J & H Care Homes

Type of visit: Required - 1 Year

On 11/08/2023, Licensing Program Analysts (LPAs) Cheyenne Ratajczak and Bethany Mirlohi arrived unannounced at the facility to conduct a Required 1- year annual inspection utilizing the care tool. LPAs met with Administrator Rasha Salman. LPAs and Caregiver conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: four private residents room, two bathrooms, kitchen, backyard, laundry room, and the common areas. LPAs observed all residents in their private bedrooms. LPAs observed the facility to have 2+ days of perishable and 7+ days of nonperishable foods. Water temperature was measured at 109 degrees. LPAs observed cleaning spray to be store in the bathroom. LPAs informed administrator that cleaning spray needs to be locked away. LPAs conducted a file review of one personnel and three residents records. LPAs completed the full care tool and deficiencies was observed. Please see LIC 809-D. Exit interview conducted and a copy of the report and appeal rights was provided.the state’s words, verbatim · CDSS document, Nov 8, 2023

The state marks this report as 11 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Facility staff do not properly assist resident with toileting needs in a timely manner. Facility staff left resident in soiled clothing for an extended period of time. Facility staff speaks inappropriately to resident. Lack of supervision resulted in resident sustaining multiple falls.

Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 07/24/23 to deliver complaint findings for above allegations. LPA met with staff,Cristeta Arcalas (S1) who called administrator,Rasha Salman via phone and LPA explained the purpose of todays's visit. Administrator gave permission to LPA to conduct today's visit and sign report with S1 since she is unable to come to facility . The department conducted records review ,facility observations and interviews to investigate the complaint. **Report continued on LIC9099-C** Unsubstantiated Report continued from LIC9099......... Allegation- Facility staff do not properly assist resident with toileting needs in a timely manner. Based on the interviews conducted with staff and residents, as well as the review of facility records, including charting notes, staff schedules, and resident records, it has been determined that the facility is meeting the resident's ADL (Activities of Daily Living) needs as required. The interviews with both staff and residents indicated that care was being provided in a professional manner, and no concerns were expressed. Based on these investigations, it has been concluded that the facility has enough staff to meet the residents' needs. During the department's visits, it was observed that the residents’ needs were being met. Based on the investigation, the allegation made against the facility is found to be UNSUBSTANTIATED. Allegation- Facility staff left resident in soiled clothing for an extended period of time. Based on the interviews conducted with staff and residents, as well as the review of facility records, it has been determined that the resident's ADLs, including their incontinence and care needs, are being met as required and documented accordingly. The residents' interviews indicated that the staff were providing care in a professional manner, without expressing any concerns. From the record review for Resident 1 (R1), it has been concluded that R1 was admitted to the facility on 06/12/23 after an extended stay in the hospital due to a recent stroke and declining health. During R1's stay at the facility from 06/12/23 until the discharge date of 06/19/23, R1 experienced multiple falls due to their health condition. The facility called 9-1-1 on multiple occasions to ensure R1's safety and provide assistance. Additionally, R1 experienced episodes of diarrhea during their stay at the facility, and the staff promptly assisted R1 in cleaning themselves up, including providing showers as needed. The department has concluded that the facility staff did not leave R1 in soiled clothing for an extended period of time and provided appropriate care to meet R1's needs. Based on these findings, it can be determined that the facility staff acted responsibly and provided appropriate care to R1, considering their specific care needs and health conditions, therefore, the above allegation is found to be UNSUBSTANTIATED. *** Report continued on LIC9099C....... Report continued from LIC9099......... Allegation- Facility staff speaks inappropriately to resident. Based on the interviews conducted with the administrator, residents R2 and R3, and staff members S1 and S2, it has been determined that there is no evidence of staff being inappropriate or disrespectful towards the residents. The administrator mentioned that staff may speak loudly to residents who are hard of hearing in order to effectively communicate with them. However, this does not indicate any misconduct or disrespect. The residents' interviews revealed that the staff provide care and assistance in a professional manner, and they denied experiencing any disrespect or misconduct from any staff member at the facility.During the department's visits to the facility as part of the complaint investigation, it was observed that the facility staff were attentive to the residents' care needs. The residents indicated that the staff were providing satisfactory care. Based on these findings, there is no substantiated evidence of staff being disrespectful or engaging in any misconduct towards the residents therefore, this allegation is UNSUBSTANIATED. Allegation- Lack of supervision resulted in resident sustaining multiple falls. Based on the interviews conducted with staff and residents, as well as the review of facility records, including charting notes, staff schedules, and resident records, the department has reached the following conclusions: From the record review, it has been determined that Resident 1 (R1) was in the hospital from May 2023 until their discharge to the facility on 06/12/23. R1 had an extended stay in the hospital after suffering a stroke in May 2023. The hospital records and medical records indicated that R1 was at a high risk of falling due to the stroke and other medical complications.During R1's stay at the facility from 06/12/23 until the discharge date of 06/19/23, R1 experienced multiple falls. However, it has been concluded that these falls were due to R1's medical condition and not because of any lack of care or supervision provided by the facility. The facility responded appropriately to these falls by providing the necessary care and assistance to R1 and seeking medical help when needed by calling 9-1-1. Based on these findings, the falls occurred as a result of R1's medical condition, and the facility provided appropriate care and assistance in response to these incidents therefore, this allegation is UNSUBSTANIATED. Based on interviews conducted by the Department and records review, the preponderance of evidence standards has not been met. Therefore, the above all allegations are 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. No citations were issued during today’s visit. Exit interview was conducted with S1 and a copy of this report was provided to S1.the state’s words, verbatim · CDSS document, Jul 24, 2023 · control 59-AS-20230620093643

Allegation investigated: The facility is not storing an adequate amount of food. Facility owner threatened a staff member in the presence of residents. Residents are not given privacy while in care.

Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 06/07/23 to deliver complaint findings for above allegations. LPA met with administrator,Rasha Salman and explained the purpose of todays's visit. The department conducted records review ,facility observations and interviews to investigate the complaint. **Report continued on LIC9099-C** Unfounded ***continued from LIC9099........ Allegation--The facility is not storing an adequate amount of food. On 05/30/23 LPA Bains did a walk-through of the kitchen and noted that the facility had the appropriate food amount in 2 days of perishables and 7 days of nonperishable food items. The facility had two types of juice available, cranberry, and strawberry, fresh vegetables, frozen items, dessert, sandwiches, cheese, and potatoes. The facility had several shelves of frozen food and nonperishable food. Food included soups, drinks, chicken, cranberries, bread, tater tots, rice, beans, and canned fruits. Staff and residents’ interviews indicated that facility has adequate supplies of all food items and there were no concerns, therefore, this allegation is UNFOUNDED. Allegation--Facility owner threatened a staff member in the presence of residents. During investigation, Licensing Program Analyst (LPA) Bains interviewed residents and staff to investigate this allegation. Based on interviews that was conducted with residents, residents stated that they did not witness facility owner was threatening any staff member. Staff who were interviewed stated that they have not observe facility owner threatening any staff member in any manner. S1 interview indicated that sometimes staff talk loud to each other in their native language which could have been perceived as threatening tone, but staff treat everyone with respect and dignity and work at facility in a professional manner, therefore the allegation is UNFOUNDED. Allegation--Residents are not given privacy while in care. LPA Bains interviewed 2 staff and 2 residents during complaint investigation on 05/30/23. Department conducted the investigation for the stated allegation from this complaint. Department conducted a tour of the facility on 05/30/23 and conducted interviews with administrator, residents, staff. Interviews did not indicate any residents, staff and/or witness observed that staff are not providing privacy to residents in care. Department observed while doing facility tour on 05/30/23 that facility staff appeared to be attentive to resident’s needs and providing them privacy while taking care of them and during resident’s personal time with families and visitors. During residents’ interviews, residents stated that facility staff is meeting their care needs and did not express any concern with privacy. Based on facility tour, interviews and observation, department found this allegation is to be UNFOUNDED. Based on the investigation, the preponderance of evidence standards has not been met. Therefore, the above all allegations is found to be UNFOUNDED. A finding that the allegations are unfounded means that the allegations are false, could not have happened, and/or is without a reasonable basis. No citations were issued today. Exit meeting conducted with administrator. A copy of this report has been provided to facility.the state’s words, verbatim · CDSS document, Jun 7, 2023 · control 59-AS-20230522104845

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Talwinder Bains met with applicant, Rasha Salman , to conduct a Pre- Licensing visit. LPA followed current Covid precautions- self screened, hand sanitized and surgical mask worn. The facility has a fire clearance for six (6) non-ambulatory residents. Applicant holds a current administrator certificate (# 6058898740 with expiration date 03/07/2023). LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. Facility inspection is done for these areas but not limited to 6 bedrooms for residents, 1 staff room, 5 bathrooms, kitchen, common areas, garage, storage area ,outside area and laundry area . LPA observed facility to be properly furnished, including appropriate bedding and lighting in bedrooms. Bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 118 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed at least a 2-day perishable and 7-day nonperishable food supply at the facility. LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detectors at the care home are operational. Fire extinguisher is ready for emergency use. LPA completed the Pre-licensing inspection tool with applicant. Pre-licensing passed and Component III was completed with applicant. Applicant has satisfied all requirements in accordance to Title 22, California Code of Regulations. Application is pending and LPA will forward findings to the Centralized Application Bureau (CAB) for final review and approval. CAB will further contact applicant on final status of application. A copy of this report was provided to the facility. Exit interview conducted.the state’s words, verbatim · CDSS document, Nov 29, 2022

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE Application Type: INC Capacity: 6 Census (if any clients in care): NO Method: Telephone at CAB COMP II Participants: Rasha Salman (Administrator/Applicant's Representative) Applicant/Administrator participated in COMP II at CAB via telephone with analyst at CAB. Identification of the Applicant and Administrator was verified by providing California Driver License number. During COMP II, Applicant and Administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and Administrator were advised to email/fax 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 7. 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, Nov 17, 2022