Sunshine Care Home

Type of visit: POC

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Administrator, Denisa Crisan, to follow-up on a plan of correction made to the facility on 5/23/2023 to be corrected on 6/16/2023. During today's visit, LPA took the temperature of the tap water from four faucets. Faucet in one shared bathroom got to 110 degrees F before dropping in temperature. Faucet in resident (R1's) personal bathroom got up to 107 degrees F before dropping in temperature. Faucet in kitchen got to 122 degrees F before dropping in temperature. Faucet in resident (R2's) personal bathroom got up to 124.9 degrees F. As a result of this visit, deficiency was observed to not be corrected and a civil penalty in the amount of $600 was assessed because the facility did not comply with a plan of correction for the time period of 5/23/2023 thru 6/16/2023. Exit interview was conducted with Administrator. A copy of this report and appeal rights were provided. Administrator's signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Jun 22, 2023

Allegation investigated: Facility does not have hot water for resident in care

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Administrator, Adela Crisan, to open a complaint investigation into the allegation listed above. During today's visit, LPA conducted interviews, observed the facility, and took the temperature of the tap water. The results of the investigation are as follows: Allegation: Facility does not have hot water for resident in care ** Report continued on 9099-C ** Substantiated During today's visit, LPA conducted interviews with residents R1, R2, and R3, relevant party, and Administrators Adela and Denisa Crisan. All interviews with the individuals listed above indicated that they have never witnessed any residents being restrained at the facility. All resident interviews indicated that they never experienced staff physically restrain them. Interviews with staff indicated that they have never physically restrained a resident in care. Interviews with R2, R3, and Administrators indicated that residents are able to wake up and go to sleep when they want to. All interviews listed above indicated that the facility has on-call staff at night that is available and has provided assistance at night when needed. LPA observed call horns for residents to alert on-call staff to be audible from throughout the facility to the on-call staff member's bedroom. During today's visit, LPA observed residents ambulating throughout the facility. LPA observed no residents being physically restrained. Based on interviews conducted and observations, the preponderance of evidence standards have not been met. Therefore, the above allegation is found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted with Administrator and a copy of this report was provided to the facility. The signature of the Administrator on these forms acknowledges receipt of these documents. Interview with resident (R1) indicated that they have struggled getting hot water in their bathroom sink. Interview with resident (R3) indicated that they were unable to get hot water while taking a shower when they first moved to the facility, but facility increased hot water when brought to their attention and R3 no longer had issues with hot water. During today's visit, LPA took the temperature of the tap water from three faucets. Faucet in one shared bathroom took ten minutes to get to 97 degrees F before dropping in temperature. Faucet in kitchen got to 102 degrees F before dropping in temperature. Faucet in resident (R2's) personal bathroom got up to 106 degrees F. Based on interviews conducted and observation, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency are being cited on the attached 9099-D page. Exit interview was conducted with Administrator. A copy of this report and appeal rights were provided. Administrator's signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, May 23, 2023 · control 59-AS-20230518153648

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(e)(2) · Plan of correction due date: Jun 16, 2023

87303 Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care (...) 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 interviews conducted and observation, LPA observed 2 faucets at the facility run water under 105 degrees F before dropping in temperature, which poses an potential health, safety, and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, May 23, 2023

Plan of correction: Facility will work on regulating water temperature throughout the house so that water tap at the facility will have a temperature between 105 degrees F and 120 degrees F. LPA will return to the facility at a later time to take the temperatures of the water tap.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 1/20/2023 to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with Administrator, Adela Crisan, and explained the purpose of the visit. LPA ensured to apply hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPA was screened by staff upon entry and signed visitor log with temperatures. LPA toured the facility to ensure the health and safety of residents in care. Areas toured include but are not limited to: 5 bedrooms and 4 bathrooms for residents, 1 bedroom for staff, common area, kitchen, storage, outdoor area, and PPE supplies. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Administrator completed the infection control domain. No deficiencies are being cited. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Jan 20, 2023

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility announced on 2/8/22 to conduct a Pre-licensing follow-up inspection for corrections noted on 2/2/22.LPA met with licensee and administrator and explained the purpose of the visit. Also present with Metro Fire Inspector. Prior to initiating the pre-licensing inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms and contacted licensee and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Mask. Additionally, LPA was screened by facility staff upon entering the facility. Administrator is not present at the facility. LPA confirmed that Masks were worn by staff. Licensee has an exception on file. LPA observed a more robust lock on the knife drawer and kitchen sink cabinet, locking the outdoor shed when not in use and that all toxins and chemicals be secured from residents.Licensee has record of weekly testing of unvaccinated staff . Fire inspector observed that the fire door operates properly and proposed options to have a proper door holder. No deficiencies are being cited as a result of todays inspection. Facility is in significant compliance. License is pending. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Feb 8, 2022

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility announced on 2/2/22 to conduct a Pre-licensing referencing the infection control domain. LPA met with staff designee and explained the purpose of the visit. Prior to initiating the prelicensing inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms and contacted licensee and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Mask. Additionally, LPA was screened by facility staff upon entering the facility. Administrator is not present at the facility. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA advised a more robust lock on the knife drawer and kitchen sink cabinet, locking the outdoor shed when not in use and that all toxins and chemicals be secured from residents. LPA and Denisa completed the infection control recommendations and facility was found to be in substantial compliance at this time. LPA advised staff wear masks at all times at work and record of weekly testing of unvaccinated staff be maintained in staff files as needed. LPA reviewed one resident and one staff file. Both had required forms. Staff training records not present. LPA requested licensee submit proof of staff training. LPA will check with fire inspector for approval of fire door and door magnet holder. Component III review not completed. No deficiencies are being cited as a result of todays inspection. LPA will follow-up with Licensee that advised issues were addressed. LPA to conduct follow-up visit. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Feb 2, 2022