B Smith Board and Care

Type of visit: Required - 1 Year

On 07/18/23 at 8:22 AM, Licensing Program Analyst (LPA) Michelle Echeverria arrived at the facility unannounced to conduct a required Annual visit. LPA was greeted and granted entrance by Licensee, Brittney Smith. LPA introduced self and stated the purpose of the visit. LPA observed that there are currently 3 residents in the facility. Licensee provided LPA with a tour of the facility. The facility has 3 bedrooms, 2 bathrooms, 1 staff office/bedroom, a kitchen, dining area, living room, attached garage, and backyard. LPA conducted a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is not clean, safe, and sanitary. LPA observed the living room with storage boxes, dirty floors and the back yard with dog feces and dog hair. Deficiency issued. The facility is not free of obstructions to indoor and outdoor passageways. LPA observed bricks, poles, building materials on side gate and driveway. Deficiency issued. The facility is maintained at a 76 degrees fahrenheit temperature. LPA inspected residents bedrooms; they are equipped with furniture such as: mattresses, night stands, storage space, and sufficient lighting. LPA noticed a malodor of urine in bedroom #3 with 2 residents inside laying down. Deficiency issued. LPA also observed cameras in residents room with audio confirmation per Licensee's statement. Deficiency issued. There is an adequate supply of linens and blankets stored in a closet in the main hallway of the residence. LPA inspected residents bathrooms; bathroom was clean and appliances were operating appropriately. LPA observed that the bathroom trash cans do not have a tight-fitting cover. Deficiency issued. LPA also observed PRN hemorrhoid ointment found in a cabinet beneath hallway bathroom sink. Technical violation issued. LPA tested the water temperature in the kitchen faucet, which tested at 110 degrees fahrenheit within regulation. The facility is equipped with operating fire extinguisher, smoke detectors and carbon monoxide alarm. Posters such as; the personal rights, CCL complaint poster, Ombudsman and the emergency disaster plan were posted in a common area. Cleaning supplies, and toxins were kept locked. LPA observed knives found in drawer and drying rack and a blade in a drawer made accessible to residents. Deficiency issued. There was a designated locked storage space for client/staff files, first aid kit and medication. The facility has a working phone. There are no pools, bodies of water, firearms or ammunition. Yards/Outside: One shaded patio furniture for outdoor seating observed. Side gate with self-latching handle on the right side of the house that leads into the backyard. Dogs inside kennels also found in back yard. Food Service: The facility has 7 days of non-perishable food supply and an insufficient supply of 2 days of perishable food. Deficiency issued. LPA observed 24 containers of expired Glucerna found in pantry since 02/01/23. Deficiency issued. LPA also observed the refrigerator, pantry, stove, and stove fan unsanitary and not clean. Deficiency issued. Dishes, cups, and utensils were stored properly. Record Review: LPA reviewed the Administrator's file and 3 Staff files. Staff files are incomplete and missing First Aid/CPR certification. Deficiency issued. Staff training records missing. Deficiency issued. LPA also reviewed residents files and observed that the physicians report was missing. Deficiency issued. Technical violation and deficiencies were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D, LIC9102 and appeal rights were discussed and copies were provided to Licensee, Brittney Smith.the state’s words, verbatim · CDSS document, Jul 18, 2023

The state marks this report as 9 pages; the online copy we transcribed has 8. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rayshaun Nickolas conducted an unannounced visit to the facility. The purpose of the visit was to conduct a required annual inspection, with an emphasis on infection control due to the COVID-19 pandemic. LPA Nickolas arrived and met with Administrator, Brittany Smith. LPA Nickolas was asked to sign-in and provide temperature reading upon arrival. The administrator confirmed that there are currently no cases/exposures of COVID-19 within the facility. During the inspection, LPA Nickolas conducted a tour of the facility and made observations pertaining to the facility's infection control measures and other health and safety concerns. LPA Nickolas observed appropriate postings throughout the facility, including hand-washing etiquette, face coverings, and COVID-19 symptoms postings. The facility was also equipped with sufficient hand hygiene supplies, sufficient cleaning/disinfecting provisions, and a supply of Personal Protective Equipment (PPE). LPA observed that the facility staff were wearing face coverings. The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring PPE supplies are maintained, cleaning and disinfection provisions are in adequate quantities, and that staff are trained in the facility's infection control measures. The facility has a plan in place which follows Community Care Licensing Division (CCLD) guidelines for COVID-19 testing, isolating/quarantining residents, and properly caring for residents with COVID-19 positive results and/or exposures. The facility also has a plan in place to monitor residents regularly for any changes in condition and to subsequently notify the resident's physician and emergency personnel in the event the resident presents any COVID-19 symptoms. LPA observed a broken wooden fence surrounding the facility. Based on observations made during today’s inspection, one deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report was discussed, and a copy of this report was provided to Smith at the conclusion of the inspection.the state’s words, verbatim · CDSS document, Jun 7, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct an annual inspection focused on infection control. LPA was greeted and granted entry by Caregiver Hector Hernandez and explained the purpose of the visit. Administrator arrived 1.5 hours after LPA's arrival. At the time of visit there was 1 staff and 2 residents present. The facility currently has zero positive or suspected Covid-19 cases. During today's visit, LPA toured the facility and made observations regarding the infection control measures that the facility will be implementing. The facility has an adequate amount of hand hygiene supplies (soap, hand sanitizer). The facility has a plan in place to monitor residents regularly for any changes in condition, which includes daily temperature checks. The facility will contact the resident's physician should there be event of any COVID-19 related illnesses. The facility staff are responsible for cleaning and disinfecting the highly touched surfaces during each shift, and as needed. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided to Administrator Brittney Smith.the state’s words, verbatim · CDSS document, Jul 8, 2021

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Javina George arrived at the facility unannounced to conduct health and safety check. At 10:24am, LPA was greeted and granted entry by an uncleared adult, Staff #1 (S1). LPA contacted Administrator via telephone and inquired about S1, and if they had been fingerprinted. Administrator Brittney stated that S1 had not been fingerprinted. LPA informed Administrator that S1 was not able to work at the facility until clearance has been granted and received. Immediate civil penalties will be assessed. LPA George conducted a tour of the physical plant. The residents were groomed and had on appropriate clothing. The facility was clean and the passage ways were clear from obstruction. The facility is stocked with the required food minimums, which is a 2 day supply of perishables and a 7 day supply of non-perishable food items. An exit interview was conducted and a copy of this report and appeal rights was provided to Administrator Brittney Smith.the state’s words, verbatim · CDSS document, Jul 8, 2021

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(a) · Plan of correction due date: Jul 9, 2021

87355 Criminal Record Clearance (b) Prior to the Department issuing a license, the applicant, administrator and any adults other than a client, residing in the facility shall have a criminal record clearance or exemption. This requirement is not met as evidenced by: Based on observation, interview and record review the licensee did not ensure that staff obtained a criminal record clearance prior to beginning employment on 1 out of 1 times. This poses an immediate health, safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 8, 2021

Plan of correction: The licensee will have S1 fingerprinted and submit proof to the department by 5pm on the due date indicated.