Mameleh & Tateleh's Upscale Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced annual inspection. LPA was greeted by caregiver Irma Parchejo, who allowed LPA to enter. Administrator Daniel Cho was notified and arrived shortly after. LPA observed COVID signs outside the front door, and upon entry, several more signs, with a hand washing station, sign in sheet, and electronic thermometer. Licensing signs and postings located throughout the facility. A physical plant inspection of the inside and outside was conducted with LPA and the Administrator. Kitchen: LPA observed Licensing requirement of (7) day nonperishable, and (2) perishable, with extra refrigerator and freezer located in the garage area; stocked with food. Food was properly wrapped, and appliances were functional, clean, and in good repair. Chemicals, household supplies, knives, and hygiene products, were locked and secured located in the garage. Living/dining: All indoor passageways were free from obstruction; inside temperature was comfortable, with adequate lighting, and all areas were clean and appropriately furnished for resident’s comfort. Bedrooms: The facility has (5) bedrooms for residents; with (1) shared, and (4) private. All bedrooms were properly furnished and supplied with appropriate bedding and linens. There were sufficient linens observed and available. Bathrooms: There are (3); all were clean, with soap and towels, grab bars, and non-skid mats. Hot water measured at 119.7 degrees Fahrenheit. Surrounding Grounds: The facility has outdoor furniture, for resident's comfort. There are no swimming pools or bodies of water. Laundry detergents, cleaning agents and other toxins are stored in a locked cabinet in the laundry room. All exit doors have alarms and were operating properly. Fire extinguisher fully charged. First aid kit furnished fully equipped. Smoke alarms and carbon monoxide detectors were tested and operating properly. Record review: A complete record review of staff and residents were conducted, all required documents were in file; including updated training records for staff. Medication records were reviewed with no errors. Infection/Mitigation Control Review: Upon entry, LPA enter facility and there was a sign-in sheet with a cleaning station. Soap and towels, and hand washing signs were visually posted and located in all bathrooms. The facility has sufficient stock of PPE supplies. The facility has cleaning procedures and protocols in place, which include staff cleaning common areas throughout the day. The facility has documentation of all vaccination records for staff and residents. There are no current staffing issues; during today's visit, LPA observed (2) staff on duty. New clients or new staff must have a negative COVID test before entry. The facility continues to implement the best practices for the facility; to ensure the health and safety of residents and staff. The facility is aware to report any changes with residents and staff to Licensing and there LPA, pertaining to positive COVID-19 cases. Exit interview and copy of report provided.the state’s words, verbatim · CDSS document, Oct 12, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with the licensee Daniel Cho for a One (1) Year Required - Infection Control visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at 10:00am and the following was noted: There is one entrance being utilized at the facility, there are required posters posted at the main door. Screening area is located immediately upon entrance. Sign in sheet, infrared thermometer, hand sanitizer, gloves and masks are available. LPA was screened upon entry. All staff were observed to be wearing masks upon entrance and during the visit. Signs to wear masks and other COVID 19 prevention protocol signs are posted. Hand washing, coughing etiquette, physical distancing and other necessary signs are posted in the bathroom and throughout the facility. The facility has enough PPE supplies. The facility has a total of five (05) bedrooms and three (03) bathrooms. The facility is fire cleared for six (06) non-ambulatory, one (01) bedridden and a hospice waiver for two (02). The facility is currently occupying four (04) residents of which one (01) are under hospice care. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. The garage is currently being used for storage. Laundry detergents, cleaning agents and other toxins are locked away. Kitchen is sufficiently stocked with at least two (2) days perishable and seven (7) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. Living and dining room furniture were also checked. The living and dining room are neat and clean. The facility maintains a comfortable temperature at 76°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located in the hallway, observed to be full and last inspected on 03/25/2022. (continued on LIC 809-C) The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 118.1°F. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. LPA observed medication and first aid kit to be locked and inaccessible to residents. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, May 9, 2022

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an announced Pre-Licensing visit to this facility for a Change of Ownership and met with applicant Daniel Cho, Administrator. Currently there are 5 non-ambulatory residents in care. Visit was conducted on 7/20/2021. Component three was also conducted on 7/20/2021. LPA Valenzuela conducted a tour of the physical plant with the applicant. Both the inside and outside of the facility were inspected. LPA inspected the facility for fire safety, personal accommodations and services, medication procedures, and food service. Facility has 5 bedrooms, four (04) rooms are private rooms and one (01) room is shared. Fire clearance is approved for five (05) non-ambulatory and one (01) bedridden resident. There are 3 bathrooms. All bathrooms have the required grab bars for showers and toilets. LPA observed bedrooms and bathrooms to be clean. Bedrooms had appropriate linens on the beds, appropriate window coverings with screens, and appropriate furniture. Hot water was observed by LPA and administrator at 120 degrees F. The facility smoke alarm system and carbon monoxide is operable. Medications are locked in kitchen cabinets,, chemicals are stored in locked laundry room and knives are in locked kitchen drawers. Emergency telephone numbers are posted on the kitchen wall along with other required posters. There are no bodies of water on the premises. There is a working telephone as well. LPA toured all common areas. LPA observed the home to be clean and furniture to be in good condition. LPA did not observe any obstructions throughout the facility. Files were observed to be locked in a file cabinet in the closet. The patio had a covered area for outdoor sitting and activities. Exit interview conducted and a copy of the report was provided. LPA will notify Centralized Application Unit regarding the component three being complete along with the pre-licensing visit being complete.the state’s words, verbatim · CDSS document, Jul 20, 2021