Karen's Home for Seniors

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Tihesha Smith conducted an unannounced Required 1-year inspection at this facility. LPA was greeted by staff and disclosed the purpose of the visit. The administrator was contacted and arrived later. LPA conducted a tour of the physical plant at approximately 10:38 am to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. Common areas were observed for the ability to safely serve the needs residents. These included the kitchen/dining room combination, living room and family room. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed to be furnished appropriately with adequate seating for residents. LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the five (5) residents currently residing there. Two (2) days of perishable food observed. The freezer is stocked with meats and frozen vegetables. Sharps are stored in locked kitchen drawer. The resident medications and first aid kit stored in locked cabinet next to refrigerator and observed to be locked and inaccessible to residents. There is one (1) fire extinguisher attached to kitchen wall and observed to be charged. Laundry room is located in walk through next to kitchen The appliances observed to be functional. Toxins stored in locked floor cabinet next to dryer and was observed to be locked and inaccessible to residents. The facility has a total of five (5) bedrooms and two (2) bathrooms: one (1) bedroom for staff. The residents’ bedrooms were properly furnished with at least one chair, nightstand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. LPA observed a supply of linens in hall closet. Each bathroom had the following items available: hand soap, paper towels, and trash cans. The hot water temperature was measured in bathrooms to ensure it was within the required range for residents’ comfort and safety. The water temperature range was measured at 117.7 and 120.5-degrees Fahrenheit for main bathroom shower. Backyard has the following: (1) one patio table, umbrella with seating. Patio furniture observed to be in good repair. Detached Garage: Used for storage of equipment and furniture. There is no body of water in the facility. Storage shed used for storage in backyard observed to be locked and inaccessible to residents. Smoke detectors/carbon monoxide detector were tested and operable at time of visit. Facility grounds were free of hazards At approximately 11:30 am, LPA Smith reviewed files for the five(5) residents and three (3) staff. One staff file not available for review. Additional visit may be required for follow-up to included but not limited to: hospice admissions, fire clearance, and prohibited health condition. Deficiencies cited on 809D Exit Interview Conducted / A Copy of the Report Issuedthe state’s words, verbatim · CDSS document, Jan 14, 2026

Type of visit: Required - 1 Year

At 9:45 a.m. on 01/30/25, Licensing Program Analysts (LPA) Nicholas Reed and Nadia Shahbazian conducted an unannounced complaint visit. LPA met with staff and later the administrators and disclosed the reason for the visit. The facility was last visited on 03/16/2024 for an annual visit. It is a single story building with six (06) bedrooms, two (02) bathrooms, kitchen, laundry area, common areas, and outdoor space. It has an approved fire clearance for six (06) nonambulatory residents. Approved hospice waivers for six (06). LPAs observed a maintained front yard with an unlocked entry gate. A screening station at the front contained sanitizer, a digital thermometer, and a visitor log. Postings at the front included COVID precautions, facility license, confidential complaints contacts, ombudsman contacts, emergency disaster plan, rights of resident councils, personal rights, and the facility sketch. Cameras were observed in the common areas and exterior areas. Walls, floors, windows, and screens were clean and in good repair. The living rooms contained a television, a piano, and furniture in good repair. Confidential files were locked in a cabinet near the television. The facility has six (06) bedrooms. Bedroom #6 is designated as a staff room. The staff room was unlocked and free of hazards. All bedrooms contained a chair, lamp, nightstand, a dresser, and a bed with adequate bedding. All furnishings were clean and in good condition. All rooms with hospital beds had wheels in the locked position. Half bed rails were observed in Bedroom #1 and Bedroom #2. Full bed rails were observed in Bedroom #3 and Bedroom #5. The facility has two (02) bathrooms. One (01) bathroom is private to Bedrooms #5, and one (01) is shared. All bathrooms contained liquid soap, trash can with a tight fitting lid, grab bars near the toilet and shower, and a non-skid mat in the shower. At 10:05 a.m., LPAs observed hazardous cleaning supplies below the sink in the shared bathroom were accessible. At 10:10 a.m. LPAs observed two (02) shaving razors on the nightstand in Bedroom #2. LPAs also saw an accessible shaving razor in the private bathroom to Bedroom #5 at approximately 10:15 a.m. A deficiency is issued for accessible sharp objects and cleaning supplies on the corresponding LIC 809-D page. At approximately 10:20 a.m. LPAs measured the water temperature in the shared bathroom to be 117.5 degrees Fahrenheit. At 10:25 a.m., dual purpose smoke and carbon monoxide detectors were tested and operational. At 10:30 a.m. LPAs measured the room temperature to be 69 degrees Fahrenheit. Around 10:35 a.m., LPAs observed a smoke detector in the hallway near Bedroom #1 to be operational but not secure to the wall. At the same time, LPAs observed the two hallway air vents were in need of light cleaning. Also, blinds in the kitchen needed light cleaning. These Technical Violations are noted on corresponding LIC 9102-TV pages. LPAs called out from the house telephone at 10:40 a.m. The phone was deemed operational. LPAs observed an adequate supply of perishable and non-perishable foods in the kitchen. Appliances were in good condition. Sharps and cleaning solutions were locked under the sink and counter top. Medications, emergency lighting, and a complete first aid kit were locked above the counter top. At approximately 10:50 a.m. a fully charged fire extinguisher was observed in the kitchen. It was last inspected on 01/21/25. The stove surface was clean. A washing machine and dryer were located in the laundry area adjacent to the kitchen. Both were in working order. Detergents and cleaning supplies were locked near the appliances. LPAs observed a patio area in the rear of the facility. The patios contained a shaded area with chairs. The back yard was maintained. The garage and a storage shed were locked and inaccessible. All emergency exit paths were free from obstructions. Three (03) out of three (03) exit gates were unlocked. Two (02) out of two (02) auditory alarms were turned on and functioning. At 11:30 a.m. LPAs reviewed staff and resident files. Review of staff files revealed Staff #1 (S1) did not have a tuberculosis test on file. A deficiency is cited on the corresponding LIC 809-D page for S1 not having a tuberculosis test prior to employment. Four (04) out of five (05) resident files needed Needs and Service plans updated, so a Technical Violation is assessed for this update on the corresponding LIC 9102-TV page. Exit interview conducted. Appeal rights discussed. Copy of report provided.the state’s words, verbatim · CDSS document, Jan 30, 2025

The state marks this report as 6 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

Licensing Program Analyst (LPA), Tihesha Smith conducted an unannounced annual iinspection at this facility at 10:10 am. LPA Smith contacted Licensee (Martin Zinkofsky) by telephone and requested to have staff open door. Licensee stated will have staff open door. LPA was greeted by staff and disclosed the purpose of the visit. The administrator was not present at the facility upon LPA Smith arrival. LPA conducted a tour of the physical plant at approximately 10:20 am to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. Common areas were observed for the ability to safely serve the needs residents. These included the kitchen/dining room combination, living room and family room. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed to be furnished appropriately with adequate seating for residents. LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the six (6) residents currently residing there. Two (2) days of perishable food observed. The freezer is stocked with meats and frozen vegetables. Sharps are stored in locked kitchen drawer. The resident medications and first aid kit stored in locked cabinet next to refrigerator and observed to be locked and inaccessible to residents. There is one (1) fire extinguisher attached to kitchen wall and observed to be charged. Laundry room is located in walk through next to kitchen The appliances observed to be functional. Toxins stored in locked floor cabinet next to dryer and was observed to be locked and inaccessible to residents. The facility has a total of six (6) bedrooms and two (2) bathrooms: there is one (1) shared and four (4) private bedrooms for residents and one (1) bedroom for staff. (Cont to 809C) (Cont. from 809) The resident bedrooms were properly furnished with at least one chair, nightstand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. LPA observed a supply of linens in hall closet. Each bathroom had the following items available: hand soap, paper towels, and trash cans. The hot water temperature was measured for in bathrooms to ensure it within the required range for residents’ comfort and safety. The water temperature range was measured at 115 and 119.5-degrees Fahrenheit for main bathroom shower. There is no body of water in the facility. Backyard has the following: (1) one patio table, with seating. Patio furniture observed to be in good repair. Administrator arrived at approximately 10:55 am and unlocked detached garage for LPA to observe. Detached Garage: Used for storage of equipment and furniture. Storage shed used for storage in backyard observed to be locked and inaccessible to residents. Smoke detectors/carbon monoxide detector were tested and operable at time of visit. Facility grounds were free of hazards. There were no immediate health and safety hazard observed during the day of inspection. At approximately 10:50 am, LPA reviewed files for the six (6) residents. Resident files included medical assessments, Appraisal/Needs and services plans, admissions agreements. One (1) of six (6) resident files had an incomplete physician’s report in addition to not having physician's signature. Staff documents reviewed for two (2) staff. Staff files had the appropriate training's and current CPR training. Technical advisory for frayed back screendoor. Deficiencies cited on 809D Exit Interview Conducted / A Copy of the Report Issued.the state’s words, verbatim · CDSS document, Mar 16, 2024