Loving Care Ranch

We haven’t transcribed this report yet. The complete document is on the state’s site.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with staff, Lily Mayo and discussed the purpose of the visit. The facility is Residential Care Facility for the Elderly (RCFE) and consists of three (3) one story buildings. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility has no swimming pools or similar bodies of water. Outdoor activity area is gated and sufficient for client activities. Indoor areas are sufficient for client activities and facility is maintained at 74 degrees F. The facility has operating carbon monoxide/smoke alarms, fully charged fire extinguishers, first aid kits, laundry equipment, hallway night lights and telephone service. The facility has posted in a common area, Ombudsman poster, Personal Rights, facility license, evacuation sketch plan and emergency telephone numbers. LPA observed cleaning supplies kept unlocked and unattended in two (2) resident bathrooms and in two (2) laundry rooms. Resident bedrooms were equipped with mattresses, bed linen, dressers, chairs, and lighting. LPA observed in Ranch building #1, resident #1 (R1's) bedroom was being used as a passageway into the staff sitting area and back bedrooms. Resident bathrooms were kept clean and equipped with grab rails and slip mats. The hot water temperatures in residents' bathrooms measured 105 and 112 degrees F. Food Service: Facility's kitchen and dining areas were maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. The facility has sufficient cups, plates and utensils for resident use. The facility has a posted weekly menu. Medical Related Services: Staff maintain record of client medications and resident medications are centrally stored in locked closets. Record Review: LPA reviewed resident records for Admissions agreements, personal property records, emergency contacts, medical and appraisal records. LPA review of staff files reveals Staff#1 (S1) did not have a health screening with tuberculosis(TB) or chest x-ray screening on file. S1, staff #2(S2), staff #3(S3) did not have record of annual dementia and hospice training on file for review. S2 informed LPA that they and S3 administer medications to the residents. S2 and S3 did not have record of annual medication administration training on file for review. During today's visit, Deficiencies were cited and technical advisories were issued in accordance with Title 22 of the California Code of Regulations. An exit interview was conducted where this report was discussed. Copies with appeal rights were provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Oct 6, 2025

The state marks this report as 13 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Maria "Teresa" Datuin, Administrator, and discussed the purpose of the visit. The facility is a three (3) building, Residential Care Facility for the Elderly (RCFE) with a license capacity of (18) and a current census of (9) residents in care and hospice waiver for (4). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility has no swimming pools or similar bodies of water. Outdoor activity area is gated and sufficient for client activities. The facility has sufficient lighting and is maintained at a 71 degrees F. The facility has operating carbon monoxide/smoke alarms, laundry equipment, signal system and telephone service. Resident 3 1/2 bathroom equipment were operating in a safe and sanitary condition. The hot water temperature in residents' bathrooms measured 119 degrees F. LPA observed a clorox cleaner kept unlocked in resident's bathroom. Staff removed the cleaner. Six (6) resident bedrooms were inspected. LPA observed full bedrails in resident #1 (R1) and resident#2 (R2); R1 and R2 are not receiving hospice care. LPA observed half bedrails in resident # 4 (R4) and resident #5 (R5). The Administrator stated the bed rails are utilized for fall prevention; However this is no documentation of physician's orders approving R4's and R5's bedrails. LPA observed staff utilizing part of R1's room area for facility storage use. The facility has posted in a common area, Ombudsman poster, Personal Rights, disaster evacuation plan and emergency telephone numbers. Food Service: Facility's (3) kitchen areas were maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. The facility has posted a weekly menu. In building #1, LPA observed an unlocked kitchen cabinet with cleaning supplies and disinfectants. LPA observed staff attempting to lock the cabinet; however the lock was not working properly. Staff removed the supplies and disinfectants and placed them in a locked medication room. Staff then fixed the locked that was not working properly. Medical Related Services: In building #2, LPA observed an unlocked medication closet were resident's medications were stored and accessible to residents in care. Staff locked the cabinet. Record Review: The facility has a disaster plan and infection control plan for review. Staff files were reviewed for health screening, personnel record (LIC501), criminal record clearances, job training and firstaid/CPR certification. Resident files were reviewed for admission's agreement, preplacement appraisals, personal rights and medical assessments. LPA observed R1's medication was placed in two (2) daily pillboxes. Administrator stated that the resident's spouse wants them to keep them in the pill box. LPA observed Resident #3 (R3's) AM medication from day 1 through day 11 was still in the bubble pack. The Administrator stated that the resident only wants to take the pill once a day; however this is no documentation of resident refusal and no documentation of staff contacting R3's physician of the refusal. The prescription label shows medication to be given twice daily. LPA also observed R3's was out one of their daily medication. The Administrator stated the medication should arrive later today or tomorrow. R3's physicians report/assessment (LIC602) shows resident takes insulin injection pen and uses a foley catheter. Administrator stated that the resident no longer utilizes these items. Interview with resident #3 reveals they are no longer using insulin injections and catheter. Administrator stated she will have an updated medical report conducted. LPA requested a staff schedule from the Administrator; a schedule showing staff hours was not available for review. During today's visit, Deficiencies were cited and technical advisories were issued in accordance with Title 22 of the California Code of Regulations. An exit interview was conducted where this report was discussed. Copies with appeal rights were provided to the Administrator at the conclusion of the visit.the state’s words, verbatim · CDSS document, Dec 11, 2024

The state marks this report as 13 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

On 02/14/24, Licensing Program Analyst (LPA) Michelle Echeverria arrived unannounced to conduct the required annual visit to the facility. LPA met caregiver, Lily Mayo and introduced self and stated purpose of the visit. LPA was informed that there are currently 10 residents in care who are in the facility. The facility has 3 buildings: building #1 has 7 resident bedrooms, 1.5 resident bathrooms, 1 staff room, kitchen, dining area, entry room, living room, laundry room, backyard with 1 shed; building #2 has 3 resident bedrooms, 1 bathroom, entry room, kitchen, living room, laundry room, backyard with 1 shed; building # 3 has 2 resident bedrooms, 1 resident bathroom, kitchen and living room. LPA completed a walk through of facility and review of records. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 73 and 72 degrees fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 120 and 114.1 degrees fahrenheit. The facility is equipped with carbon monoxide alarms, fire extinguisher and first aid kit. LPA observed 5 smoke detectors in building #1 not functioning, 1 smoke alarm in building #2 not functioning and the ceiling in the living room for building #2 broken. Deficiency issued. Posters such as; the ombudsman and emergency disaster plans were posted in a common area. LPA also observed cleaning supplies, toxins, sharps, and other dangerous items locked in cabinets made inaccessible to residents. There was a designated storage space for resident/staff files. Medications were observed secured and inaccessible to residents. LPA observed the medication moved from its original containers and placed on a small cups ready for the current day dispensing. Deficiency issued. There are no guns or ammunition in the facility. LPA observed the telephone in building #1 not functioning. Deficiency issued. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Dishes, cups, and utensils were also stored properly. Yards/Outside: Three shaded patios, a gate with self-latching handle on the front and back side of the house and 2 sheds used for storage. All outdoor pathways were free of obstructions. Record Review: LPA reviewed 5 resident files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed staff and administrator's file for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA observed that there was one staff file missing and a missing cpr certification for another staff. Deficiency issued. LPA observed that the posted administrator's certificate expired on 7/13/22. Deficiency issued. The facility did not have the emergency drills log available for inspection. Deficiency issued. LPA observed that the administrator did not have an appointed and approved representative during their vacation absence. Deficiency issued. LPA observed that the posted emergency disaster plan has not been reviewed and updated since 5/14/18. Deficiency issued. LPA observed that the facility did not have a copy of the Infection Control Plan available for inspection. Deficiency issued. LPA observed that the residents bedrooms in building #1 did not have oxygen signs posted and the facility did not have record of the notice sent to the local fire department. Deficiency issued. LPA also observed that the administrator did not have a copy of the liability insurance available for inspection. Deficiency issued. Deficiencies were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D and appeal rights were discussed and copies were provided to caregiver, Lily Mayo.the state’s words, verbatim · CDSS document, Feb 14, 2024