Vicio Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct an annual required visit. LPA arrived at 1:12PM but no one was home. According to Administrator Lea, the residents are at day program and staff would be back at 2:30 PM. LPA later arrived at 3:10PM to complete the visit. LPA met with Administrator Lea Vicio, and explained the purpose of the visit. LPA and facility staff Peter toured the facility to ensure compliance with Title 22 regulations. LPA observed 4 resident bedrooms, 2 bathrooms, common areas, and dinning area. Bedrooms were furnished, clean, and free from debris. Bathrooms were fully stocked with paper towels, soap, trash cans, handrails, and hand sanitizer. Medication, cleaning supplies, and sharps were observed to locked and inaccessible to residents in care. Facility temperature was observed to be 75*degrees F. Hot water in the bathrooms were measured at 110.0*degrees F. Facility has nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. No emergency exits were obstructed. The backyard was observed to be free from debris and had an area for outdoor activities. LPA observed residents listening to music, watching television, doing arts and crafts, walking around the house, and getting settled in from Day Program. LPA spoke to residents and staff during the visit. LPA reviewed staff and resident files. Files were observed to be current and complete. LPA requested the following documentation be sent to LPA by 09/01/23: LIC 500, LIC 308, LIC 610, Liability Insurance, Surety Bond Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed or cited. An exit interview was held with Administrator Lea, and a report was provided.the state’s words, verbatim · CDSS document, Aug 28, 2023

Allegation investigated: Neglect

Licensing Program Analyst (LPA) Christina Valerio arrived to the facility unannounced to deliver complaint investigation findings. LPA met with facility staff, and explained the purpose of the visit. LPA has determined the following as it relates to the above-mentioned allegation. LPA Valerio observed the facility on two occasions. During both occasions, the facility had two staff members present while residents were engaging in personal activities. Staff interactions with residents were observed to be professional, supportive, and encouraging. The facility had pantry shelves stocked with snacks, canned items, and perishable goods. The refrigerator and freezer were stocked with a minimum of 7 days of perishable foods and 2 days worth of perishable food items. Resident mood appeared to be in good spirits as evidenced by smiling, having positive interactions, and open body language. Continues on LIC 9099 - C... Page 1 of 2 Unsubstantiated ...Continued from LIC 9099 An outside agency conducted health and safety visits to observe the facility. According to their visits, they did not observe any evidence to prove staff were neglecting the residents. LPA Valerio conducted interviews. According to staff interviews, there has never been any signs of neglect from other staff nor did the staff admit to any form of neglect. Staff informed LPA that each resident has a section in the pantry with snacks, which they have full access at any time of the day. According to staff, staff provide 3 meals and snacks in between. According to facility on-going notes, staff document the amount eaten for each resident. LPA did not observe any meal times missed, unless the resident was out on an outing with family and/or in the hospital. According to information obtained from interviews five residents , residents enjoy the food, say they like living here, and did not mention any signs of neglect from staff. Residents who were unable to communicate with LPA appeared content and not in distress. According to interviews with a family member, they do not know if staff neglected the residents; however, they had concerns with their loved one's weight. When they brought the concern up with family, the administrator made appropriate steps to ensure their concern was looked into. According to the interview, the family is happy with the facility. This incident resulted in a staff member being removed from the facility and the implementation of a 4th meal time for the resident. LPA reviewed resident's records. According to records, records show a difference of 10lbs since the date of admission to current and a prior diagnosis that may contribute to weight loss. According to an interview with family, the difference of culture/home environment may also be a contributing factor to weight loss. According to the administrator, the staff member was removed because of an allegation. Administrator could not confirm whether that staff did or did not refuse to give food. According to staff, the staff provided all meals and stated residents loved the staff's cooking. According to the administrator, interactions with all staff and residents have been professional and no behaviors indicate neglect by staff. Due to the above noted information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, and therefore the allegations are unsubstantiated. Per California Code of Regulations (CCRs) - Title 22, no deficiencies cited. Exit interview was held facility staff Conrado Camma and Administrator Lea Vicio via cell, and a copy of report was left at the facility.the state’s words, verbatim · CDSS document, Dec 22, 2022 · control 27-AS-20220919152255

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct an annual inspection. LPA Valerio met Administrator Lea, and stated the purpose of today’s visit. The physical plant was toured inside and outside to ensure the safety of the residents and compliance with Title 22 regulations. LPA also conducted the infection control domain tool. LPA observed the facility to have a first aid kit, hand washing signage, and COVID-19 informational signage posted at the front door and throughout the facility. LPA observed the temperature inside the facility was measured at 75 *F, which is within the required range of 68 degrees F and 85 degrees F. The hot water was measured at 116.2 *F. Facility has nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. An emergency supply of food, supply of PPE, and a first aid kit was observed LPA observed the centrally stored medications area to be locked and inaccessible to clients. LPA Valerio observed a pull alarm system, fire extinguisher(s) with last check on 11/05/2021, smoke and carbon monoxide detectors, central heating, and air in the facility. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed or cited. Exit interview held with Administrator Lea, and a report was provided.the state’s words, verbatim · CDSS document, Sep 22, 2022

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to the facility to conduct a case management visit. LPA Valerio explained the purpose of the visit and was met by On 03/16/2022, Alta Regional Center Service Coordinator Jazmine Kung-Gunion informed LPA Valerio the facility was placed on sanctions effective 3/16/2022 due to medication errors. Due to this finding, the facility is not within compliance of Title 22 regulations and deficiencies are being cited. LPA Valerio reviewed current residents Medication Administration Records for 03/01/22 to 03/29/22 AM. LPA observed all resident's MAR to be completed with a signature by facility staff. No concerns for medication errors noted or observed on this visit. LPA Valerio observed staff interacting with residents in a positive and respectful manner. Staff were observed to be conducting activities, cleaning, and assisting residents. Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies were observed today and cited on the attached LIC 809-D. Failure to correct the deficiency may result in civil penalties. Appeal rights were provided. An exit interview was conducted, and a copy of the report was provided to Administrator.the state’s words, verbatim · CDSS document, Mar 29, 2022

From the deficiency page — Deficiency type: Type B · Section cited: HSC 87465(c)(3) · Plan of correction due date: Apr 15, 2022

87465 Incidental Medical and Dental Care (c)..., facility staff designated by the licensee shall be permitted to assist the resident with self-administration... (3)A record of each dose is maintained in the resident's record. The record shall include the date and time...This requirement was not met as evidenced by: Based on record review, 6 out of 6 residents did not have staff initials for medications on the evening of 03/08/22 and the morning of 03/09/22, which poses a potential health safety risk to residents in care.the state’s words, verbatim · CDSS document, Mar 29, 2022

Plan of correction: Licensee stated staff went through in-service training and Licensee completed training with Alta.Licensee has implemented a double-check system with medication pass. Licensee stated at every pass, there are two staff member observing the pass to ensure no errors occur. Sign in sheet to be submitted by POC due date.

Type of visit: Required - 1 Year

On 07/27/21 at 10:30 AM, Licensing Program Analyst (LPA) Christina Valerio arrived at this facility unannounced to conduct an annual inspection visit. LPA Valerio introduced herself, explained the purpose of the visit, and was met by facility staff Teodosio A Dino. LPA Valerio was screened for COVID-19 symptoms with temperature prior to being allowed inside the facility. The physical plant was toured inside and outside to ensure the safety of the residents and compliance with Title 22 regulations. LPA also conducted the infection control domain tool. Their LIC 808 was posted at the front entrance of the facility for staff reference. LPA observed the facility to have COVID-19 informational signs, social distancing signs, hand washing signs posted throughout the facility. The facility is able to designated and dedicated a Covid-19 bedroom, bathroom, and isolation area if needed. LPA observed the temperature inside the facility was measured at 75 *F, which is within the required range of 68 degrees F and 85 degrees F. The hot water was measured at 107.8 *F, which is not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). Facility has nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. LPA observed the centrally stored medications area and cleaning supplies to be locked and inaccessible to clients. Resident rooms was sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher is up to date with last check on 11/04/2020. LPA requested updated copies of documentation: LIC 500 personnel report, LIC 610E Emergency Disaster Plan, Current Administrator Certificate, and Liability Insurance Per California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed during this visit. An exit interview was held, and a copy of the report was left with Administrator Lea Vicio.the state’s words, verbatim · CDSS document, Jul 27, 2021