Kazlin Infinite Care

Type of visit: Required - 1 Year

On 10/11/2023, Licensing Program Analyst(LPA) D. Ayers arrived unannounced to conduct a Required Annual Inspection. LPA met with Manager Jasmin Burns and announced the purpose of the inspection. Administrator certificate is current with expiration date 2/3/2025. During the inspection, LPA toured the facility inside and outside. Exits and passageways were clear and free from obstruction. Smoke detectors, carbon monoxide detectors, and fire extinguisher were present and operational. LPA reviewed facility Emergency and Disaster Plan. Common areas were clean, odor free, adequately lit, and provided comfortable seating for all residents. The facility was at a comfortable temperature and the thermostat read 76 degrees Fahrenheit. Chemicals, detergents, and cleaning supplies were secured in locked cabinets. The facility had an adequate supply of clean linens and blankets. LPA observed a sufficient supply of personal protective equipment and reviewed facility infection control practices to meet requirements. LPA observed a sufficient supply of perishable and nonperishable foodstuffs. Refrigerator and freezer were clean and food items were stored and marked properly. LPA toured resident bedrooms and bathrooms. Bedrooms and bathrooms were clean, odor free, and had required minimum furnishings. There were three residents receiving hospice care services at the time of inspection. Bathrooms had required secure grab bars and non-skid mats, and water temperature was within acceptable temperature range. Resident medications were secured in a locked cabinet in the kitchen area. LPA reviewed three residents' medications and medications and medication administration records, and medications appeared to be administered properly. LPA reviewed a sample of staff files and all resident files: required records were present in resident and staff files. No deficiencies were cited during the inspection. A copy of the report was provided and exit interview conducted.the state’s words, verbatim · CDSS document, Oct 11, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Lady Cabrera arrived unannounced for an Annual Required Inspection. LPA met with Staff Maria Flores. Administrator Erlinda Magliba was out of town and unavailable. LPA spoke with Administrator and she approved for Staff to conduct the tour of the facility and to sign this report. LPA stated the purpose of the visit. A tour of the facility was conducted. COVID-19 guidelines are in place. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathrooms have trashcans with lid. Hand washing posters were observed by the bathrooms. Bedrooms were checked. The exterior tour was conducted. LPA checked residents’ medications and observed a 30-day supply. Food supply was checked and there appeared to be an adequate supply. Cleaning and PPE supplies were checked. Staff records were reviewed for good health and infection control training. Facility staff was observed with mask on. Residents wear masks when away from the community. Resident’s files have updated emergency contact information. Deficiencies cited on LIC809D. Exit interview was conducted and Appeal Rights were provided. Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate & up to date information for your facility. In an effort to maintain your facility file, please submit the most current & complete forms &/or information as identified below: Residential Care Facility for the Elderly (RCFE): · LIC 308 Designation of Facility Responsibility · -as applicable: LIC 309 Administrative Organization · -as applicable: LIC 400 Affidavit Regarding Client/Resident Cash Resources · -as applicable: LIC 402 Surety Bond · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly · LIC 9020 Register of Facility Clients/Residents · Copy of current Liability Insurance · Copy of current Administrator Certificate · Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 10/06/2022.the state’s words, verbatim · CDSS document, Sep 29, 2022

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Residents are unable to make/receive calls due to facility phone line not working

Licensing Program Analyst (LPA) L. Cabrera conducted the complaint investigation visit to the facility. During this visit LPA delivered investigation findings regarding the above allegation. Due to precautionary measures and Covid-19 positives in the facility. LPA did not enter the facility. The Department has investigated the complaint alleging: Residents are unable to make/receive calls due to facility phone line not working. Per interviews, the facility phone line was not working on 7/16/2022. Administrator contacted Xfinity regarding the phone line and television not working. Per records on 7/18/2022, Xfinity phone service provider repaired the phone. On 7/19/2022 and 07/22/2022, LPA called the facility phone line and it was working. This agency has investigated the complaint alleging (Residents are unable to make/receive calls due to facility phone line not working). We have found that the complaint was unfounded, therefore we have dismissed the complaint. Unfoundedthe state’s words, verbatim · CDSS document, Jul 22, 2022 · control 24-AS-20220718165705

Type of visit: Case Management - Other

Licensing Program Analyst (LPAs) Kamaldeep Kaur and Lady Cabrera conducted a Case Management visit to obtained information regarding Resident (R1) On 11/20/2021, Unusual Incident/Injury Report was submitted to Community Care Licensing (CCL) regarding R1 going absent without leave (AWOL) on 11/06/2021. LPAs met with Administrator Erlinda Magliba and stated the purpose of the visit. LPAs reviewed R1’s Physician’s Report dated 04/28/2021, per report R1 is able to leave unassisted. Administrator reported R1’s conservator notified her that R1 is unable leave facility unassisted as of November 30, 2021. Administrator will update the R1’s Needs and Services report. leave the facility unassisted. Administrator will update the R1’s Needs and Services report. Exit interview conducted. LPA provided a copy of this report to the Administrator.the state’s words, verbatim · CDSS document, Dec 28, 2021

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Lady Cabrera arrived unannounced for an Annual Required Inspection. Administrator Estrellito Magliba was unavailable, however, designated Erlinda Magliba. LPA was met by Designated Representative Erlinda Magliba and stated the purpose of the visit. A tour of the facility was conducted. COVID-19 guidelines are in place. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathrooms have trashcans. Hand washing posters were observed by the bathroom sinks. Bedrooms were checked and beds are six feet apart. The exterior tour was conducted. LPA checked residents’ medications and observed a 30-day supply. Food supply was checked and there appeared to be an adequate supply. Cleaning and PPE supplies were checked. Facility staff was observed with mask on. Residents wear masks when away from the community. Resident’s files have updated emergency contact information. LPA followed up on an incident reported that occurred on 07/13/2021 regarding Resident (R1) being hit by a branch and getting stuck. Deficiencies are being cited on the attached LIC 809 -D. Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate & up to date information for your facility. In an effort to maintain your facility file, please submit the most current & complete forms &/or information as identified below: Residential Care Facility for the Elderly (RCFE):  LIC 308 Designation of Facility Responsibility  -as applicable: LIC 309 Administrative Organization  -as applicable: LIC 400 Affidavit Regarding Client/Resident Cash Resources  -as applicable: LIC 402 Surety Bond  LIC 500 Personnel Report  LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly  LIC 9020 Register of Facility Clients/Residents  Copy of current Liability Insurance  Copy of current Administrator Certificate  Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 10/15/2021 by 12p.m. Exit interview was conducted. A copy of this report, LIC809, LIC809-D and appeal rights were provided. The Licensee’s signature on this form acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Oct 11, 2021

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.