Sun Care Homes

Type of visit: Required - 1 Year

On 8/09/2023 Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. Upon arrival, LPA was greeted by staff member. Shortly after, LPA met with Administrator Chita Beltran and explained the reason for the visit. A tour of the physical plant was conducted at 10:00 AM. Bedrooms: There were three bedrooms designated for residents' use. All bedrooms were clean, properly furnished and had sufficient lighting. Bathrooms: There were two bathrooms designated for residents' use. Both bathrooms were clean, properly supplied and had functional fixtures. Hot water temperature was 112.3 degrees Fahrenheit. Cleaning supplies were kept in locked cabinets. Hallway: There was a large closet full of extra towels and linens that were readily available. Temperature: Facility maintains a comfortable temperature of 75 degrees Fahrenheit. Common Areas: These included the living room and dining area. The common areas appeared clean and were properly furnished. Surrounding Grounds: Entry/exits were observed to be locked. The outdoor area was clean and free of hazards. There is a clean covered shaded area in the back yard and there is a pool which has a gate and is kept locked and inaccessible to residents in care. Smoke alarms and carbon monoxide: detectors were tested and function properly. There were 2 fire extinguishers at the facility and they were purchased on 08-09-2023. Kitchen: The kitchen appeared clean and the appliances and fixtures functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives and detergents were stored in locked drawers and cabinets. Properly labeled medications were locked in a cabinet near the kitchen. Garage/Laundry area: LPA observed the garage and laundry are to be locked and not accessible to residents. No deficiencies issued during today’s visit. Report was signed and delivered and an exit interview was conducted.the state’s words, verbatim · CDSS document, Aug 9, 2023

Type of visit: Required - 1 Year

On 7/26/22 at 10:15 a.m. Licensing Program Analyst (LPA) Melissa Ruiz arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA was greeted by staff member. LPA observed covid-19 signage, hand sanitizer and a visitor sign in log. Staff took LPAs temperature and was granted entrance to the facility. LPA notified the Administrator that an annual inspection will be conducted. LPA met with the designees Eduardo Parica and Chita Beltran. The purpose of the visit was explained and an entrance interview was conducted. LPA initiated a physical plant tour at 10:30 a.m. This is a four (4) bedroom two (2) bathroom Residential Care Facility for the Elderly. LPA was able to tour the home and did not observe any immediate health and safety concerns. Sufficient PPE supplies were observed. The fire extinguisher was observed in the kitchen area and has a date of purchase of 1/22/2022. Smoke detectors and carbon monoxide monitors were observed to be functional. Facility maintains a comfortable temperature of 75 degrees Fahrenheit. LPA observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. Sharps, cleaning supplies and medications are centrally stored and are kept locked in various kitchen cabinets and drawers. Extra towels and linens were readily available. There is a clean covered shaded area in the back yard and there is a pool which has a gate and is kept locked and inaccessible to residents in care. No deficiencies issued during today’s visit. Report was signed and delivered by designee and an exit interview was conducted.the state’s words, verbatim · CDSS document, Jul 26, 2022

Allegation investigated: Facility staff engaged in a physical altercation in the facility

Licensing Program Analyst (LPA) Angelica Arambulo conducted an unannounced subsequent complaint investigation. The LPA met with administrator to deliver the findings. It was alleged that Facility staff engaged in a physical altercation in the facility. LPA conducted interviews with staff, administrator and residents. The physical altercation was between two staff regarding missing cream supply. The residents were having their lunch meal and could hear what was happening. Both staff are no longer working at the facility and alternate staff are scheduled. Based on the information gathered the allegation is Substantiated. Citation issued, appeal rights given, exit interview conducted. The report shall be emailed to administrator. Substantiatedthe state’s words, verbatim · CDSS document, Oct 14, 2021 · control 31-AS-20210917161143

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1 · Plan of correction due date: Oct 14, 2021

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: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidence by incident retported that two staff had a physical altercation at the facility. Administrator was not present but did report to facility as soon as possible. Staff that was injured did seek medical attention and brought to the hospital by the administrator.the state’s words, verbatim · CDSS document, Oct 14, 2021

Plan of correction: The administrator shall make sure staff are trainied in the personal rights violation of residents while in their presence. The staff was given an inservice training regarding resident rights.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Angelica Arambulo conducted a case management visit regards to CM that was not completed on 9-22-21. The main administrator Stephanie Flores was contacted during the visit. The following items were observed at that time. The register of residents had not been updated since 2019. LPA requested a copy of the register and the staff schedule but she did not have anything on file. NO LIC500 was completed. They submitted to LPA by fax a list of their schedule. The mitigation plan that was approved was requested but no copy on file. The above items have not been taken care of and new staff have been associated. LPA cited for the items that were seen on last visit 9-22-21 and they were not repeated during this visit. Medication cabinet open and unlocked, Medications on the counter in a plastic container. Sharp knives or scissor drawer unlocked and open. Resident or staff food on the counter, in the oven or sitting unwrapped in microwave. The resident has retained a resident who is on hospice and they do not have a hospice waiver request on file for this resident. This was expressed to the administrator on 9-22-21. According to administrator they have a consultant but there is no hospice waiver submitted. Resident #1 has been under hospice care off and on since 2019. Citations issued, appeal rights given, exit interview conducted. Email to be sent to administrator.the state’s words, verbatim · CDSS document, Oct 14, 2021

From the deficiency page — Deficiency type: Type B · Section cited: CCR 80024 · Plan of correction due date: Oct 18, 2021

80024 Waivers and exceptions. Unless prior written licensing agency approval is received as specified in (b) below, all licensees shall maintain continuous compliance with the licensing regulations. This requirement is not met as evidence of facility file review. Facility failed to obtain necessary waiver for hospice care for resident #1 who has been off and on hospice since 2019.the state’s words, verbatim · CDSS document, Oct 14, 2021

Plan of correction: Administrator will submit a request for a hospice waiver by the due date of the POC.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(f) · Plan of correction due date: Oct 14, 2021

Dementia 87705 (f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). (2) Over-the-counter medication, This requirement is not met as evidenced by: Physical plant tour conducted on 9-22-21. The medication cabinet and sharp obects cabinet was open and left unsupervised. This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Oct 14, 2021

Plan of correction: The administrator had made sure that this would not be repeated. During todays inspection the cabinet was locked up and no medications were on the counter or in the drawer.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Angelica Arambulo conducted a case management visit in conjunction with complaint # 31-AS-20210917161143. During file review the following was discovered. 1:00 pm Upon review of staff files there were two staff not associated to the facility, The administrator Emma Parica states she knows about the annual Personnel register and that it was sent to the facility . She was not able to review it. There was no staff schedule to determine staff coverage and who was working upon entry. A file review was conducted and each staff was working at facility for over 5 days. A citation and civil penalty was assessed. 11 am during the LPA tour of the facility, the following was observed The register of residents had not been updated since 2019. LPA requested a copy of the register and the staff schedule but she did not have anything on file. NO LIC500 was completed. They submitted to LPA by fax a list of their schedule. The mitigation plan that was approved was requested but no copy on file. The medication cabinet in the kitchen was open and accessible. There were also medication in the plastic cup that was accessible. The drawer that had the knives and scissors was unlocked and accessible. Staff foods were observed open and un packaged in the microwave and oven. The dining area where the residents eat had food drippings on the plastic cover and was unclean. Light bulb in the kitchen area was out and the light switches were unclean and had debris. The residents rooms were checked and the night stands had no hand sanitizers and had food drippings, debris and not dusted. Residents cups were observed unclean with stains and dirty water. LPA will return to issue additional citations at a later date due to time constraints. Report was signed, exit interview conducted. Appeal rights given. Report to be emailed to Administrator.the state’s words, verbatim · CDSS document, Sep 22, 2021

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(c)(1) · Plan of correction due date: Sep 22, 2021

87355 Criminal Record Clearance A licensee or applicant for a license may request a transfer of a criminal record clearance from one state licensed facility to another, or from Trust Line to a state licensed facility by providing the following documents to the Department: This requirement is not met as evidence by LPA record review that staff 2 and 3 are not associated to the facility,the state’s words, verbatim · CDSS document, Sep 22, 2021

Plan of correction: The administrator shall submit transfer request to have staff associated to the facility. LIC 9182 to be submitted along with and LIC508 and staff ID or CDL.