Case Study: Assisted Living Home

CCIB received a SOC 341 from APS for the following residents: Daniel Hourihan (DOB: 10/03/54), Gerardo Guerrero (DOB: 01/02/95) and Gerald Gaither (DOB: 06/14/59). Per the reporting party, Lee Nln, the provider/Owner Cheryl Oliver has been advertising her independent living facility as a board and care. RP stated that her clients have been paying the board and care rate and the client require medication management. RP stated that in April 2018, client Daniel Hourihan moved to another facility. The rent for Daniel was sent to Ms. Oliver who continued to cash the rent checks for Daniel.

CCIB received an Incident Report from the LTCO Maged Mansour (213) 351-6433 regarding resident Maria Alcantara. The SOC 341 states that Maria disclosed to facility staff and her Day Program staff that residential facility staff member Gloria G hit her in her back. Once notified by of incident the facility staff notified the administrator Kendal Woods (323) 208-0133. According to the RP the incident is under investigation. The suspected abuser would be suspended pending

I believe everyone on this email thread was aware of my meeting today with Joe Baldwin, Guardian, of Kathy Rennich to discuss her recent return from inpatient rehabilitation at a local nursing facility and her expressed desire to move to the Hensgen Home. Basically, in February 2017, Kathy fell resulting in a fractured tail bone. She received inpatient rehabilitation at Care Springs for fourteen days and has returned home with PT services. Since her return home, Kathy has refused to participate in ADL’s (which isn’t a change in pattern as she refused prior to the nf stay) and is demanding that she have the opportunity to live at the Hensgen Home. Kathy’s reasoning behind wanting to move the Hengsen Home isn’t exactly clear to the team.

On 09/29/2015 at 3:18 PM SC received call from Marguerite Pa’s niece who reported that Pa has identified two girls Gabby and Yajaira he wants to be his aide but the agency told them his service were terminated. SC attempted to explain why the service was interrupted and next step; SC end call with Marguerite. SC then called Vital Support and briefly explained to receptionist and requested to speak with a manager. SC was transferred to Vitaliya at Vital Support Nurse manger. Vitaliya stated that the termination date is incorrect and service was provided to Pa beyond termination date and that SC need to change the dates so that they can receive payment.

The reporting party (RP) stated there were a list of issues and concerns regarding the level 4 home. A resident named Tammy Sanchez was observed by Regional Center counselor staff member Constance Sifton standing on a street corner on Mooney Blvd., in front of MOR Furniture store unsupervised. The counselor from the Regional Center pulled over and spoke with the resident. The resident disclosed that she had been on the street for an extended period which was indicated by the resident being drenched in sweat and appearing dehydrated and shaking. The resident was initially with a staff person named Isabelle and her boyfriend.

Circumstance: Ms. Smalls (MHP), Mrs. Gailliard (MHS), Clarence and Ms. Elizabeth Strong (DSS Worker) schedule medical appointment with the MUSC Foster Care Clinic. Action: MHP called Tara Peevy, RN at the MUSC Foster Care Clinic after MHS explained leaving several messages. Ms. Strong explain emailing the referral form to the clinic. Machelle Green explain receieing the referral form, however unable to reach the DSS worker for additional infromaiton.

Ms. Connell believes Gentiva Hospice reported the allegation to DHR because the bath worker stepped in dog feces. During visit worker noticed two inside dogs but no dog feces. Ms. Connell married three times and each one was in the military. However, due to her income Ms. Connell is not eligible for assistance. Ms. Connell receives 1500.00 SS, Medicare, Healthsprings Insurance and Gentiva Services bath aid 3x and nursing 2x weekly.

Mr. Johnny Boggs, 69-year-old Caucasian divorced male, lives with his biological daughter, Ms. Wanda Boggs Ferguson, 20-year-old Caucasian, and her husband Mr. Charles Ferguson, 21-year-old Caucasian along with their two sons, Charles Ferguson Jr. (3 years and 10 months old) and Liam Ferguson (13 months old) at the current residence (381 Greenbriar Rd, Louisa, KY, 41230). The house is in Mr. Boggs name and he is residing in the house for the last 50 years. Randel is the youngest child, 17-year-old Caucasian male, who was placed out of home for illegal drug use, aggression (hitting, punching, pushing, swearing, and cursing) towards his father, non-compliance, defiance, running away from the home with whereabouts unknown, truancy, and unsatisfactory

Attempt CC =1 CM spoke to Johnda Neazer (DCP&P Supervisor) regarding the family’s current living situation. DCP&P supervisor provided CM with a detailed background on the family and noted that DCP&P will assist the family with housing such as the first month rent and security deposit once caregiver finds housing. DCP&P supervisor explained to CM that the division is unable to place the family into a hotel due to Welfare offering the family to stay at a shelter in Newark and caregiver denied offer. CM was informed that DCP&P only place families in a hotel if they are homeless and does not have assistance such as shelter opportunities. DCP&P supervisor stated DCP&P assisted caregiver with a budget form.

California Supreme Court Clarifies Long Term Care Act’s Application to Release of Confidential Information The California Supreme Court has clarified the application of the Long-Term Care Act’s disclosure requirements in consideration of Welfare and Institutions Code section 5328’s general prohibition against the release of information contained in the course of providing treatment to mentally ill and developmentally disabled individuals. In State Dept. of Public Health v. Superior Court (2015) 60 Cal.4th 940, the Supreme Court considered the issue of whether the disclosure requirements of the Long-Term Care Act (LTCA) or Welfare and Institutions Code section 5328 applied where a public records request was made for health records. The case involved the Center for Investigative Reporting, a news organization investigating the treatment of mentally ill and developmentally disabled in state owned health care facilities, which issued a public records request to the Department of Public Health (DPH) for copies of all citations issued to the facilities it was investigating.

The Client: Carla Washburn Client Assessment Carla Washburn is a 74-year-old female. Her husband …has been married for 45 years before his death 10 years ago. Washburn is currently residing in Plainville…and has retired at the top paper mill that is currently in operation. Her son’s name is Jr and her grandson’s name is Jr Jr whom are currently deceased from actively serving their country. She currently lives alone and is reluctant of social services and agencies support.

On 10/26/16 CM went to unit #222 due a complaint that water was coming from that unit causing some damages to the ceiling in unit #122, situation that has been happing before and was fixed by the maintenance personal. CM ask Ms. Footman was happen she say that anything was fine in her unit, however based on CM observation , the bathroom tub was wet , signs that someone recently took a shower but the floor was dry. Ms. Footman denied having any flood in the unit at that moment. On 11/27/16 CM went to conduct the Safe Sleep inspection with the DHS Compliance Analyst Jeanette Chirico, while in the second floor we went to unit #222 assigned to Ms. Tiana Footman and her three children.

Bay Area Care Team is a home health care institution that is located in San Francisco, California. Their services include home visits by skilled nursing staff, physical therapy, speech therapy, home health aides, consulting clients on medical and legal rights, assisting families to cope with a terminally ill loved one and teach them to be caregivers, and helping individuals maintain maximum independence. Bay Area Care Team is licensed by the State of California. Bay Area Care Team is a home health care institution that is located in San Francisco, California. Their services include home visits by skilled nursing staff, physical therapy, speech therapy, home health aides, consulting clients on medical and legal rights, assisting families to

Based on the case study on pages 36-37 of our text and looking at the individual and financial needs of Don and Mary, I feel that they should both live in Assisted Living Facilities. According to our textbook, Assisted Living Facilities (ALF) provides assistance and supervision of activities of daily living for 24-hour. It offers more independence and privacy, a greater choices of services, and more involvement of direct care workers. (McSweeney-Feld & Oetjen, 2012, p. 25). As their care needs change, they can also opt to live in a Continued Care Retirement Communities (CCRC) which according to the book are residential complexes for seniors that offers housing options and comprehensive nursing care with their changing needs.

On 11/4/15 Ms. Brittany Terry and her daughter Lundyn met with CM for an ILP. CM introduce herself as the client temporary CM assigned to her case. Housing: Client 's exit strategy is to move by 2/18/16. Client must maintain employment and submit pay stubs weekly .Client is expected to comply with savings and have saved enough for one month 's rent and security by 12/18/16, Client is to seek for housing and obtain housing by 1/18/16.Client was reminded she must meet with her Housing Specialist Mr. Brown on a bi-weekly basis, comply with all housing requirements and explore all available housing options. Social Service: Client must meet bi-weekly with Case Manager for ILP Review appointments.