Spring Meadows Assisted Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Licensee/Administrator - Cynthia Garcia and was granted entry to the facility. Licensed capacity is (6) current census (5). LPA was accompanied by Licensee/Administrator Cynthia Garcia to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated space for resident/staff files. During facility tour, LPA Rico observed video cameras inside resident rooms. The Administrator stated the facility had received consent from the family. During record review, LPA Rico observed the facility did not have a written consent and cameras have not been approved as part of their Plan of Operation/ Admission Agreement. LPA Rico also obsevred R2 will full bed rails without a physician order. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. . Record Review: LPA reviewed (6) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (6) resident medications and (2) hospice files. LPA also reviewed (2) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. During medication audit, LPA observed R1 PRN were dispensed daily but not documented with the date/time along with the reason and result. Lastly, LPA observed (2) staff did not have their health screening. Based on the observations made during today’s visit, deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809, LIC809D)was discussed and provided to Licensee/Administrator Cynthia Garcia. Along with Appeal Rights.the state’s words, verbatim · CDSS document, Feb 13, 2026

Type of visit: POC

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to the home in order to verify clearance of plans of correction created with Administrator Cynthia Garcia from visit on 01/30/2025. The following Plan of Correction (POC)s were cleared at the time of the visit: The licensee was cited for following: 87303(a) , 87305(a), 87465(d)(3), 1569.695(c), 1569.695(e), 87355(e)(1). on 01/30/2025. LPA conducted facility tour, and received copies of Plan of Corrections. At this time the Plan of Corrections were cleared and clearance letters were provided to Administrator Cynthia Garcia.the state’s words, verbatim · CDSS document, Feb 11, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Licensee/Administrator - Cynthia Garcia and was granted entry to the facility. Licensed capacity is (6) current census (5). LPA was accompanied by Licensee/Administrator Cynthia Garcia to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated space for resident/staff files. During facility tour, LPA observed furniture on patio side, blocking facility pathway. In addition the facility had converted the garage storage into a staff bedroom without building permits. Facility's fire clearance indicated the garage should remain for storage purposes. The facility has residents personal belongs unorganized inside the garage. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (5) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (5) resident medications and (2) hospice files. LPA also reviewed (2) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. During medication audit, LPA observed the facility has not been documenting resident's PRN, which include date/time and resident response. In addition, the administrator stated S1 had been working without a criminal record clearance. Based on the observations made during today’s visit, deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809, LIC809D LIC421BG) was discussed and provided to Licensee/Administrator Cynthia Garcia. Along with Appeal Rights.the state’s words, verbatim · CDSS document, Jan 30, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Cynthia Garcia and was granted entry to the facility. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for a capacity of six (6) non-ambulatory residents, one (1) resident may be bedridden. The current census is six (6) residents. LPA was accompanied by Administrator to conduct a general overall inspection, which included, but was not limited to, the following: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to interior and exterior passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA found that the facility has two (2) residents (R3 and R6) in care with a condition that requires auditory alarms on exterior exit doors. The facility does not have auditory alarms on all the exterior exits. The facility will be issued a deficiency for not having auditory alarms on the facility exit doors. LPA measured and observed the water temperature in the bathrooms to be at 110.8 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Postings such as the facility license, personal rights, the CCL complaint poster, labor laws, and the disaster plan were posted in a common area. The non-perishable and perishable food supply is sufficient for the residents in care. During kitchen tour, LPA found cleaning supplies, toxins, and sharps were not kept inaccessible to residents in care. LPA found bleach in an unlocked cabinet underneath the kitchen sink, found knives in a knife container on the kitchen counter, and found knives in an unlocked drawer in the kitchen. The facility will be issued deficiencies for not properly locking the chemicals and for not properly locking the knives. During the kitchen tour, LPA found a plastic container that contained Staff S5’s personally used syringes and needles. The facility will be issued a deficiency for not storing the syringes and needles in a proper bloodborne pathogen’s container. During kitchen tour, LPA also found a bottle of R4’s medication being stored on the kitchen counter. LPA also found that Residents R1, R2, R3, R4, R5, and R6 medications were in an unlocked cabinet in the hallway. The facility will be issued a deficiency for not properly locking the resident’s medications. LPA also found that Residents R1, R2, R3, R4, and R6 medications were removed from the originally received prescription containers and were being stored in plastic containers labeled AM and PM. The facility will be issued a deficiency for not storing the resident’s medications in the originally received prescription containers. During the visit, LPA was informed by Staff S5 that Staff S5 administers injections for Resident R1 for a medical condition. The facility will be issued a deficiency for administering injections without being a properly skilled professional. During garage tour, LPA found that that facility created a sleeping area for Staff S4 that included a bed, a partition, and personal items. LPA found that the storage room in the garage had been converted into a bedroom for Staff S1 that included a bed and personal items. The facility will be issued a deficiency for creating sleeping arrangements in the garage and in the garage storage room. LPA found that the facility does not have sufficient care staff for coverage 24 hours a day, 7 days a week. The facility has two (2) resident’s that have a condition that requires an awake staff at night. LPA was informed by Staff S5 that the staff sleep at night and are on call if the residents need assistance. The facility will be issued a deficiency for not having proper staff to take care of the resident’s needs at night. The facility has designated storage space for resident files and staff files. LPA reviewed six (6) residents files for admission agreements, updated physician reports, and needs and services plans. LPA found that Residents R1, R2, R3, R4, R5, and R6 do not have needs and services plans. The facility will be issued a deficiency for not completing needs and services plans for the residents. LPA reviewed two (2) staff files for First Aid/CPR certifications, criminal record clearances, trainings, and health screenings. LPA found that Staff S5 and Staff S3 do not have First Aid/CPR certifications. LPA found that Staff S4 does not have a staff file and does not have a criminal record clearance to work at the facility. The facility will be issued a deficiency for not having First/Aid CPR certifications and for S4 not having a staff file. The facility will be issued a deficiency allowing Staff S4 to work at the facility since November of 2023 without a criminal record clearance. The facility will also be issued a civil penalty in the amount of $500 dollars allowing S4 to work at the facility without a criminal record clearance. Based on the observations made during today’s visit, thirteen (13) deficiencies were cited per Title 22, Division 6, of the California Code of Regulations, along with a civil penalty. An exit interview was conducted, and this report (LIC809), LIC809D forms, LIC811, and LIC421BG were discussed and provided to with Administrator Cynthia Garcia, along with a copy of the appeal rights.the state’s words, verbatim · CDSS document, Jan 31, 2024