Rising Sun Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced to conduct a required annual visit. LPA was granted entry by caregiver staff, J. Paggao and explain the purpose of the visit. The residence was set at 73 degrees F temperature and free of passageway obstructions inside and outside. LPAs observed six bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition. Hot water temperature was measured at 109.3 degrees F. Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Medications are locked next to the kitchen. Sharps and knives are locked in the kitchen area. Cleaning supplies were locked under kitchen sink. Smoke detectors and carbon monoxide were checked and operating. Fire extinguishers were charged and was serviced on 7/2/2023. There was outdoor seating for the residents. Outdoor area was clean and free of obstruction. During the visit a file review was conducted for residents and staff files, refer to 809D for deficiencies. An exit interview was conducted, and a copy of this report was provided to caregiver staff, J. Paggao whose signature confirms receipt. LPA requested the following updated forms faxed to CCLD by 10/20/23: Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), Personnel Report (LIC 500), Proof of current Liability Coverage, and Plan of Operation, fire drill training, administrator certificate.the state’s words, verbatim · CDSS document, Oct 13, 2023

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Lady Cabrera arrived unannounced for an Annual Required Inspection. LPA called Administrator Pardeep Singh and designated Staff Maritess Paggao to assist LPA with conducting the inspection. LPA stated the purpose of the visit. A tour of the facility was conducted. COVID-19 guidelines are in place. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point. Facility appeared clean with no obstruction or fire clearance issues. Hand sanitizer was readily available to clients and visitors. Social distancing is maintained in the common and dining areas. Bathrooms have trashcans with lid. Hand washing posters were observed by the bathrooms and kitchen. Bedrooms were checked. The exterior tour was conducted. LPA checked residents’ medications and observed a 30-day supply. Food supply was checked and there appeared to be an adequate supply. Cleaning and PPE supplies were checked. Facility staff was observed with mask on. Residents wear masks when away from the community. Resident’s files have updated emergency contact information. Exit interview conducted. Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate & up to date information for your facility. In an effort to maintain your facility file, please submit the most current & complete forms &/or information as identified below: Residential Care Facility for the Elderly (RCFE): · LIC 308 Designation of Facility Responsibility · -as applicable: LIC 309 Administrative Organization · -as applicable: LIC 400 Affidavit Regarding Client/Resident Cash Resources · -as applicable: LIC 402 Surety Bond · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly · LIC 9020 Register of Facility Clients/Residents · Copy of current Liability Insurance · Copy of current Administrator Certificate · Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 12/07/2022 As an operator of a Community Care Licensed facility it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informed.the state’s words, verbatim · CDSS document, Nov 30, 2022

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Licensee did not refund fees as per the Admission agreement.

On 8/122022 Licensing Program Analyst (LPA) M. Garza arrived at facility to deliver complaint findings. LPA contacted Administratorr, Pardeep Singh who stated they were unavailable. Administrator gave permision for Care Staff, Marites Paggao to complete tour and sign reports(s). LPA explained reason for visit and was permitted entry to facility. LPA was COVID pre-screened at time of entry. LPA toured facility and completed a health and safety check on residents in care. Residents observed in common areas and in rooms. During investigation LPA reviewed resident files, admission agreement, hospice records and completed interviews. Interview with staff showed R1 was at the facility for less than two weeks. Interviews disclosed that a refund was not given for R1 to responsible party upon R1’s death. Admission agreement reviewed stated a refund would be given upon the death of a resident once residents belongings were removed from the facility. This allegation listed above is SUBSTANTIATED. Deficiency cited on 9099-D. An exit interview completed. Appeal rights and a copy of this report was given. Substantiatedthe state’s words, verbatim · CDSS document, Aug 12, 2022 · control 24-AS-20220606135248

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.652(c) · Plan of correction due date: Aug 19, 2022

1569.652 Termination of admission agreement upon death of resident; removal of resident’s property; refund of fees paid; notice of contract termination and refunds (c) A refund of any fees paid in advance...property has been removed from the facility shall be issued...within 15 days after the personal property is removed. This requirement was not met as evidence by: LPA interviews with RP and Administrator. Interviews showed that a refund was not given in the required 15 days, once residents belongings had been removed from the facility. This poses a potential health and safety or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Aug 12, 2022

Plan of correction: Refund minus the amount of funds for 16 days R1 and belonging were at the faciity will be refunded immediately. Staff to complete training on regulation. Training material and sign in sheet to be provided to CCL by POC date.

Type of visit: Case Management - Other

On 8/122/022 Licensing Program Analyst (LPA) M. Garza arrived at facility for a case management visit. This case management is being completed for a previous visit made to the facility on 6/15/2022. LPA met with Administrator, Pardeep Singh and was informed they were unavailable. Administrator gave permission for Care Staff, Marites Paggao to complete tour and sign report(s). Reason for visit was explained. LPA was COVID pre-screened at time of entry. LPA toured facility and completed a health and safety check on residents in care. Residents observed in common areas and in rooms. During visit LPA requested to review R1’s file. R1’s file was unable to be located. Documentation was provided to CCL at a later date via email. Residents files must be retained at the facility/centralized location within a reasonable distance. Administrator stated they could retrieve files but would take them approximately 45 minutes to 1 hour to return. Deficiency cited on 809-D An exit interview completed. A copy of this report and appeal rights was given.the state’s words, verbatim · CDSS document, Aug 12, 2022

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(a) · Plan of correction due date: Aug 19, 2022

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff This requirement was not met as evidence by: LPA interview and observation. LPA reviewed facilities resident records. LPA requested R1’s file to which staff stated it was unavailable. This poses a potential health and safety or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Aug 12, 2022

Plan of correction: Staff will have traiing for ditigital files to access. Staff to complete training on regulation. Training material and sign in sheet to be provided to CCL by POC date.

Type of visit: Case Management - Deficiencies

On 6/15/2022 Licensing Program Analyst(LPA) M. Garza arrived at facility to complete an initial 10-day complaint visit. LPA was met by Direct Care Staff, Marties Paggao. LPA introduced self and was permitted entry into facility. LPA was not COVID pre-screened. LPA toured facility and completed a Health and Safety check on residents in care. Residents were observed in rooms and in common areas having lunch. During tour LPA observed the following concerns addressed in this case management visit: trash bins in restrooms were without lids, LPA observed a visitor log and hand sanitizer but was not COVID pre-screened upon entry, 2 staff present were not wearing a face coverings and Let Us Know poster is 8x10 in size. 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. Exit interview completed. A copy of this report and appeal rights given.the state’s words, verbatim · CDSS document, Jun 15, 2022

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87470(b)(2) · Plan of correction due date: Jun 24, 2022

87470 Infection Control Requirements (a) (a) A licensee shall ensure that infection control practices are maintained as follows... This requirement was not met as evidence by LPA observation of trash bins without lids, LPA not COVID pre-screened upon entry, 2 staff present not wearing face coverings. This poses a potential Health and Safety risk to residents in carethe state’s words, verbatim · CDSS document, Jun 15, 2022

Plan of correction: Training will be completed with all staff to ensure infection control requirements are being followed. Administator to provide traiing material and sign in sheet once completed by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87468((2)(A) · Plan of correction due date: Jun 24, 2022

87468 Personal Rights (2) Information on the appropriate reporting agency in case of a complaint or emergency, including procedures for filing confidential complaints, shall be posted as follows:(A)...(PUB 475)...shall be 20" x 26" in size... This requirement was not met as evidence by: LPA observation of the Let Us Know poster is 8x10 in size posted in common area in frame. This is a potential Health and Safety or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jun 15, 2022

Plan of correction: Administrator to aquire a 20x26 sized poster and post in common area. Administrator to provide CCL a picture once completed no later than POC date.

Type of visit: Required - 1 Year

On 11/24/2021, Licensing Program Analyst, M. Garza arrived at the facility unannounced to conduct the required Infection Control Inspection. LPA contacted Administrator, Pardeep Singh to complete COVID pre-screening. LPA was greeted by Caregivers John Paggao and Marites Paggao and were allowed entry into the facility. LPA observed a central entry point with a supply of hand sanitizer and a sign in policy that includes documented routine symptom screening for resident's, staff and visitors. Residents observed in the dining area and common area watching television. Mitigation plan was received. COVID-19 procedures described in the plan include required postings, symptoms screenings (for staff, persons in care and visitors), testing, quarantine/isolation cohorts, infection control plan to include donning and doffing of Personal Protective Equipment. Staffing and sick leave plans are in place for emergency staffing and/or PPE shortages. LPA toured the facility inside and out. Required postings of signs observed in restroom and hallway. Licensee to post additional signs throughout the facility. 1 of 2 staff observed wearing face coverings. Facility has designated visitation areas. Covered trash bins were observed. LPA did not observe a 30 day supply of PPE. Resident medications is 30 day supply. Sinks are well stocked and liquid soap for hand washing and paper towels for hand drying were observed. Technical Advisories provided for infection control deficiencies on todays inspection. Due to COVID precautionary measures a copy of this report will be emailed to: risingsuncare@gmail.com. A delivered and read receipt serves as confirmation.the state’s words, verbatim · CDSS document, Nov 24, 2021

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.