Burlingame Senior Home

On June 5, 2025 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregivers, Helen Soriano and Jesusa Madueno and LPA explained the purpose of the visit. The administrator, Fereshteh Ehsanipour arrived shortly thereafter and assisted with the rest of the inspection. LPA toured the facility inside out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, and backyard. The indoor and outdoor passageways were free of obstruction. The facility has 4 resident rooms (2 shared and 2 private rooms) with bathrooms and 1 staff room. Furniture and furnishings were observed to be sufficient. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas were observed clean and in operating condition. shower was observed equipped with non-skid mats and grab bars. Comfortable temperature is maintained and lighting is sufficient for comfort. Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. Central storage for medications, sharps and chemicals were observed to be locked and inaccessible to residents in care. Hot water temperature in the kitchen and bathroom were measured at 106-121 degrees Fahrenheit. Fire extinguishers were checked. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 A review of (4) resident files was conducted and noted on the LIC 858. A review of (1) staff files was conducted and noted on the LIC 859. During today's visit, civil penalty in the amount of $300 is being assessed ($200 for S1 and S2's criminal records were not transferred and $100 for Failure to Correct a deficiency that was issued in 2024). Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in additional civil penalties. This report is reviewed and discussed with administrator. A copy of this report and the appeal rights were provided.

On 8/2/2022, Licensing Program Analysts (LPAs) Murial Han conducted an unannounced case management visit to deliver the findings in reference to complaint # 14-AS-20220609140245. LPA met with the administrator and explained the purpose of the visit. During the course of the investigation, the allegation of staff leave residents unattended for extended period of time was deemed to be unsubstantiated. However, Staff #2 reported sleeping on the couch in the resident's living. Based on the complaint investigation, the facility did not ensure to provide a comfortable living accommodations and privacy for residents and staff. This deficiency will be cited on LIC809D. During the course of the investigation, the allegation of staff did not provide residents with walker was deemed unfounded. However, LPA observed resident #1 (R1)'s bed has two quarter bed rails installed by head of the bed and R1 reported facility staff placed another removable metal device by the foot of the bed and a dresser in middle space between the head and the foot of the bed. Facility staff acknowledged the above devices were placed next to R1's bed and reported the intent was to prevent R1 from falling out of the bed. According to the documents provided, there was no physician's order for any of the devices used above and administrator acknowledged that R1 used the quarter bed rails for reposition while in bed. However, there was no physician's order. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Based on the complaint investigation, the facility did not obtain a physician's order and/or documentation for using the devices mentioned above and these devices were restricting R1's movement. Deficient is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with the administrator. A copy of this report and the Appeal Rights are provided.