East West Care Redwood City Ii

On September 26, 2024 at 2:35 PM, Licensing Program Analysts (LPAs) Kiran Jain and Komal Charitra conducted an unannounced visit to deliver a copy of amended LIC809-C report. LPAs met Natvidad Garcia, caregiver and Leticia Devijo, caregiver and explained the purpose of the visit. On September 04, 2024, Licensing Program Analysts (LPAs) Kiran Jain and John Calandra arrived at the facility at 09:40 AM to conduct the Annual 1-year required inspection. LPAs Jain and Calandra met with Emma Advincula, Caregiver, and explained the purpose of the visit. Cyndi Advincula, Administrator joined the visit later. LPAs Jain and Calandra toured the physical plant. This is a single-story building with 8 bedrooms, 2 bathrooms, living room, and kitchen with dining. No accessible bodies of water or hazards were observed. The fire extinguisher was fully charged and last serviced on April 2022. The smoke detector and carbon monoxide detector were fully operational. All rooms were observed to be clean with sufficient furniture and lighting. The hot water temperature in the bathroom sink faucet was measured at 112.3°F. Sharp objects, detergents, poisons, and soap were observed to be accessible to persons in care. In the presence of the LPAs, they were locked and are no longer accessible to persons in care. The kitchen sink water temperature was measured at 113.8°F. No expired food items were observed. The facility had the required 7-days of non-perishables and 2-days of perishables. LPA reviewed five resident records and five staff records. All were observed to be complete. The client’s medications are securely stored in a locked cabinet. Medication administration records (MARs) were reviewed, and no expired medications were observed. The First Aid kit was checked and observed to be sufficiently stocked. 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 On September 26, 2024 at 2:35 PM, Licensing Program Analysts (LPAs) Kiran Jain and Komal Charitra conducted an unannounced visit to deliver a copy of amended LIC809-C report. LPAs met Natvidad Garcia , caregiver and Leticia Devijo , caregiver and explained the purpose of the visit. The following updated forms are requested to be submitted to CCLD: · LIC 500: Personnel Report LPAs received current liability insurance via email during the visit along with the current Administrator certificate. A Civil Penalty of $500 ($100/day x 5 days) for having a staff member not associated to the facility. The deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the due date may result in civil penalties. An exit interview was conducted. This report was reviewed with Cyndi Advincula, Administrator and a copy of this report along with appeal rights was left at the facility.

On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced infection control annual inspection visit. LPA met with facility caregiver Emma Advincula and let her know the purpose of today's visit. Upon entry LPA had temperature taken but not asked COVID symptoms questions. LPA did observe no staff wearing masks upon entry. Masks were later worn by staff during the inspection. LPA later met with the licensee Cynthia Advincula who arrived during the inspection. LPA toured the physical plant inside and out. There are no accessible bodies of water or fire safety hazards observed. COVID postings are not present on the front door or inside the facility. Hand washing signs are observed in resident bathrooms. Hand sanitizer is observed as available near the front door of the facility. Facility ambient temperature is warm and comfortable, and lighting is sufficient for residents and staff safety. Medications and knives are observed as locked and not accessible to residents. First aid kit is observed as complete. Toilet and bathing facilities are equipped with grab bars and non-slip mats. Liquid soap is available. Paper towels are present for resident use. Water temperature is taken in a common resident bathroom at 120F. Laundry machines and dryers are functioning. Emergency food supply, dry goods, and perishables are observed as in place. Fire extinguisher located in dining room/kitchen are is observed as inspected on 2/15/2022. Appears to be charged and ready for use. Infection control practices are reviewed: entry procedures, staff training and policies, resident monitoring, containment strategies, environmental preparation and cleaning. PPE supply is observed as in place. Medications, toxins are stored appropriately and inaccessible to clients. LPA reviewed training record. Resident temperature logs and staff logs are current. All staff are vaccinated and boosted. Residents are vaccinated and boosted. Facility PPE supplies are observed as in place. A disaster and mass casualty plan is present and current. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. LPA identified two staff, S1 and S2, that are not associated. Administrator certificate is viewed as current expiring 10/05/2023. LIC808 is discussed and is not current LPA is requesting updated LIC808 to be sent to licensing by 08/12/2022 LPA is requesting the following updated forms to be received by 08/12/2022 : • Copy of administrator Certificate • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • LIC 610E Civil penalty is being assessed today at $100 x 2 (two staff not associated) = $200 Report is reviewed with administrator. Deficiencies cited on the following 809D.