North San Antonio Senior Care II

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced case management visit to conduct a Health and Safety check of the residents in care at the facility. LPA met with Administrator Eric Schwarcz and explained the reason for the visit. During today's visit, LPA obtained documents relating to a self reported incident that occurred on 8/28/2023 involving two (2) residents. The Health and Safety check included overall observation of the facility inside, and outside, including food supply, medications, physical plant, and the residents in care. LPA observed the following safety concerns in the kitchen: The key to the knives drawer was hanging on a black string from the knives drawer near the pack lock giving the residents access to open the knives drawer. LPA observed sharp knives in the drawer. The key to the chemical cabinet was hanging on a black string on the cabinet near the pad lock giving the residents access to open the chemicals cabinet. LPA observed bleach and disinfectants in the cabinet. The key to the resident’s medications was hanging on a black string from the medication cabinet near the pad lock giving the residents access to the medications. LPA observed the resident’s medications in the medication cabinet. After the kitchen tour was complete, Staff S1 used a pair of scissors to cut the black strings with the keys off of the knives drawer, the chemicals cabinet, and the medication cabinet. Based on the observations made during today’s visit, three (3) deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) and LIC809D forms were discussed and provided to Administrator Eric Schwarcz, along with a copy of the appeal rights.the state’s words, verbatim · CDSS document, Sep 6, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(f)(1) · Plan of correction due date: Sep 7, 2023

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). Based on observation and interview the licensee did not comply with the section cited above evidenced by having the key to open the knives hanging from the knives drawer that allows the residents access to the knives which poses an immediate health, safety, or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 6, 2023

Plan of correction: The licensee has agreed to read regulation 87705 entirely and send LPA a self-certified letter that the regulation was read and understood. The licensee has agreed to remove the key hanging from the knives drawer and find a secure place to store the key. The licensee has agreed to train the staff on properly securing the knives and send LPA proof the training was completed by POC due date 9/7/2023.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87705(f)(2) · Plan of correction due date: Sep 7, 2023

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. Based on observation and interview the licensee did not comply with the section cited above evidenced by having the key to open the chemicals hanging on the chemical cabinet that allows the residents access to the chemicals (bleach and disinfectants) which poses an immediate health, safety, or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 6, 2023

Plan of correction: The licensee has agreed to read regulation 87705 entirely and send LPA a self-certified letter that the regulation was read and understood. The licensee has agreed to remove the key hanging from the chemical cabinet and find a secure place to store the key. The licensee has agreed to train the staff on properly securing the chemicals and send LPA proof the training was completed by POC due date 9/7/2023.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Sep 7, 2023

Incidental Medical and Dental Care (h)The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. Based on observation and interview the licensee did not comply with the section cited above evidenced by having the key to open the medications hanging on the medication cabinet that allows the residents access to the medications which poses an immediate health, safety, or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 6, 2023

Plan of correction: The licensee has agreed to read regulation 87465 entirely and send LPA a self-certified letter that the regulation was read and understood. The licensee has agreed to remove the key hanging from the medication cabinet and find a secure place to store the key. The licensee has agreed to train the staff on properly securing the medications and send LPA proof the training was completed by POC due date 9/7/2023.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Natalie Ibarra conducted an unannounced visit to conduct an annual inspection. LPA was greeted and allowed entrance by caregiver Mona Ahme. Administrator Eric Schwarcz was notified and arrived shortly after. Administrator accompanied LPA on a tour of the facility. LPA Ibarra toured the facility inside and out and went over COVID-19 best practices for infection control and prevention with Administrator. The facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolating/quarantining residents and properly caring for residents with COVID-19 positive results and/or exposures. 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 proper use and disposal of PPE. The entrance of the facility has a check in process for visitors that includes a vaccination verification/negative COVID test check, a temperature check, hand washing station, and a symptom check. The staff working at the facility were all properly wearing face masks. The residents have hand sanitizer available to them throughout the facility, and the bathrooms were stocked with hand soap and paper towels. The facility has postings throughout for proper cough etiquette, proper hand washing procedure, and/or social distancing guidelines. LPA Ibarra requested to inspect the facility's Personal Protective Equipment (PPE) supply, which was located in the garage. The facility has a full thirty (30) day supply of PPE such as gloves, face shields, gowns, surgical masks, N95 masks, disinfectant, and hand sanitizer. LPA observed no health and safety concerns at the time of visit. Based on observations made during today’s inspection, the facility is meeting operational requirements. 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 and discussed with the Administrator.the state’s words, verbatim · CDSS document, Sep 16, 2022