Arcadia Family Care

Type of visit: Required - 1 Year

On 11/28/2022, Licensing Program Analyst (LPA) M. Medina conducted an Annual Required Infection Control Inspection. LPA Medina met by Licensee, Jerry Yatco and stated the purpose of the facility visit. COVID-19 guidelines are in place. Visitor log-in/temperature check was observed upon entry. Tour of the facility conducted. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitor. Resident bedrooms toured, facility has 1 shared bedroom and 4 private bedrooms. Resident bedroom that is shared has a minimum of 6 feet between beds. LPA checked residents’ medications and observed a 30-day supply. LPA observed a 2-day supply of perishable and a 7-day supply of non-perishable food available. Cleaning supplies are locked and secured. Facility has PPE supplies available. Fire extinguisher present with a service date of 1/04/2022. LPA observed carbon monoxide detectors and smoke detectors to be operational during today's inspection. Outside of facility toured, all exits open freely and no obstructions observed. Exit interview was conducted. Facility report signed on site and a copy provided to Administrator for facility records. No deficiencies issued during inspection.the state’s words, verbatim · CDSS document, Nov 28, 2022

Allegation investigated: Resident was not provided adequate care while in care. Facility not communicating with authorized representative.

Licensing Program Analyst (LPA) Katie Brown arrived at the facility unannounced to deliver complaint investigation findings to the facility. LPA met with and explained the purpose of the visit with Jasmin Yatco. The Department investigated the allegation: Resident was not provided adequate care while in care. During the course of the investigation, interviews were conducted and Resident (R1’s) facility file was reviewed. A video and pictures were provided and include date confirmation of the incident. Text messages were provided that confirm that the facility was not able to meet R1’s care needs. The Department investigated the allegation: Facility not communicating with authorized representative. During the course of the investigation interviews were conducted and pictures were provided and reviewed. The timestamp on the pictures of the text conversation confirm that R1’s Representative was not notified of the incident and R1’s condition and needs until the following morning. See LIC 9099C for continuation of this report Substantiated Based on interview and record review and observation of video and pictures, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. A deficiency is being cited in accordance with California Code of Regulations on the attached LIC 9099-D. An exit interview was conducted and Plans of Corrections were reviewed and developed. A copy of this report and Appeal Rights were discussed and left with Administrator Jasmin Yatco, whose signature on this form confirm receipt of these documents.the state’s words, verbatim · CDSS document, Sep 6, 2022 · control 24-AS-20220615143225

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(d)(3) · Plan of correction due date: Sep 14, 2022

87411 Personnel Requirements (d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: (3) Skill and knowledge required to provide necessary resident care and supervision, including the ability to communicate with residents. This requirement was not met as evidenced by: Licensee did not ensure that staff had the knowledge and skill required to provide necessary care and supervision for R1. Facility staff were not able to provide the care to assist R1 off the floor after experiencing a fall resulting in R1 laying on the floor for multiple hours. This poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 6, 2022

Plan of correction: Facility has agreed to provide staff inservice to review all aspects of care and supervision. A review of when to call for Emergency Medical Services will also be conducted. Administrator will submit a sign in sheet with staff names and signature as well as a copy of training materials to CCLD via email by 9/14/22

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(8) · Plan of correction due date: Sep 14, 2022

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement was not met as evidenced by: Licensee did not ensure R1's personal rights were met. Facility did not contact and report to R1's Representative that R1 had fallen, the status of R1's condition or that staff were unable to assist R1 off the floor. This posis a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 6, 2022

Plan of correction: Facility has agreed to provide training of Personal Rights to all staff. A copy of a sign in sheet and training materials used will be provided to CCLD via email by 9/14/22.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Katie Brown conducted a Case Management in conjunction with a 10-Day complaint visit. LPA met with and explained the purpose of the Case Management with Facility Designee, Olivia Raura as the facility Administrator was unavailable. During the visit, LPA toured the facility and observed chemicals and cleaning supplies in the laundry room and under the kitchen sink that were accessible to residents and not locked up. 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 including Plan of Correction and Appeal Rights were provided via email to jasireejustin@yahoo.com. An exit interview was conducted with Olivia Raura who authorized Care Provider Rose Treyes to sign the visit reports.the state’s words, verbatim · CDSS document, Jun 22, 2022

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a)(1) · Plan of correction due date: Jul 6, 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. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked. This requirement was not met as evidenced by: Licensee did not ensure that disinfectants, cleaning solutions and other items which could pose a danger were inaccessable to clients. LPA observed paint, cleaning supplies and chemicals unlocked in the laundry room and under the kitchen sink. This poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Jun 22, 2022

Plan of correction: The facility staff secured the chemicals, paint and cleaning supplies to a locked cabinet during the visit. The facility has agreed to provide training to staff regarding chemical storage. In addition, pictures will be submitted to CCLD of the permanant locked location of the laundry room chemicals and supplies. Proof of training in the form of a staff sign in sheet and pictures will be provided to CCLD via email by 7/6/2022. Email and contact information were provided.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Darius Wiliams conducted an unannounced Annual Visit inspection. LPA Williams met with Administrator, Jasmin Yatco, and discussed the purpose of the visit. LPA Williams toured the facility. LPA Williams observed a visitor log/temperature check, masks, and disinfection station at the front entrance. Facility has one entry and exit point. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common areas. Hand washing signs were observed in the bathrooms. LPA Williams advised the Administrator to hang following signs in the common areas; cough etiquette, recognizing symptoms, and physical distancing. LPA Williams observed a two day supply of perishable food and seven day supply of non-perishable food. Cleaning supplies and medications were observed behind a locked door. LPA Williams observed the following personal protective equipment in storage; gown,gloves, and masks. Administrator has access to face shields at a offsite location. LPA Williams observed staff training records regarding Covid-19 mitigation and infection control. LPA Williams observed all facility staff wearing masks. Resident’s files have updated emergency contact information. No deficiencies were cited. LPA Williams requested the following documents be sent to the Department by 11/4/2021; Personnel Report (LIC 500), Designation of facility (LIC 309), and Administrator Certificate. Exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Oct 28, 2021