J & C Care Center

Type of visit: Required - 1 Year

On 11/07/2023 at 10:35 AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Jessica Ching, Administrator and explained the purpose of the visit. LPA toured facility with Jessica including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 14 total bedrooms which 12 bedrooms are occupied by the residents and 0 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 110.9 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid tiles. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 11/2/2023. Emergency Disaster Plan was last posted on 1/1/2018. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 11/02/2023. LPA reviewed 4 residents records. LPA reviewed 4 staff records and 4 of 4 have current first aid training and associated to the facility. LPA reviewed a sample of resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided via email.the state’s words, verbatim · CDSS document, Nov 7, 2023

Allegation investigated: Staff are not allowing resident in care to receive services as prescribed by their physician.

On 11/30/2022 at 11:50AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to deliver findings for the above allegation. Upon arrival, LPA met with Jessica Ching Administrator, and explained the purpose of the visit. During the course of the investigation, LPA obtained information, interviewed staff and residents. Based on information obtained, Staff are allowing resident in care to receive services as prescribed by their physician. Based on interview with residents, 3 of 3 residents states that the staff do allow them to received services that are prescribed by their physician. Although the allegations may have happened or are valid, there are not preponderance of evidence to provide the alleged violation did occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, and a copy of this report provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 30, 2022 · control 15-AS-20220913155756

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 11/30/2022 at 9:50AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct Infection Control Inspection. LPA met with Administrator, Ho (Alan) Administrator and explained the purpose of the visit. LPA temperature were checked at the entrance. During the Infection Control Inspection, LPA toured facility including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen and backyard. Water temperature is measure at 106-degree Fahrenheit. Fire extinguisher was last checked on 10/19/22. Facility has a sufficient 2-day perishable and one week non-perishable food supply. Visitors policy is posted on the front entrance. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Facility has a mitigation plan and maintains record of routine screening for residents and staff. During record review, LPAs reviewed a sample of 2 staff records and observed 2 of 2 have health screening with TB test on file. Report continue on LIC 809C... Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 12/14/2022: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 30, 2022

Allegation investigated: Resident developed pressure injuries while in care Staff failed to address scabies outbreak Staff threatened resident with eviction

On 3/11/22 at 8:30am, Licensing Program Analyst (LPA) Catherine Lin conducted an unannounced subsequent complaint investigation regarding the above allegations and deliver investigation findings. LPA explained the purpose of the visit with administrator. Allegation: Resident developed pressure injuries while in care – Unsubstantiated The Department has investigated this allegation and per records review and interviews found that redness was observed on 8/10/20, and that when a wound developed the following day the facility immediately transferred the resident to the hospital. Licensing and R1’s family were informed at the time. After few days of hospital stay, hospital determined R1 would be admitted to Suncrest Hospice services. Suncrest hospice provided Care Plan for R1. Administrator was in constant communication with family members, hospital, and hospice, and also informed licensing regarding R1’s changing of condition and recovering progress. Continue on LIC9099C Unsubstantiated Allegation: Staff failed to address scabies outbreak – Unsubstantiated The Department has investigated this allegation and per records review and interviews, R1 was transferred to hospital on 7/9/20 and discharged on 7/10/20. Hospital documentation did not indicate that R1 had scabies and there was no evidence obtained to indicate that R1 had scabies after returning to the facility. Allegation: Staff threatened resident with eviction – Unsubstantiated The Department has investigated this allegation and per records review and interviews, R1’s son (W3) stated that his mother (W5, spouse of R1) was chronically late with payments to the facility; and found no evidence that an eviction letter had been drafted and presented to the resident or family. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did occur, therefore the allegations are unsubstantiated. No deficiencies cited. Exit interview conducted and a copy of this report provided to administrator.the state’s words, verbatim · CDSS document, Mar 11, 2022 · control 15-AS-20200826083903

Allegation investigated: Staff does not provide adequate food service.

On 12/10/2021 at 7:55am Licensing Program Analyst (LPA) Catherine Lin conducted an unannounced subsequent complaint investigation regarding the allegation that Staff does not provide adequate food service to deliver investigation findings. LPA met with Administrators Jessica Ching and Ho Fung, and explain the purpose of the visit. LPA toured the dinning room and observed one pancake and a cup of milk or coffee were being served to residents as the meal of breakfast. (Continue on LIC9099-C) Substantiated Upon investigation, the Department interviewed Residents (R), multiple residents stated that no snake was provided between meal times, R1 stated that he bought his own snacks or give money to Administrator to buy food for him. R7 stated if he was hungry then waited for meal time. Staff (S), S3 stated that she has never told to make snacks for residents. The Department reviewed 4 Menus and found that breakfast did not match the Menu this morning. Menu shows Cereal, Scrambled Eggs, Fruit Juice and Coffee/Milk but residents were served one pancake and coffee/milk. S3 stated that scrambled eggs and bacon listed on menus were rarely made. Residents claimed that they have never seen the menu or did not know there was menu at the facility. Based on interviews and records review, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. The following deficiency (LIC 9099-D) was cited from the California Code of Regulations. Failure to correct deficiency by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided. Although the allegations may have happened or are valid, there are not preponderance of evidence to provide the alleged violation did occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 10, 2021 · control 15-AS-20210309151639

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(a) · Plan of correction due date: Dec 17, 2021

87555 General Food Service Requirements (a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents…. Based on investigation, the licensee did not comply with the section cited above, where facility did not provide adequate food which posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 10, 2021

Plan of correction: 1. Administrator agreed to post the menu in both English and Chinese versions in the hallway and kitchen, and follow through, and submit photos to CCL by POC due date. 2. Administrator agreed to provide snacks between meal times.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct a Required - 1 Year inspection at approximately 2:45 PM, and met with, Administrator, Jessica Ching. The annual inspection is focused on the Infection Control procedures and practices of this Residential Care Facility for the Elderly. LPA toured facility and grounds with Administrator and observed COVID-19 precaution signs posted in common areas to promote hand washing and physical distancing. LPA was screened for COVID-19 symptoms upon entrance to this facility. Visitors are said to be screened for COVID-19 symptoms (including temperature check) upon arrival to the facility. Infection control practices are present: entry procedures, face coverings, daily monitoring and temperatures checked for residents and staff, and 30-day PPE supply. LPA consulted with facility and explained, facility needs to follow indoor visitation requirement of verifying and tracking COVID-19 vaccination or verify non-essential visitors have proof of a negative COVID-19 test within 72 hours. Facility states staff clean and disinfect the facility twice daily. Facility understands hand sanitizer should not be placed in the rooms of residents who lack hazard awareness and impulse control. Bathrooms are equipped with liquid soap and paper towels. Covid-19 Mitigation plan was submitted to the department on 7/26/2021. Caregivers have completed PPE training but have not been N-95 Fit tested. In addition, facility was found to be at a comfortable temperature with all exits free from obstruction. No accessible bodies of water or fire safety hazards observed. Fire Extinguisher was found to be charged and serviced 9/27/2021. Smoke and Carbon monoxide detectors were fully operational. There was sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations at time of inspection. LPA requested the following updated documents to be submitted to CCLD by 11/30/2021: Administrator Certificate; LIC500 Personnel Report; LIC610 Emergency Disaster Plan; LIC308 Designation of Responsibility Exit interview conducted with Administrator. No deficiencies cited during this inspection.the state’s words, verbatim · CDSS document, Nov 8, 2021

Type of visit: Case Management - Other

On 10/11/2021 at 01:20PM, Licensing Program Analysts (LPAs) L. Hall and C Fowler conducted an unannounced Case Management visit regarding closure of facility. The eviction letter was dated 08/19/2021. LPAs met with Jessica Ching, Administrator, and explained the purpose of the visit. Upon arrival LPAs observed 7 residents in hallway. LPAs toured bedrooms, bathrooms, and kitchen. LPAs counted 18 residents residing at facility. Administrator informed LPAs that facility is not closing at this time, but have not had the opportunity to notify the Department. Administrator will submit a letter to the Department, Residents and their Responsible Party's of the facility changes by 10/15/2021. Administrator clearly understands that if facility closes the previous eviction letter will be illegal. LPAs observed the following deficiency: - On 10/11/2021 at 02:10PM, LPAs observed four (4) unsanitary refrigerators in the kitchen. LPAs also observed gnats flying around the refrigerators and sink. The deficiency was observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Oct 11, 2021

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Oct 18, 2021

87303 Maintenance and Operation (a)The facility shall be clean, safe, sanitary... Maintenance shall include... the safety and well-being of residents, employees and visitors. This requirement was not met as evidence by: Based on LPAs observation Licensee did not comply with the section cited above, which imposes a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Oct 11, 2021

Plan of correction: Administrator agreed to clean all four (4) refrigerators, freezers and submit photos to CCLD by POC date.