Best Elder Care III

Type of visit: Required - 1 Year

On 11/29/2022 at 11:18 a.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility mentioned above to conduct a Required Annual/Infection Control inspection. LPA was greeted by Staff Vincent Igid who was wearing a mask and granted access. LPA asked Vincent to call administrator Fabiola Igid. Fabiola will not be able meet us at the facility because she is with a resident at their doctor's appointment. LPA explained the reason for the visit over the phone to Fabiola. Fabiola designated Vincent to sign for this report. LPA reviewed the Mitigation Plan approved 03/06/2021. The inspection tool was used to complete the visit. At 11:21 a.m. LPA began a physical plant tour of the facility and following was observed: Dining / Living Area: The dining and living area were well lit, clean and clear of clutter. Furniture appeared clean and in good repair. LPA observed proper Covid-19 signs posted through out the facility. LPA observed the thermostat at a comfortable temperature of 75°F Tv Area: In the TV area LPA observed it to be clean and clear of clutter. Furniture appeared clean and in good repair. A fireplace located in the TV area is not in use. Kitchen: LPA observed the kitchen to be clean and clear of clutter. All appliances were functioning. LPA observed two (2) day perishable and seven (7) day non-perishable foods. Cleaning solutions are locked under the sink. The fire extinguisher one (1) of two (2) was observed in the kitchen and was last serviced on 07/15/2022. Fire extinguisher two (2) of two (2) was observed in the hallway with service date 07/15/2022. Bedrooms: There are five (5) bedrooms designated for resident use. Five (5) out five (5) resident rooms are furnished with required lighting, dresser, chair, bed, and linens. There was an extra supply of linens in a hallway closet. One (1) of five (5) bedrooms is shared by a couple. Bathrooms: There are three (3) bathrooms designated for resident use. One (1) bathroom is located in the shared bedroom and the other two (2) bathroom are designated and accessible for all residents. All bathrooms were well lit, clean, had grab bars, nonskid mats and trash bins with lids. LPA observed hand washing signs, sufficient supply of hand soup and paper towels. At 11:46 a.m. water temperature in one (1) of three (3) bathroom was measured at 105.1 degrees Fahrenheit. Laundry Closet: Washer and dryer appeared to be in good repair and laundry detergent is kept locked in a cabinet above the dryer. Surrounding Grounds: There were no visible hazards, and passageways were free from obstruction. Side gate of the house was closed but unlocked. There is a covered patio to provide shade and appropriate outdoor seating for residents. Medications/ Resident file: LPA observed, resident medications in a locked cabinet in the dining/living area and resident files locked in a file cabinet in the TV area inaccessible to residents. LPA observed smoked alarms through out the facility. Smoke alarms are hard wired and interconnected. At 11:46 a.m. smoke alarms were tested and functioning properly. Two (2) carbon monoxide detectors were observed and appeared to be functioning. Vincent states the facility has enough PPE for 30 days. No deficiencies were observed during todays visit and the facility is currently following their infection control plan. Exit interview conducted and a copy of this report issued.the state’s words, verbatim · CDSS document, Nov 29, 2022

Allegation investigated: Facility staff are not adhering to COVID-19 Protocols.

On 09/26/22 Licensing Program Analyst (LPA) Joscelyn Martinez conducted an unannounced complaint investigation. Upon arrival LPA met with staff and the purpose of the visit was explained. Upon arrival LPA observed S1 wearing a mask. S1 screened LPA and took LPA's temperature. S2 was also observed wearing a mask. At 11:10 a.m LPA conducted a tour of the facility to ensure no immediate health and safety issues were present. S2 contacted administrator and LPA discussed the purpose of the visit with administrator. Allegation #1 Facility staff are not adhering to COVID-19 Protocols. It is alleged on 07/27/22 a credible witness visited the facility. During this visit, the credible witness was not screened upon entry and observed a staff not wearing their masks. Substantiated Interview with the Administrator confirmed that sometime, around July 2022, a random visit was made by a credible witness who observed facility staff were not wearing masks and not screened upon entry. Administrator admitted that a verbal conversation with the credible witness took place in regards to these observations. Based on interview with administrator this allegation is deemed Substantiated. Administrator was not able to sign the report and designated staff to sign on their behalf. Deficiencies were issued per CA code of Regulations Title 22 on LIC9099-D with this report. Appeal rights issued. Report signed and delivered. Exit interview conducted.the state’s words, verbatim · CDSS document, Sep 26, 2022 · control 31-AS-20220919202333

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87470(c)(1)(f) · Plan of correction due date: Oct 3, 2022

87470(c) Infection Control Requirements shall be developed by the licensee... (1) The Infection Control Plan shall include: (F) Staff shall demonstrate knowledge... appropriate to the job assigned and... This requirement is not met as evidenced by: Based on an interview with the Administrator, the licensee/administrator stated that during a previous visit conducted by the credible witness, staff did not comply with the section cited above by not wearing masks nor screening for covid-19 which poses a potential Health and Safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 26, 2022

Plan of correction: Licensee/Administrator agreed to provide in house training with all staff regarding Infection Control Requirements and COVID Protocol. A written statement signed by all staff regarding such training shall be emailed to LPA no later than 10/03/22.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Shira Stamps and Angela Panushkina, met with administrator Fabiola Igid for a One (1) year Required visit for this facility. Infection control: LPA Stamps reviewed facility mitigation plan (approved on 03/06/21) to make sure licensee was following current infection control recommendations. Upon arrival the team was screened by the caregiver and asked all infection control questions. LPAs were asked to sign-in and sanitize/wash hands. LPA arrived at 11:15am and was greeted by caregiver Gabriella Topping. One (1) resident was observed in the living room watching TV. The rest of the residents were observed to be in their room sleeping, watching TV and/or resting. Administrator Fabiola Igid arrived at 11:25am. LPAs informed the Administrator of the purpose of the visit. A tour of the physical plant was conducted with Administrator at 11:30am. The facility has five (5) bedrooms and three (3) bathrooms currently occupying five (5) residents. One (1) bathroom is designated for staff use only and the facility has awake staff at night. The facility is Fire Cleared for two (2) ambulatory, four (4) non-ambulatory, and has a hospice waiver for one (1) resident. Resident Rooms LPAs observed rooms to have the appropriate bedding. There is a night stand and sufficient lighting for each resident. LPAs tested the exit doors auditory system and it was observed to be operational for each room. Bathrooms At 11:40AM LPAs observed all bathrooms to have non-skid matts, grab bars, and the appropriated wash your hands signs posted. Hot water was tested at 12:01pm and measured within regulation at 105.8 degrees F. Laundry LPAs observed chemicals/hazardous items in a locked cabinet in the laundry room. Food Inspection LPAs conducted tour at the kitchen around 11:40am observed there to be sufficient stock of two-day perishables and seven-day non-perishables foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas care clean and inaccessible to pests. LPAs observed all knives and sharp object being locked and inaccessible to residents in care. Physical environment LPAs toured the outside area of the facility at 11:56am. LPA observed appropriate outdoor furniture, with a covered shaded area for residents. No bodies of water on the premises. Living and dining LPAs observed the living room to be neat and clean along with the dining room. The facility maintains a comfortable temperature at 70°F. The smoke detectors were tested and observed to be operational at 11:54am. There are two (2) fire extinguishers, one (1) is located in the kitchen and one (1) is located in the bedroom hallway. Fire extinguishers were observed to be full and last serviced on 06/02/21. Medication cabinet was located in a dining area and at 11:15am, and was observed to be locked and inaccessible to residents in care. Garage LPAs observed the garage to be attached to the facility and currently being used for an extra food storage and PPE supplies. Administrative: LPA collected Certificate of Liability Insurance and LIC.500. Annual fee is current. An exit interview was conducted and a copy of this report was given to the Administrator.the state’s words, verbatim · CDSS document, Oct 12, 2021