Oakhurst Board and Care

Type of visit: Required - 1 Year

On 9/8/23 Licensing Program Analyst (LPA) B. Miranda arrived to the facility unannounced to conduct an annual inspection. LPA was greeted by staff and allowed entry into the facility. Ester Jackson Administrator Designee arrived to the facility at a later time. LPA toured the facility inside and out. Facility currently has 5 residents. LPA observed the facility to be clean, free from clutter, and odor free. All faucets delivered water within temperature limits of 105-120 degrees F. Fire extinguishers were last serviced 5/2/23. Carbon monoxide and smoke detectors were tested and in working order. LPA observed a sample of residents files and staff files which have proper information. LPA observes resident's rooms to be properly furnished and at comfortable temperatures. LPA observed cleaning products, knives, and medication to be locked and inaccessible to residents. LPA observed Centrally Stored Medication log to not be properly completed. Citation issued on LIC809D. Exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights were given to Administrator Designee- Ester Jacksonthe state’s words, verbatim · CDSS document, Sep 8, 2023

Allegation investigated: Facility has no hot water Facility roof is in disrepair Facility has hazardous cable wires hanging on the ground

LPA arrived to the facility at 10:34 a.m. unannounced and was greeted by Caregiver Nary Newell. LPA explained the reason for the visit and asked staff to contacted Administrator Lucy Leang to inform the Dept. was at the facility. Caregiver Nary had contacted the 2 Care Coordinators. LPA attempted to contact Administrator Lucy but was unsuccessful. Facility has 9 bedrooms and 4 bathrooms. 1. The Department investigated the allegation: Facility has no hot water. LPA tested all 4 bathrooms, 1st bathroom read at 131.5 degrees F, 2nd bathroom read at 132.4 degrees F, 3rd bathroom read at 124.3 degrees F, & 4th bathroom read at 67.6 degrees F. LPA checked the water temperature in the kitchen which read at 67.9 degrees F. LPA observed one bathroom and kitchen to not have adequate water temperature. LPA interviewed staff on duty & residents. It was determined based on the interviews and observation that the above allegation is SUBSTANTIATED. Substantiated 2. The Department investigated the allegation: Facility roof is in disrepair. LPA toured the outside of the facility and observed a part of the roof is caving in. LPA interviewed staff on duty & residents. It was determined based on the interviews and observation that the above allegation is SUBSTANTIATED. 3. The Department investigated the allegation: Facility has hazardous cable wires hanging on the ground. LPA observed wires on the ground in the back of the facility. Wires appeared to be camera wires but can be a potential tripping hazard. LPA interviewed staff on duty & residents. It was determined based on the interviews and observation that the above allegation is SUBSTANTIATED. Allegations 2 & 3 will both be cited together under Title 22, Division 6, Chapter 8 under regulation 87303(a) Exit interview was conducted and a copy of this report LIC9099, 9099D, and appeal rights were provided to Caregiver Nary Newell.the state’s words, verbatim · CDSS document, Aug 30, 2023 · control 24-AS-20230525100442

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87303(e)(2) · Plan of correction due date: Aug 31, 2023

87303 Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: Based on observation & interviews the licensee failed to maintain proper water temperature at the facility. Water too hot can burn resident's in care and water not dispensing water at the proper temperature cannot clean/sanitize properly. This poses an immediate health, safety, or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Aug 30, 2023

Plan of correction: Facility provided quote water heater will be serviced 8/30/23. LPA will return to verify water temperature is correct.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Sep 6, 2023

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on observation & interview the licensee failed to maintain facility. Section of the roof is caving in. Wires/cables are left on the ground which can be a tripping hazard. This poses a potential health, safety, or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Aug 30, 2023

Plan of correction: Owner Josh spoke with LPA and stated someone will be out in two days to look at the roof. Owner will provide pictures of corrections to LPA.

Type of visit: Case Management - Deficiencies

LPA arrived to the facility unannounced to conduct a case management and was greeted by Caregiver Nary Newell. LPA explained the reason for the visit and asked staff to contacted Administrator Lucy Leang to inform the Dept. was at the facility. Caregiver Nary had contacted the 2 Care Coordinators. LPA attempted to contact Administrator Lucy but was unsuccessful. When LPA first arrived there was a resident sitting outside by himself, and the front door did not have an auditory device. Facility has 9 bedrooms and 4 bathrooms. Facility currently has 5 residents, 2 which are dementia residents. While touring the facility LPA observed scissors in a cup on the counter top which are accessible to residents. While LPA toured the outside of the facility there was a gas container accessible to residents in the back of the facility. Exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights were provided to Caregiver Nary Newell.the state’s words, verbatim · CDSS document, Aug 30, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(f)(1) · Plan of correction due date: Aug 30, 2023

87705 Care of Persons with Dementia (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). This requirement is not met as evidenced by: Based on observation & interview the licensee failed to keep scissors and gas can inaccessible to residents in care. This poses an immediate health, safety, or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Aug 30, 2023

Plan of correction: Scissors were removed and put away inaccessible to residents. Pictures will be sent verifiying gas can has been removed an inaccessible to residents.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87705(j) · Plan of correction due date: Sep 6, 2023

87705 Care of Persons with Dementia (j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement is not met as evidenced by: Based on observation & interview the licensee failed to have operating auditory devices to monitor exits. LPA tested front door and side door. This poses potential health, safety, or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Aug 30, 2023

Plan of correction: Owner is going to have maintenance look to see if a wire is not tripped. Owner will verify alarms are working and provide verification to LPA.

Type of visit: Required - 1 Year

On 09/02/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit, and requested to meet with administrator. LPA met with Maris Fehr, Staff 1 (S1) . Licensee Josh McWealth was called and unable to attend meeting. LPA conducted tour with S1. Dolores Lagow, Staff 2 (S2) arrived later after tour. After tour S1 shift was over and left the facility. Seven residents were present during the inspection. LPA called and spoke with Licensee John McWealth via telephone and discuss report and inspection. Upon entry facility staff was observed with no facial covering. Visitor log-in/temperature check was observed upon entry. Hand sanitizer was readily available to residents and visitors. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Social distancing is maintained in the common and dining areas. Social distancing and cough etiquette postings observed. At 09:19 AM, LPA and S1 observed five knives on kitchen counter unlocked. At 09:29 AM, LPA and S1 observed tools unlocked in the keys and batteries drawer in the kitchen. Food supply was checked and appeared to be an adequate supply. LPA checked residents’ locked medications. LPA observed fire extinguisher served date: 05/13/21. LPA observed 30 days PPE supplies. Cleaning supplies were stored and locked in laundry room. All resident’s room toured and observed to be adequately furnished and lit. LPA observed 1 shared residents’ bed to be at least 6 feet apart and six single occupant room. At 09:42 AM, LPA and S1 observed in master bathroom a tool unlocked on bathroom counter. All bathrooms are observed with securely fastened grab bars and non-skid mat. All bathrooms observed trash bin with lid. Hand washing posting observed by bathroom sinks.The exterior tour was conducted. Outside free o obstruction and debris. All resident records reviewed to have updated emergency contact information. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 9/8/22. The following updated forms were requested: Lic 308, Lic 309, Lic 500, Lic 610E, Lic 9282, Administrator Certificate and current liability insurance. Licensee was informed that as COVID-19 precautionary measure, this report and appeal rights will be provided via email. Signed report on file.the state’s words, verbatim · CDSS document, Sep 2, 2022

Type of visit: Prelicensing

On this date, Licensing Program Analyst(LPA) D. Ayers arrived at the facility for an announced Pre-licensing Inspection. LPA met with Licensee Josh McWealth and Administrator Saechao Maung Liam. LPA toured the facility inside and outside. All passageways and exits were clear and free from obstruction. The facility had a hard-wired sprinkler system installed. The facility was adequately furnished, well-lit, and at a comfortable temperature. Common areas were clean and odor-free. LPA toured resident bedrooms and bathrooms and observed bedrooms to have required minimum furnishings. Bathrooms have secure grab bars and non-skid mats. Outdoor area was free from hazards and had enough seating for all residents. Licensee and Administrator completed Component III Orientation. Pre-Licensing is complete and this facility has no deficiencies. A copy of this report was provided to the licensee via email.the state’s words, verbatim · CDSS document, Aug 30, 2021

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 11 Census (if any clients in care): 8 Method: Telephone call with CAB Applicant/administrator participated in COMP II via telephone call with the analyst at CAB. Identification of the applicant and administrator was verified by correctly answering identity verification question. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant has been advised to transmit signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Applicant and Administrator qualifications 4. Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical plant, food service Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of propertythe state’s words, verbatim · CDSS document, Aug 12, 2021