Ideal Care Centers

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Katie Brown arrived at the facility unannounced to conduct the Annual Inspection - Infection Control. Administrator (AD) Gregory Idoni was unable to be at the facility and authorized staff (S1) Joanna Gonzalez. LPA toured the facility inside and out. Upon entry, LPA observed visitor symptom screening and sanitizer. Covid-19 symptom and precautionary signs are posted at entry and throughout the facility. Furniture in common and dining areas are spaced to promote distancing. Facility has designated visitation areas available. LPA observed soap, paper towels and hand washing signs in bathrooms. LPA observed required food supply, paper products, PPE and resident medications. Cleaning/disinfecting products and sharps/knives were locked. LPA reviewed resident emergency contact information. Fire extinguishers are dated 7/1/22. Fire and Carbon Monoxide alarms were observed in working order. No deficiencies were cited during this inspection. An exit interview was conducted. A copy of this report was left with S1 whose signature confirms receipt of these documents. LPA requested the following updated forms by 3/14/2023: Affidavit Regarding Client/Resident Cash Resources (LIC 400), Surety Bond (LIC 402 if applicable),Designation of Facility Responsibility (LIC 308), Affidavit Regarding Client/Resident Cash Resources (LIC 400 if applicable), Personnel Report (LIC 500), Emergency Disaster Plan (610E), Client Roster (LIC 9020), Current Liability Coverage, Administrator Certificate.the state’s words, verbatim · CDSS document, Feb 28, 2023

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Katie Brown conducted a Case Management - Deficiencies in conjunction with the Annual - Infection Control. Administrator (AD) Gregory Idoni was unable to be at the facility and authorized Care Staff (S1) Joanna Gonzalez to sign reports. During the visit, LPA observed Diabetes and blood sugar reading supplies in the medication cabinet. Per S1, R2 does not have Diabetes but has orders for blood sugar to be tested. During a record review, LPA identified the following: 1. R1 (diagnosis of MCI) and R2's (diagnosis of Dementia) Physician Reports are out dated. 2. R1 and R2's Physician Report state: unable to perform injections or blood sugar testing 3. Physician Orders related to Diabetic care for R1 and R2 were unavailable for review 3. R1 has a wheelchair "seat belt" - orders unavailable for review 4.R3 has half side rails on a hospital bed - orders unavailable for review During the facility tour, LPA observed: 1. A package of disposable razors stored in a resident bathroom drawer The following deficiencies were observed and noted on the attached LIC 809D. All violations that, if not corrected, will have direct and immediate risk to the health, safety or personal rights of clients in care. An exit interview was conducted, and a Plan of Correction was developed and reviewed. A copy of this report and appeal rights were discussed and left with S1, whose signature on this form confirm receipt of these documents.the state’s words, verbatim · CDSS document, Feb 28, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Feb 28, 2023

87309 Storage Space (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement was not met as evidenced by: Licensee did not ensure that items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. LPA observed a package of disposible razors in a resident bathroom drawer. This poses an immediate health, safety or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Feb 28, 2023

Plan of correction: Defiency cleared at time of visit. S1 immediately removed and secured razors in a locked cabinet.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87608(a)(3) · Plan of correction due date: Mar 14, 2023

87608 Postural Supports (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal…Postural supports may be used under the following conditions. (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record… This requirement was not met as evidenced by: Licensee did not ensure that a written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. R1 has a wheelchair seatbelt and R3 has half side rails on a hospital bed.the state’s words, verbatim · CDSS document, Feb 28, 2023

Plan of correction: AD has agreed to obtain physician's orders which indicate the need for the postural support for R1 and R3. AD will email a copy of the corrected physician's order to LPA by the due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87629(a) · Plan of correction due date: Mar 14, 2023

87629 Injections (a) The licensee shall be permitted to accept or retain a resident who requires intramuscular, subcutaneous, or intradermal injections if the injections are administered by the resident or by an appropriately skilled professional. This requirement was not met as evidenced by: Licensee did not ensure injections are administered by the resident or by an appropriately skilled professional. R1 has Diabetes and requires blood sugar and insuilin assistance. There are no orders or proof of training at the facility. R2 requires blood sugar readings. No orders or proof of training are available at the facility.the state’s words, verbatim · CDSS document, Feb 28, 2023

Plan of correction: AD has agreed to obtain a Physicians order related to injections for R1 and R2. The order shall include the need for staff assistance if appropriate. The order as well as proof of staff training as required will be provided to LPA via email by the due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87458(a) · Plan of correction due date: Mar 14, 2023

87458 Medical Assessment (a) Prior to a person's acceptance... the licensee shall obtain and keep on file, documentation of a medical assessment... made within the last year... This requirement was not met as evidenced by: Licensee did not ensure R1, R2 or R3 did not obtain an updated Physician's Report (PR). R1's PR dated, 8/13/16 with dx of MCI, R2's 3/2/17 dx of Dementai, R3's 8/24/21 is incomplete. R2 and R3's PR state unable to perform glucose or insuilin injections.the state’s words, verbatim · CDSS document, Feb 28, 2023

Plan of correction: AD has agreed to obtain a revised Physician's Report for R1, R2 and R3. The report shall accurately reflect the residents needs and orders. A copy of the Physician's Reports will be emailed to LPA by the due date.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Katie Brown conducted Case Management in conjunction with the Infection Control Annual Inspection. LPA met with Administrator Gregory Idoni. During the Infection Control Inspection, the following was observed by the LPA: Storage Space: Cleaning supplies and sharps accessible to residents Maintenance and Operation: Light switch panels to be replaced, bathroom base board to be secured, resident bedding and mattress protector replacement & carpet cleaning The following deficiencies were observed and noted on the attached LIC 809D. All violations that, if not corrected, will have direct and immediate risk to the health, safety or personal rights of clients in care A copy of this report along with Appeal Rights were provided and an exit interview was conducted with Administrator Gregory Idoni.the state’s words, verbatim · CDSS document, Feb 9, 2022

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Feb 10, 2022

87309 Storage Space (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement was not met as evidenced by: Licensee did not encure that Disinfectants, cleaning supplies and sharps were inaccessible to clients. Cleaning supplies and sharps were not locked. This poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Feb 9, 2022

Plan of correction: Licensee corrected the deficiency during the visit. All cleaning supplies and sharps were moved to a locked cabinet. Licensee has agreed to place new locks in the kitchen to properly store cleaning supplies, sharps and medications. Proof of repair will be provided to CCLD by 2/23/22.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87303(a)(1) · Plan of correction due date: Feb 23, 2022

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement was not met as evidenced by: Licensee did not ensure that the facility was sanitary and in good repair. LPA observed broken light switch panels, unsecured baseboard in bathroom, soiled resident carpet, bed linens and matress. ***This poses a potential Health & safety risk to persons in care.the state’s words, verbatim · CDSS document, Feb 9, 2022

Plan of correction: Licensee has agreed to replace broken light switches and covers. Soiled box spring & matress will be replaced and covered with waterproof matress pad. Resident carpets will be cleaned. Weekly housekeeping checklist to be updated. Proof of correction will be provided to CCLD by 2/23/22.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Katie Brown arrived at the facility unannounced to conduct the Infection Control Inspection. LPA met with Administrator Gregory Idoni. LPA entered through the central entry point where health screening was conducted. LPA Observed visitor screening area, PPE and sanitizer. Infection control procedures which were observed or reviewed by LPA include: Daily symptoms screenings (for staff, residents and visitors), testing, visitation requirements, quarantine/isolation procedures, staffing, PPE and daily infection control procedures. All residents and live in staff are fully vaccinated. LPA toured the facility inside and out. Required postings as well as Covid-19 and hand washing were observed. Furniture in common and dining areas are spaced to promote distancing. Facility has designated visitation areas available. LPA observed 30-day resident medication as well as PPE supply. Bathroom sinks are stocked with liquid soap and paper towels washing. The following forms requested to be updated and submitted to LPA by 2/23/2022: LIC 308, 309 610, 500, 9020A, a copy of current Liability Insurance. Administrator Certificate Expiration date 6/12/2023. No deficiencies cited for Infection Control Annual Inspection.the state’s words, verbatim · CDSS document, Feb 9, 2022