McGaskey received a call from resident Todd Sabin who engaged in a conversation with caregiver Martha (last name unknown). According to Todd the caregiver contacted Todd's social worker Javier Serna (626) 471-6402) and left a message on his phone stating Todd threatened to kill her and that she is afraid of him. Todd's social worker discussed the telephone message. The social worker reported he spoke with Martha and asked why didn't contact the police department if she was afraid for her life. According to the social worker Martha had no response to the question. Todd stated Martha informed the social worker he does not sleep at night and wanders through the facility. Subsequently she informed the cook to do whatever Todd wanted

CCIB received a phone call from RP on a complaint #18-AR-20170427154250 that was completed on 4/27/2017 by another CCIB LPA. RP called to report the same altercation between resident Terrance Scott and owner Ernest Fisher. RP also reported the incident happened in Terrance room upstairs of the home. RP stated that after the altercation Terrance tried to contact local Police, but Ernest took the phone from him preventing him to continue the phone call. RP stated when she talked to Terrance he did not remember much about the incident or about himself when the she asked him questions. RP gave an example that he did not remember his age or year he was born. RP mentioned when talking to Ernest, he did not know many of the residents names in the

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.

Health Care Integrator (HCI) met with Alana at her case address to assess and coordinates B2H services for her immediate needs. Alana has been diagnosis with Post Traumatic Stress Disorder and Attention Deficit Hyperactivity Disorder. Currently, Alana receives Skill Building (SB) and Special Needs Community Advocacy (SNCAS). HCI inquired how is it going with assigned Waiver Service Provider (WSP), Jessica Reyes. HCI inquired about Alana’s current living situation. HCI inquired about how she is doing in school. HCI provided Alana’s with several pullups for her son. HCI inquired about how she is doing at work. HCI informed Alana to make a list of task she wants to accomplish for this week. HCI inquired if Alana had any issues that she wanted

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.

A SOC341 was received in the CCIB office submitted by reporting party Felicia Nault. According to the documents received, 61 year old resident Kenneth Pettit arrived in the dining room and informed staff member Juanita Rodriguez that his breakfast would need to be served prior to the regular scheduled breakfast time of 7:45AM. The resident informed the staff member he had an appointment. The staff member reassured the resident she would do her best to have the breakfast available in a timely manner. The resident's breakfast order was received by staff member Karen Castellon during the scheduled ordering time. Staff member Juanita stopped by the resident's table while serving other residents and completing her rounds to ensure all orders were

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

We have investigated your concerns regarding this issue. Based on our investigation, our office contacted Bayada Home Health Care and spoke with Lisa a nurse director. Lisa advised us their nurse contacted you by phone on May 22, 2017, and set up an appointment for home care services on May 23, 2017, at 1:00pm. Lisa stated the nurse showed to your home at 1:00pm as scheduled and there was no answer at the door, Kathy proceeded

SSA placed phone call to Kim Budke-Provider. We discussed that the nurse care manager went ahead and met with John this morning with Kim being able to attend. She shared that John’s case manager with Lifepointe was going to attend but did not make the meeting. She shared that Jean is the nurse case manager with Cincinnati Home Care and they discussed finding John an activity to engage in during the daytime hours. She shared they discussed ADS programs in Williamsburg and John expressed interest in Cane Run Farm. She shared that they also discussed increasing John’s in home nursing services up to 14 hours per week to address his high blood sugar levels. We discussed that if John attends CRF, provider hours will have to be reduced to cover the

Service Coordinator (SC), Jennifer Stoker met face to face with provider, Aiesha Crayton and consumer Jonathan at his group home. Jonathan informed SC he has change his mind he don’t want his own apartment. SC asked why he changed his mind. Jonathan noted Aiesha told him that she couldn’t pay a staff member to live in his apartment with him. He noted Aiesha could be his provided but it will not be 24 hour care for him at his apartment. Aiesha noted she also talk with him about the amount of money he would have to pay for the apartment. Aiesha noted the apartment he want was 700 dollars. Jonathan noted he check would cover the rent but he would have money to pay his other bills. Jonathan noted he really was not going to move out. He was