Sparks' Residential Meadowbrook

Allegation investigated: Staff does not treat residents with respect

Licensing Program Analyst (LPA) Darius Williams conducted a follow up visit to deliver findings. LPA met with Administrator Ceiara Sparks and discussed the purpose of the visit. LPA Williams left voicemails on the Reporting Parties phone requesting a return call to clarify information, and no calls have been returned to the LPA. LPA Williams conducted interviews. In regards to the allegation, staff does not treat residents with respect, LPA interviewed three staff and they all reported not observing any other staff making disrespectful statements or treating any resident disrespectful. LPA attempted to interview R1 with no success. *Continued on LIC 9099C* Unsubstantiated Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted and a copy of this report will be provided via e-mail. This agency has investigated the complaint alleging staff did not get timely medical care for resident. We have found that the complaint was UNFOUNDED, which means it could not have happened, and/or is without a reasonable basis, therefore we have dismissed the complaint. An exit interview was conducted and a copy of this report will be provided via e-mail.the state’s words, verbatim · CDSS document, Oct 17, 2023 · control 24-AS-20230831152122

Allegation investigated: Facility is not operating within the license

Licensing Program Analys (LPA) Darius Williams conducted an unannounced complaint visit. LPA Williams met with Administrator Ceiara Sparks and discussed the purpose of the visit. LPA Williams toured facility, interviewed Administrator, and observed Resident 1(R1). LPA Williams observed R1 in a wheel chair and a Gait belt around their torso. The Administrator reported the gait belt was used to transfer R1 from bed to the wheel chair. Administrator reported R1 can physicially walk, but R1 chooses not to. Administrator asked R1 to stand up out of their wheel chair and R1 repeated between statements of, "I can walk and I can't walk". LPA Williams did not observe R1 stand during the visit. *Continue on LIC 9099C* Substantiated The Administrator will request a new medical examination for R1. Additionally, a new fire clearance will be requested for non-ambulatory as the current fire clearance is for ambulatory only. Based on LPAs observations and interviews, the preponderance of evidence standard has been met, therefore the allegation, is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6,Chapter 8, section 87202(a)(1), is being cited on the attached LIC 9099D. Plan of correction was discussed and reviewed with the Administrator. An exit interview was conducted and a copy of this report will be provided via e-mail.the state’s words, verbatim · CDSS document, Sep 6, 2023 · control 24-AS-20230831152122

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a)(1) · Plan of correction due date: Sep 8, 2023

(a): ...prior to accepting or retaining any of the following types of persons,... and obtain an appropriate fire clearance... (1)Nonambulatory persons This requirement was not met evident by: Based on observation and record review, the Licensee did not obtain a nonamulatory fire clearance for 1 out of 6 person, which poses an immediate health and safety risk for persons in care.the state’s words, verbatim · CDSS document, Sep 6, 2023

Plan of correction: The Licensee agreed to submit a request for a nonambulatory fire clearance to the Department by 9/8/2023. Additionally, the the Licensee will request a new medical examination for R1.

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 08/15/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA was greeted by Laura Hudson. LPA introduced self, stated the purpose of the visit and request to meet with Administrator. LPA was granted entry. Licensee/Administrator Ceiara Sparks was called and arrived shortly. LPA conduct tour with Licensee and Lead Dana Curry. One resident was present upon arrival and depart during inspection for appointment. Licensee depart later during inspection and authorized Lead to receive and sign report. The tour started in the kitchen into the common areas, to the resident's bedrooms, and bathrooms. The facility was observed to be at a comfortable temperature of 75 degrees F, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. An adequate supply of perishable and non-perishable food was observed. Temperature maintained for refrigerator at 36 degrees F and freezer at 0 degrees F. Cleaning supplies and chemicals stored and locked under in laundry cabinet. Fire extinguisher was observed with a service date of: 03/20/23. Fire drill last completed: 07/24/23. Medications observed kept locked in medication drawer. MARs were reviewed. All bedrooms were observed to have required furnishings and with adequate lightening. Bathrooms were properly equipped, and the hot water temperature was tested at 105.4 in bathroom. Outside of facility toured and observed to be free of debris. Adequate outdoor seatings available for residents. All residents’ file reviewed to have update emergency contacts, Admission agreement, and Pre-Appraisal. Staff files reviewed to have current First Aid/CPR certification. Carbon monoxide and smoke detectors were tested and observed to be operational. First Aid kit observed with all required items. No deficiencies issued during this inspection. Exit Interview conducted. LPA received a copy of Lic 9282. The following documents are requested and submitted to Fresno CCL by: 08/22/23. Forms requested: Lic 308, Lic 500, Lic 610E, updated facility sketch, current liability insurance, current Administrator Certificate. A copy of this report was provided to Lead, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Aug 15, 2023

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.

Type of visit: Required - 1 Year

On 8/2/22, Licensing Program Analyst (LPA) K. Kaur arrived unannounced at the above facility to conduct an Annual Inspection-Infection Control. LPA met with Licensee Ceiara Sparks and stated the purpose of the visit. Visitor log-in/temperature check, masks, and disinfection station were observed upon entry. Facility has one entrance/exit point. Facility staff observed with facial coverings. Facility appeared clean with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Hand washing and other various Covid-19 related signs were observed in the common areas. Sharp items and cleaning supplies were secured in a locked cabinet in the pantry area. Medications were secured in a locked chest of drawers in the living room. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. Fire extinguisher in the Kitchen was last serviced on 4/19/2022 and was fully charged. Cleaning and PPE supplies were locked in the laundry area. Bathrooms have trash cans with lids. Hand washing posters were observed in the bathrooms by the sink. Staff records were reviewed for good health, infection control training. Residents wear masks when away from the community. Resident’s files have updated emergency contact information. No deficiencies were observed. LPA is requesting the following documents be submitted to the Fresno CCL office by 8/9/2022: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan (LIC610E), Personnel Report (LIC500), Register of Facility Clients/Residents for LIC9020. An exit interview was conducted with Licensee. Report signed on-site and printed copy provided.the state’s words, verbatim · CDSS document, Aug 2, 2022

Type of visit: Prelicensing

On this date, Licensing Program Analyst(LPA) D. Ayers arrived at the facility for an announced Pre-licensing Inspection. LPA met with Licensee Ceiara Sparks. LPA toured the facility inside and outside. All passageways and exits were clear and free from obstruction. The facility was adequately furnished, well-lit, and at a comfortable temperature. LPA observed smoke and carbon-monoxide detectors. Sharp items and cleaning supplies were secured in a locked cabinet in the pantry area. Medications were secured in a locked chest of drawers in the living room. LPA observed an adequate supply of perishable and non-perishable food stuffs. LPA toured resident bedrooms and bathrooms and observed bedrooms to have required minimum furnishings. Bathrooms have secure grab bars and non-skid mats. Outdoor area was free from hazards and had enough seating for all residents. Facility is licensed for 6 ambulatory residents. Licensee completed Component III Orientation. No deficiencies were cited during the inspection. A copy of this report was provided to the licensee via email.the state’s words, verbatim · CDSS document, Jul 21, 2021

Type of visit: Case Management - Other

COMP II by CAB successfully completed. Facility Type: RCFE Application Type: Change in Ownership (CHOW) Capacity: 6 Census (if any clients in care): 5-all ambulatory COMP II Participants: Ceiara Sparks, Administrator Interview Method: Telephone interview On July 13, 2021 at 09:10 AM, Administrator participated in COMP II via telephone with Analyst, Celia Phomphachanh from CAB. Identification of the Licensee was verified by providing California Driver License number verbally. During COMP II, Applicant confirmed the understanding of Title 22 and Health and Safety Codes. Component II was successfully completed. Administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB Analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility Operation: License type, client/resident populations, and program 2. Staff Qualifications and responsibilities 3. Applicant and Administrator Qualifications 4. Program Policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical Plant and Food Service 7. Application Document Review and Technical Assistance: Criminal Record Clearance, Health Screening, Fire Clearance, First Aid/CPR Certificate, Administrator Certificate, Financial Verification, Pre-licensing Inspection, Compliance History and Control of property. Interviewed concluded with Administrator. LIC 809 will be sent via email PDF to Administrator.the state’s words, verbatim · CDSS document, Jul 13, 2021