Basia Residential Care

Allegation investigated: Uncleared adult attending to resident(s).

Licensing Program Analyst (LPA) Celine De Perio made an unannounced visit to this facility. LPA met with Administrator (AD) Joanna Manczyk and stated the purpose of this visit which was to deliver the final findings for the complaint received on 12/20/22 against this facility. This agency has investigated the complaint alleging that there is an uncleared adult attending to resident(s). LPA De Perio reviewed facility documentation, interviewed staff and residents, and conducted a tour of both the interior and exterior portion of the facility. LPA De Perio observed and verified that there was no indication aside from current residents and live-in administrator, that another individual was residing at facility. LPA De Perio also reviewed documentation such as, but not limited to, staff files and facility payroll, of which all present employees were reflected as having the necessary criminal background clearance. Unfounded 7 out of the 7 interviews all stated that individual in allegation, does not live, work, provide care for residents nor assist staff. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. For today’s visit, no citations were issued. No deficiencies were issued. LPA De Perio conducted an exit interview with AD and copy of this report was left in this facility.the state’s words, verbatim · CDSS document, Jan 18, 2023 · control 22-AS-20221220132620

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced required annual inspection focusing primarily on the Infection Control. LPA De Perio explained reason for visit and was greeted and granted entry by staff on duty who checked temperature prior to entering facility. During the visit, 3 staff were on duty, including facility administrators (ADs) Barbara Manczyk and Joanna Manczyk. As of 9/2/22, there are 0 active COVID-19 cases in the facility as verified. LPA De Perio observed the COVID-19 precautionary signs posted throughout the facility. The PUB475 "See Something, Say Something" poster was also observed in the facility hallway. LPA De Perio observed the Administrator's Certificate for Barbara Manczyk which expires on 11/7/23, and Joanna Manczyk, which expires on 4/22/24. LPA De Perio toured the interior and exterior portions of the facility with ADs. The facility is a two level structure and is licensed for 6 non-ambulatory residents, 0 bedridden and 4 hospice. For this visit, there are a total of 3 residents in care, 0 on hospice and 0 bedridden. LPA De Perio verified that second level of facility is not for resident use, but is utilized for staff. LPA De Perio observed no residents residing on second floor. All bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. The restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature in restrooms were measured at 115.0 degrees Fahrenheit and hand washing signs were also posted in each restroom. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen. LPA De Perio observed the emergency disaster and evacuation plan, which is posted at the main entrance of the facility. Facility had back-up emergency food and water supply, located in the garage. LPA De Perio observed that First Aid Kit had all the required components. The facility had an adequate supply of PPE that was located in the garage and facility hallway. Medications were locked in the hallway cabinet. Toxins were also observed to be locked in the garage and inaccessible to residents. For the exterior portion, LPA De Perio observed patio furniture under shading, and the grounds were free of any hazards. There are 2 gates in the backyard, of which one is only used as an exit, and is self-closing and self-latching. No bodies of water were observed. LPA De Perio verified the Coronavirus 2019 (COVID 19) mitigation plan of the facility with ADs. LPA De Perio discussed Assembly Bill 665 requires that a licensee of any adult or senior care residential facility that has internet service provide at least one internet access device, such as a computer, smart phone, tablet or other device, that: can support real-time interactive applications; is equipped with video conferencing technology, including microphone and camera functions; and is dedicated for client or resident use. LPA De Perio discussed with ADs to review, print and subscribe for emails regarding the Provider Information Notices (PINs) as well as to attend the CCLD Informational Calls to ensure that facility and staff are up to date. The PINs can be accessed at: www.ccld.ca.gov. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. No citations were issued. LPA De Perio advised ADs to use the general email address: CCLASCPOrangeCountyRO@dss.ca.gov for any inquiries and to specify attention to the assigned LPA. LPA De Perio conducted an exit interview with ADs and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Sep 2, 2022

Type of visit: Required - 1 Year

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Norman Woodridge for the purpose of conducting an Covid-19 Annual Inspection. LPA met with Administrator (AD) Joanna Manczyk and discussed the purpose of the inspection. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, garage, and kitchen. LPA observed the following: There were 4 residents present at the facility and residents were doing well. Resident rooms were clean and organized. LPA observed a 2-day supply of perishables and a 7-day supply of nonperishables. LPA observed hallways and walkways that were free of obstruction. LPA observed Covid-19 related training logs and certificates for staff. LPA and administrator discussed Provider Information Notice 21-38-ASC: Update Guidance for the Use of Masks, Surgical Masks, Respirators Related to Coronavirus Disease 2019 (COVID-19). LPA also discussed Covid-19 Mitigation Plan. A copy of PIN 21-38-ASC was given administrator. No deficiencies were noted during the inspection. An exit interview was conducted with AD and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 29, 2021