Backer Senior Carehome

Type of visit: Required - 1 Year

On 08/15/2023, Licensing Program Analyst (LPA) V. Gorban arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA toured facility with Administrator Arlene Bautista (certification number 6024205740 and expiration date 01/04/2025). Facility has one entrance/exit point. LPA toured facility with Administrator inside and out. The facility was observed to be at a comfortable temperature, of 78 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. Department phone number and infection prevention information signs were posted thought the facility. Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed. Fire extinguisher was observed with a service date of 07/15/2023 All residents’ bedrooms were observed to be with comfortable temperature. Residents bathroom was observed, hand washing signs posted, trash can have lid, and water temperature was tested and recorded reading of 107 degrees F. Medications observed to be locked in a cabinet in the hallway. LPA reviewed MAR, it appears to be administered properly. Cleaning supplies were observed to be in a locked cabinet in the laundry room. An outdoor seating area was observed for residents in care. LPA reviewed Staff and Resident files. Resident files observed to have update information. No deficiencies were observed. Exit interview conducted. Report was signed and copy of this report was provided for facility records.the state’s words, verbatim · CDSS document, Aug 15, 2023

Allegation investigated: Staff confiscated resident's personal item. Staff forcing residents to go to bed. Staff forcing resident to shower

On 2/13/2023 Licensing Program Analyst (LPA) V Gorban visited unanoused facility stated above to deliver findings. LPA met with Administrator Arlene Bautista And Licensee LIsa Pua. The Department has investigated the complaint alleging: Staff confiscated resident’s personal item. Item was requested to be taken by family member due to residents call to family at night. Based on the interviews conducted and/or records review the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. Staff forcing resident to go to bed. Resident was offered to go to bed instead of requested smoking outside at night. House Rules prohibited smoking on the facility premises past 6pm. Based on the interviews conducted and/or records review the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. Unsubstantiated Staff forcing resident to shower. Resident is fall risk/ unstable and requires staff standby near, in the bathroom, behind the shower curtain while resident showers. Based on the interviews conducted and/or records review the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted . No citations issued on this visit. Copy of this report printed and left with the Administrator for facility records.the state’s words, verbatim · CDSS document, Feb 13, 2023 · control 24-AS-20221116110027

Allegation investigated: Facility staff are verbally/aggressively abusive to resident. Facility staff are preventing resident from having contact with family. Facility staff did not follow reporting requirements.

On 02//13/2023, Licensing Program Analyst (LPA) V Gorban unannounced visited facility stated above to deliver findings. LPA met with Administrator Arlene Bautista and Licensee Lisa Pua. LPA explained the reason for the visit. The Department has investigated the complaint alleging: Facility staff verbally/aggressively abusive to resident. LPA interviewed residents. Based on the interviews conducted and records review the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. Facility staff preventing resident from having contact with family. LPA interviewed staff, family member and residents. Family requested resident’s phone to be taken away. Based on the interviews conducted and Unsubstantiated records review the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. Facility staff did not follow reporting requirements. RP did not provided evidence to allegation. Based on the interviews conducted and/or records review the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted. No deficiency were observed on this visit. Copy of this report was provided for facility records.the state’s words, verbatim · CDSS document, Feb 13, 2023 · control 24-AS-20221122141804

Type of visit: Required - 1 Year

On 08/03/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. Facility staff informed LPA that Administrator was not present in the facility. Facility staff contacted Assistant Administrator (AA), Elisa Pua, who arrived a short time later. Facility tour conducted with AA. All pathways, entrances and exits were clear from obstructions. No fire clearance issues. LPA observed signs promoting hand-washing, social distancing, and cough/sneeze etiquette throughout facility. Facility staff observed to be wearing facial coverings. LPA toured the facility kitchen. LPA observed an adequate supply of food. LPA observed a 30 day supply of PPE and cleaning supplies. Hand- sanitizer is readily available. Facility has 4 bedrooms, 2 bedrooms are single occupant and 2 bedrooms are double occupant. Facility bathrooms were stocked with paper towels and liquid soap. Hand-washing signs were observed in resident bathrooms. LPA checked residents' medication and observed a 30 day supply. LPA observed refrigerated medications to be accessible to residents in care in a box in the refrigerator. Resident records have updated emergency contact information. Facility staff records reviewed for good health. LPA is requesting the following documents be submitted to the Fresno CCL office by 08/17/2022: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E) Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond. CONTINUED TO LIC809C Based on observation, a deficiency is being cited in accordance to California Code of Regulations, Title 22, Division 6 on the attached 809D Exit interview conducted and a plan of correction was reviewed and developed with Assistant Administrator. A copy of this report and appeal rights were discussed and provided to Assistant Administrator, Lisa Pua, whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Aug 3, 2022

Type of visit: Required - 1 Year

On 07/23/2021, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit and requested to speak with the Administrator. Administrator, Arlene Bautista, was contacted via telephone and arrived a short time later. LPA disclosed the purpose of the visit with Administrator. The facility has one central entry and exit. Upon entry to the facility, LPA observed visitor log-in/screening. Facility tour conducted with Administrator. All pathways, entrances and exits were clear from obstructions. No fire clearance issues. LPA observed signs promoting hand-washing, social distancing, and cough/sneeze etiquette throughout facility. Facility staff observed to be wearing facial coverings. LPA toured the facility kitchen. LPA observed an adequate supply of food. Facility receives grocery delivery every 2 weeks. LPA observed a 30 day supply of PPE and cleaning supplies. Hand-sanitizer is readily available. Facility has 4 bedrooms, 2 bedrooms are single occupant and 2 bedrooms are double occupant. Facility bathrooms were stocked with paper towels and liquid soap. Hand-washing signs were not observed in resident bathrooms. LPA checked residents' medication and observed a 30 day supply. Resident temperature checks are documented daily. Resident records have updated emergency contact information. Facility staff records reviewed for good health and infection control training. Administrator certificate is current. No deficiencies issued during this inspection. Exit interview conducted. As a COVID-19 precautionary measure, a copy of this report will be provided via email and an electronic read receipt confirms receiving this document. Administrator informed to select yes when prompted to send read receipt. Facility Representative signature on file.the state’s words, verbatim · CDSS document, Jul 23, 2021