Cherish Care Home Inc.

On 08/30/2024 at 11:15 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Marilin Alegria and explained the purpose of the visit. Licensee/Administrator, Ogedi Okeigwe, arrived shortly after. The facility’s fire clearance was approved for capacity of six (6) residents. In which one (1) may be bedridden and hospice waiver approved two (2). Administrator's certificate #6041025740 expires 09/01/2024. LPA toured facility with Marilin including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of seven (7) total bedrooms which six (6) bedrooms are occupied by the residents and one (1) bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 76 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 115.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors were in operating condition during visit. Fire extinguisher was last serviced on 12/11/2023. Emergency Disaster Plan was last posted on 08/24/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 07/07/2024. LIC809-C Continued... 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 LIC809-C Continued... LPA reviewed five (5) residents records. LPA reviewed five (5) staff records and 4 of 5 have current first aid training and associated to the facility. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 09/06/2024: LIC 308 Designation of Administrative Responsibility -reviewed LIC 309 Administrative Organization - reviewed LIC 500 Personnel Report - reviewed LIC 610E Emergency Disaster Plan - reviewed Liability Insurance - reviewed Exit interview conducted. Appeal Rights and a copy of this report provided.

On 10/19/2023 Licensing Program Analyst (LPA) L. Alexander conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 10/06/2023. LPA L. Alexander met with Caregivers, Kimarley Whyte and Symone Reeves and explained the purpose of the visit. LPA L. Alexander asked if the Resident #1 (R1) was still residing at the resident. Kimarley says that the resident moved out on 10/06/2023. Kimarley says that the resident went back to the hospital a second on 10/06/2023 and was discharged but they do not know where the resident went to next. LPA L. Alexander received an e-mail and had a conversation with Licensee/Administrator, Ogedi Okeigwe, regarding the incident that 911 was called due to breathing issues that R1 was having and that he felt that R1 needs a higher level of care in which the caregiving staff is unable to give. Furthermore, the exception request for the PEG-Tube in which R1 had was also withdrawn. LIC809C....Continued.... 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 LIC809....Continued The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided

On 08/30/2023 at 11:06 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Kimarley "Marley" Whyte and explained the purpose of the visit. The Licensee/Administrator, Ogedi Okeigwe, arrived approx. 12:30 PM. The facility’s fire clearance was approved for 6 Non-Ambulatory, of which 1 can be Bedridden and approved hospice waiver for 2. LPA toured facility with Marley including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 6 bedrooms are occupied by the residents. Staff resides in cottage off in the back area. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 116.4 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 01/06/2023. Emergency Disaster Plan was last posted on 07/23/2020. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 08/07/2023. LIC809C...continued 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 LIC809 Continued.... At 12:00 PM, LPA reviewed 6 residents records in which 1 of the resident had recently passed. At 1:00 PM, LPA reviewed 5 staff records and 4 of 5 have current first aid training and associated to the facility. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 12:15 PM, LPA observed during record review and interview that R1 has a prohibited health condition. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 09/06/2023: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Exit interview conducted. Appeal Rights and a copy of this report provided.

During investigation of complaint (Complaint Control # 15-AS-20210511161656 ) and upon checking of facility roster and the Department’s Guardian Portal for fingerprinted and associated individuals, the Department learned that staff (S1) was fingerprinted but not associated to this facility. On this day, November 16, 2022, Licensing Program Analyst (LPA) Delmundo arrived to the facility unannounced and met with staff, Kimarley Whyte. LPA informed the purpose of visit. LPA called and spoke with Ogedi Okeigwe, administrator, over the phone and informed of the above. Deficiency and plan and proof of correction were discussed with the administrator. Exit interview conducted. Appeal Right, LIC9098 Proof of Correction form and copy of this report provided to Kimarley White.