Kind Heart Home Care III

Type of visit: Required - 1 Year

On 01/29/2025 around 9:30 AM, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with Staff Jocelyn. LPA spoke with the Administrator over the phone. The Administrator Assistant Christian Espino arrived later. Facility is licensed to serve six (6) residents age 60 and above. It is cleared for four (4) bedridden and two (2) non-ambulatory rooms. Facility may accept or retain four (4) residents on hospice. The facility also has a sprinkler system. The landline number is 310-530-4556 and the annual fees are current. The facility is a two-story structure located in a residential neighborhood. It consists of the following: six (6) resident bedrooms, one (1) staff bedroom, four (4) bathrooms, a living room, dining area, kitchen, family room, attached garage, and an outside patio area. The second floor has two (2) bedrooms and one (1) bathroom. The Administrator Assistant accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Common areas were clean and clear of hazards, doorways were free of obstructions. Continue to LIC809-C. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, and hot water temperature properly measured between 109 F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxics were kept in locked storage cabinet. First Aid kit was available. Two fire extinguisher, last serviced February 14, 2024 was observed in the kitchen area and in the family room. Administrator tested the carbon monoxide detector and smoke detectors in the house. Both devices were functional. Five staff records were reviewed and five out of five staff records had required criminal record clearances or criminal record exemptions. Five resident records were reviewed and, five out of five resident records had medical assessments and pre-appraisal or reappraisals. Two residents’ medication was reviewed. Deficiencies are being cited. During record review, LPA did not observe health screenings for Staff #3 (S3) and #5 (S5) (see LIC809-D). An exit interview was conducted, technical assistance provided, Plan of Correction developed and a copy of this report with appeals documentation was discussed and left with Administrator Assistant Christian Espino.the state’s words, verbatim · CDSS document, Jan 29, 2025

Type of visit: Case Management - Annual Continuation

On 03/14/2024 at 1:06 PM, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced annual continuation inspection and met with Staff Jocelyn Letigio. Assistant Administrator Christian Espino joined us later. LPA interviewed two staff members and two residents. Deficiencies are being cited based on LPA observation, interviews conducted and record review in accordance with the California Code of Regulations, Title 22, see LIC809D. As of 01/31/24, the Fire Inspector is awaiting for ADT to provide a report on the facilities' monitoring system. In addition, a violation regarding criminal record transfer clearance warrants an immediate civil penalty of $500.00 and is hereby assessed, see LIC421BG. Staff #2 was working on-site and was not associated to the facility. An exit interview was conducted, Plans of Corrections were developed and reviewed. A copy of this report and appeal rights were discussed and left with the Administrator Christian Espino.the state’s words, verbatim · CDSS document, Mar 14, 2024

The state marks this report as 8 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

On 01/31/2024 at 1:40 PM, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced Required – Annual Inspection and met with Staff Jocelyn Letigio. Assistant Administrator Christian Espino joined us later 20 minutes later. Four (4) residents and two (2) staff were present during this inspection. Facility is licensed to serve six (6) residents age 60 and above. It is cleared for four (4) bedridden and two (2) non-ambulatory. Facility may accept or retain four (4) residents on hospice. The facility currently has five residents. The facility is a two story structure located in a residential neighborhood. It consists of the following: five (5) resident bedrooms and four (4) bathrooms, one (1) staff bedroom, a living area, dining area, kitchen, family room, and outside patio area on the first floor; two (2) bedrooms and one (1) bathroom on the second floor. Staff accompanied LPA on the first floor and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, hot water temperature properly measured between 120F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. Continue to LIC809-C LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxics were kept in locked storage cabinet. First Aid kit was available. One fire extinguisher, last serviced February 10, 2023 was observed in the kitchen area. 5 staff records were reviewed. 5 resident records were reviewed and, 4 out of 5 client records had medical assessments. Two residents’ medication was reviewed. Deficiencies were observed but due to time constraints an annual continuation is required. An exit interview was conducted and a copy of this report was discussed and left with Christian Espino.the state’s words, verbatim · CDSS document, Jan 31, 2024