Citadel Homes

Type of visit: Required - 1 Year

On 08/30/2023 at 1:00 PM Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Citadel Home Facility. LPA Calderon was allowed entry into the facility by Manager Lester Abesames. Manager Lester Abesames asked infection control questions and took LPA Calderon temperature prior to entrance into the facility. The facility is licensed for six (6) adult clients aged 60 and over. Currently, there are four (4) residents residing in the facility 60 years or older and two (2) hospice residents. LPA Calderon explained to Manager Lester Abesames, the purpose of the one-year (1) Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: four (4) resident service records, four (4) resident medication records, three (3) staff records, and inspected the inside facility and outside grounds. The facilities’ last fire drill was conducted on 06/03/2023. The one-story residential home consists of four (5) resident bedrooms, three (3) resident bathrooms, living room, dining room, family room, kitchen, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. A two-day (2) supply perishable and seven-day (7) supply of non-perishable foods are present in the facility. Emergency Water seven-day (7) supply is found in the garage. LPA Calderon observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA Calderon observed the following during inspection of resident’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA Calderon observed fully stocked closet with bedding, towels, and toiletries supplies. Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA Calderon observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature properly measured at 109 degrees Fahrenheit, and bathroom #2 hot water temperature properly measured at 111 degrees Fahrenheit, and bathroom #3 hot water temperature properly measured at 108 degrees Fahrenheit. Kitchen hot water temperature properly measured at 120 degrees Fahrenheit. Facility (2) carbon Monoxide and (7) Smoke Detectors hard wired and connected were tested and are working properly. The facility (2) Fire Extinguishers were checked and found to be fully charged and accessible. All exit doors in the facility have alarm systems. All toxins and knifes are locked/secured and inaccessible to residents. Medications are centrally stored and in a locked storage cabinet. Facility first aid kit (3) is fully stocked with manual was checked and in order. Outside grounds were toured and no bodies of water were observed. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to residents. LPA Calderon noted the Administrator Marissa G Mashburn Certification # 6022227740 expiration date of 11/11/2024 was valid at time of visit. The facility does handle resident's money/cash resources and a Surety bond with Western Surety Company #65711290 for $2000.00 was noted by LPA Calderon. Commercial General Liability Policy #001453840 policy period from 06/30/2023 to 06/30/2024 underwritten by James River Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. LPA Calderon spoke to Administrator Marissa Mashburn who will email full insurance contact to LPA Calderon on 09/15/2023. All the required documents are posted in the facility in a clearly visible area to all clients and guests. LPA Calderon reviewed LIC500 and noted all staff associated to facility. During the visit, LPA Calderon observed the facility infection control practices. LPA Calderon observed screening protocols for visitors, staff, and residents, sanitizing stations (Located in common areas and restrooms). LPA Calderon observed staff and residents were wearing face coverings, an isolation room and required postings throughout the facility. LPA Calderon observed the facility has a thirty-day (30) supply of Personal Protective Equipment (PPE). LPA Calderon advised the Manager Lester Abesames to continuously monitor the Centers for Disease Control (CDC) website and Community Care Likening Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA Calderon did not observe any deficiencies therefore NO citations were issued at this time. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Manager Lester Abesames.the state’s words, verbatim · CDSS document, Aug 30, 2023

Type of visit: Required - 1 Year

On 06/26/22, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit with a primary focus on Infection Control measures using the CARE Inspection Tool. LPA met with assistant administrator Christopher Bundalian and explained the purpose of today’s visit. The facility is licensed to operate for six (6) non-ambulatory elderly residents ages 60 and above. The facility is approved for two (2) hospice residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: six (6) resident's rooms, three (3) common bathrooms, living area, dining area, kitchen, a staff room, an office and outside covered patio area. LPA toured the physical plant. There were no obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the visit. Bathrooms were found to be within Title 22 regulations and were operational. The water temperature measured 109.9 degrees F. A comfortable temperature of 83 degrees was maintained in the facility. LPA observed the facility to be appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and sufficient perishable and non-perishable food was maintained adequately. The facility has two (2) fire extinguishers that were charged, smoke detectors, and carbon monoxide were operable. LPA reviewed Medication Administration Records (MAR) revealed to be accurate and maintained in order. A working landline telephone remains available. Evaluation Report continues on LIC 809-C DEFICIENCIES: During the inspection visit at 9:10 am, LPA observed uncleaned and unsanitary microwave oven. At 9:16 am LPA observed a powder bleach on top of the bathroom sink accessible to residents in bathroom #2. At 9:17 am, LPA observed a non-working toilet in bathroom #2. INFECTION CONTROL: During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed staff were wearing face coverings, LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. A review of staff tests and residents' vaccination along with daily temperature checks were conducted. The facility has an approved Mitigation Plan Report on file with CCLD. Based on interviews, observation, and record reviews the licensee violated the California Code Regulations (CCR) of Title 22, Division 6, Chapter 8. Deficiencies are issued and an exit interview is conducted with Christopher Bundalian. A copy of this report is provided along with the appeal rights.the state’s words, verbatim · CDSS document, Jun 26, 2022