Caring Hands

On 4/21/2022 at 8:35AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct an Infection Control Inspection. LPA met with caregiver, Mary Calica. LPA spoke with licensee, Mercedes Morales who stated she was unable to be at the facility and gave authorization to caregiver to sign the reports. Upon entry, LPA's temperature was checked and asked to fill out visitor's log. LPA observed hand sanitizer at screening station. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common areas, garage, and outdoor areas. LPA observed cough etiquette, signs & symptoms, and physical distancing are posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hand washing posters were posted at sinks and bathrooms. During record review, LPA observed visitors log and temperature log for both residents and staff. LPA observed facility has a copy of Mitigation Plan on file. LPA observed PPE, food supplies, and paper supplies are sufficient. At 9:00AM, LPA observed R1 and R2 had full bed rails. However, residents were not on hospice care. Staff removed full bed rails during visit. At 9:45AM, LPA observed S1 does not have health screening completed. LPA observed S1 had negative chest x-ray during record review. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights was provided.

On 4/9/2024 at 9:50AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Caregiver, Wilma Nacis and explained the purpose of the visit. LPA spoke with Administrator, Mercedes Morales over the phone and stated that caregiver can sign the licensing reports. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 9/11/2023. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 110.8 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. First Aid kit is complete. Last disaster drill was conducted on 3/14/2024. LPA reviewed 2 resident and 3 staff files starting at 10:45AM. LPA reviewed residents' medications starting at 2:30PM. LPA interviewed 2 residents and 2 staff at 3:00PM. At 11:50AM, LPA observed R1 does not have physician's report and TB test result on file during record review. At 2:50PM, LPA observed doctor's order (dated 11/2/2023) for R1's vitamin D3 was for 50mcg and Acetaminophen was for 325mg. However, facility has bottles of vitamin D3 125mcg and Acetaminophen 500mg. Facility does not have Lidocaine 4% top cream available for R1 with a doctor's order. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights was provided.

On 6/21/2023 at 9:55AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct Case Management - Annual Continuation. LPA met with Caregivers, Juliano Montero and Wilma Nacis. During visit, LPA reviewed 4 resident files and 3 staff files starting at 10:30AM. LPA reviewed a sample of resident's medications with their centrally stored records and MAR (Medication Administration Records) at 1:00PM. LPA interviewed 2 residents and 2 staff starting at 1:30PM. At 11:00AM, LPA observed R1 and R2 does not have medical assessment on file. LPA observed that R3 and R4 does not have chest x-ray results on file. At 11:15AM, LPA observed all four residents does not have reappraisal/needs and service plans on file. LPA only observed pre-placement appraisals on file. At 11:48AM, LPA observed unlocked eye drops and prescription ointments in the refrigerator. Staff locked up the items during inspection. At 12:30PM, LPA observed S2 does not have health screening on file for this facility and S1 does not have chest x-ray results on file. At 12:40PM, LPA observed S2 and S3 does not have current First Aid training. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted with Wilma Nacis. A copy of this report and appeal rights were provided.

On 4/24/2023 at 3:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Wilma Nacis. Administrator, Mercedes Morales arrived 30 minutes later. The facility’s fire clearance was approved for 6 non-ambulatory residents and 6 residents may be under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 3/21/2023. One week supply of nonperishable and 2-day supply of perishable foods were available. Hot water temperature was measured at 115 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. LPA will return at a later time to complete annual inspection. At 3:25PM, LPA observed unlocked medications in the refrigerator. Staff locked up medications in a lock box during inspection. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights were provided.