Comfort Care Home

Type of visit: Required - 1 Year

On 9/11/23 at 12:52 p.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced Annual/Required inspection to Comfort Care Home. Upon arrival LPA was greeted by Direct Support Professional (DSP) Josephine Napiza who contacted the Administrator, Peter Nora. The Administrator’s arrived at 1:10 p.m., and LPA explained the reason for the visit. This home is licensed to serve age range 60 and over. Approved hospice waiver for 6 residents. There were (6) clients in care during the time of this visit. The last emergency disaster/fire drill was conducted on 8/01/23. The Administrator Certificate expires on 2/14/2024 #6031894740. During today's visit LPA inspected the physical plant inside and outside, reviewed the food supply, tested the smoke/carbon monoxide detectors, reviewed (3) staff files, (6) resident files, medications, and medication administration records for (6) residents. This home contains 5 bedrooms, 2 bathrooms, living room, Living room/office, kitchen, dining room and an attached garage. LPA toured the physical plant with the Administrator. and observed all (5) resident bedrooms, contained required furniture, lamps, dresser, chair, and closet space. The two bathrooms contain a working toilet, basin, and water faucet, walk in shower with grab bar, shower chair, and bathmat. The temperature measured at 114.0*F-114.1*F. The smoke detectors were battery operated and tested and observed to be working properly. The carbon monoxide detector was located throughout the facility, tested, and functioning properly. There were (1) fire extinguishers located in kitchen fully charged and up to date. The kitchen was toured and contained working appliances; refrigerator, stove, oven and contained dishware, cups, plates, utensils, pots, and pans with knives secured and locked in a cabinet. The toxins and cleaning supplies was locked underneath kitchen sink with cleaning agents and toxins. The pantry was well stocked with canned goods, pasta, cereals, and the food supply contained a sufficient supply with a two-day supply of perishables and a seven-day supply of non-perishables that met title 22 guidelines. Walls and floors, cabinets and counters were clean and sanitary throughout the home. (Report continued on LIC809C.) The outdoor grounds were toured and inspected, and the patio was well maintained with a shaded seating area accessible for client use. The garage contained a working washer and dryer, with cabinetry that contained emergency supply kits, bottled water, toiletries, personal care supplies, and PPE supplies. The Living room contained a non-working fireplace contained a covered screen so that it was inaccessible to the clients. Exit interview conducted with Peter Nora, Administrator, a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 11, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) David Sicairos conducted an unannounced annual visit using the Infection Control Evaluation Tool. LPA met with Administrator Precy Dimaano and explained the reason for the visit. Physical Plant was toured, medications were reviewed, and food supply was inspected. The following was observed/inspected: LPA and Administrator toured the home and observed: (5) bedrooms, (2) bathrooms, living room, kitchen, dining room/office area, and attached garage. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating area for the residents located in the backyard. Passageways and exits are free of obstruction. The water temperature was tested in bathroom #1 in the hallway and measured at 111.1F which is within the required 105F - 120F degrees. Grab bars and non-skid mats were observed in the bathrooms. Resident bedrooms have the required furniture such as bed frames, dressers, lamps and chairs. Bedrooms also have sufficient closet space. Resident beds have the required linen and the linen is in good condition. Smoke detectors were observed throughout the facility and were tested and operable during the visit. There is a carbon monoxide detector located in the hallway of the home. There is a fire extinguisher located near the kitchen which is fully charged. Kitchen appliances are clean and were operating at the time of the visit. Sharps are locked in a kitchen drawer and are inaccessible to residents. Cleaning supplies and disinfectants are locked under the sink and are inaccessible to the residents. First Aid kit was fully stocked with current manual. Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing. Staff were observed wearing masks and screening visitors at entry. Sufficient supply of 2 days perishable & 7 days non-perishable foods were observed. (4) out of the (6) resident medications were reviewed. Medications are centrally stored in a cabinet near the kitchen. Medications are documented properly and given as prescribed. Staff and Resident files were not reviewed during today's visit. Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit interview held and a copy of the report was provided.the state’s words, verbatim · CDSS document, Aug 3, 2022

Type of visit: Required - 1 Year

On 8/25/2021 at 9:30 a.m. Licensing Program Analysts (LPAs) Nina Galarza and Nune Margaryan arrived at the facility to conduct an unannounced annual visit. LPAs met with Roel Franco and later met with administrator, Euphrosyne Dimaano and discussed the purpose of the visit. LPAs observed COVID informational and symptom signs in the front of the facility and through out the facility. LPAs were screened for COVID symptoms and temperature check at arrival. This facility is located in a residential neighborhood, single story house with an attached two car garage with a iron door for access to the entrance, and contains (5) bedroom(s), (2) bathrooms, living room, dining room, office area, kitchen, . Bedroom #1 is designated as private for non-ambulatory resident, Bedroom #2 is designated as private for non-ambulatory resident, Bedroom #3 is designated as semi private for non-ambulatory/bedridden resident, Bedroom #4 is designated as private for non-ambulatory resident, Bedroom #5 is designated as private for non-ambulatory resident. All bedrooms contain the required furniture, lighting and storage space, continence supplies in the closets, free of obstructions or hazards and was observed to be clean and sanitary throughout the residence. Beds have the required linen; pillowcase, sheets, mattress pad/cover, blanket and bedspreads. Adequate supply of linen stored in hall cabinet with additional continence supplies, towels and blankets. Medications were located in the hallway storage closet locked and inaccessible to the residents. There are (4) emergency exits with delayed egress on the front door, door leading to the back yard and door in bedroom #3 and bedroom #5. There are no locks or bars included on the windows. The outdoor fence does not have any locking mechanism. The front yard contains a driveway to the two garage, an iron door that leads to the front entrance. The sliding glass door, with a ramp to access the backyard contains a large covered patio with a shaded area with accessible seating available for resident use with a table and chairs. Outdoor grounds contained an emergency exit at the gates on each side of the house which does not contain any locks. The yard contains plants and succulents accessible to residents to participate in gardening activities. There were no bodies of water or firearms on the premise. CONTINUED 809-C At approximately 9:45 a.m. LPAs toured the physical plant with staff member, Josefina Napiza and observed the following: Bedroom # (1) contains 1 twin bed, 1 chair, 1 bedside table, chest with drawers, including overhead lighting. Bedroom # (2) contains 1 twin bed, 1 bedside tables, chest with drawers, including overhead lighting. Bedroom # (3) contains 2 twin beds, 2 bedside tables, chest with drawers, including overhead lighting. Bedroom # (4) contains 1 twin bed, 1 bedside tables, chest with drawers, including overhead lighting. Bedroom # (5) contains 1 twin bed, 1 chair, 1 bedside table, night stand, chest with drawers, including overhead lighting. All bathrooms (bathroom #1 and bathroom #2) have a working toilet, faucet, wash basin. Bathroom #1 has a bathtub with a shower chair and Bathroom #2 contains a walk in shower which will accommodate non-ambulatory residents in a wheel chair and a storage cabinet with hygiene and grooming supplies and hygiene caddies. All bathrooms contain a shower hose with two grab bars in the shower, with non-slip surface on the shower floor and a raised toilet seat. Water temperature measured at 114.4 degrees Fahrenheit and 111.2 degrees Fahrenheit, respectively. LPAs inspected the garage which contained a working washer and dryer, durable medical equipment, personal storage for resident belongings, emergency supplies, and continence and personal care supplies and located in locked cabinets. All required postings were identified in the office area/hallway: theft/loss manual, bill of rights, resident council, neighborhood complaint policy, emergency disaster plan, ombudsman poster and let-us-know poster. The residence contains a telephone land line available for resident access. Fire Extinguisher is located in the hallway, mounted on wall fully charged. The facility has activity supplies, board games, books and reading materials available to the residents as described in the plan of operation. PPE and the hard copies of staff files and residents files are located in the living room in file cabinets locked/inaccessible to the residents. LPAs inspected the food supply. Food supply was observed to contain a (2) day supply of perishables and a (7) day supply of non-perishables for all residents, which consisted of fruits and vegetables, meats, bread, cereals and canned goods. Kitchen cabinets included: dishware, glasses, cups, utensils, pots, pans, cooking equipment, working appliances observed to be in good repair. Knives, cutlery and other sharps were observed to be located in drawer locked and inaccessible to the residents. Cleaning agents, chemicals and toxins were locked in the garage inaccessible to the residents. Dishwasher in kitchen was observed to be in working order. Emergency food supply and emergency disaster supplies were located in the garage and contained additional food, clothing, blankets, continence supplies and bottled water available for resident use. CONTINUED 809-C No deficiencies were observed at time of visit. A copy of the report and appeal rights were provided to staff, Josefina Napiza.the state’s words, verbatim · CDSS document, Aug 25, 2021