Andrew Care Center

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Jessica Magtangob and was granted entry to the facility. Licensed capacity is (6) current census (3). LPA was accompanied by staff Jessica Magtangob to conduct a general overall inspection, which included, but was not limited to, the following: 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. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated office for client/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care. Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (3) client files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (3) client medications. LPA also reviewed (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. 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 this report (LIC809) was discussed and provided to Administrator Rufina Laygo.the state’s words, verbatim · CDSS document, Oct 12, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ryan Gardner made 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 Gardner met with Direct Support Staff Sulema Smith and was granted entry to the facility. At the time of visit there were two (2) staff and four (4) clients present. LPA Gardner toured the facility inside and out and went over COVID-19 best practices for infection control and prevention with Sulema Smith. The facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolating/quarantining clients and properly caring for clients 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, and a symptom check. The clients have hand sanitizer available to them throughout the facility, and the bathrooms were stocked with hand soap and paper towels. LPA Gardner observed multiple postings throughout the facility for proper cough etiquette, proper hand washing procedure, and social distancing guidelines. LPA Gardner requested to inspect the facility's Personal Protective Equipment (PPE) supply, which was located in staff office. The facility has a full thirty (30) day supply of PPE items such as gloves, face shields, gowns, N95 masks, disinfectant, and hand sanitizer. All clients and staff are practicing all other COVID-19 precautions, which minimize the risk of them contracting COVID-19. 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 this report was discussed and provided to Direct Support Staff Sulema Smith.the state’s words, verbatim · CDSS document, Jul 21, 2022

Allegation investigated: Neglect resulting in death of client

Licensing Program Analyst (LPA) Stephanie Williams made an unannounced visit to the facility in order to deliver findings for the above allegation. LPA identified herself and discussed the purpose of the visit with Caregiver, Sergio Sanchez. The investigation consisted of records review and interviews with staff, clients, and witnesses. LPA Williams reviewed a copy of Client #1’s (C1’s) Death Certificate which listed C1’s immediate cause of death as Cardiopulmonary Arrest. The Death Certificate also listed the underlying causes of death as Diabetes and Hypertension, with the time interval between onset of condition and death listed as “years.” LPA interviewed Staff #1 (S1) who stated that C1 had numerous health conditions which led to C1 being in and out of the hospital. S1 denied neglect and stated that facility staff provided appropriate care for C1 as well as the other clients. LPA interviewed C1’s Public Conservator (PC), who stated that they believe facility staff took appropriate care of C1 prior to passing. PC denied that C1’s death was a result of neglect by the facility. LPA reviewed C1's records in which it appeared that C1 was being seen by a physician/receiving medical attention on a consistent basis. Unsubstantiated Based on evidence obtained during the investigation, LPA has determined that the above allegation is UNSUBSTANTIATED; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report was discussed and a copy was provided to the at the conclusion of the visit.the state’s words, verbatim · CDSS document, Oct 7, 2021 · control 18-AS-20210114131928

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility to conduct an annual inspection, with emphasis on infection control. LPA Brown was greeted and granted entrance by caregiver Sergio Sanchez and LPA Brown explained the purpose of today's visit. Administrator Rufina Laygo was contacted and arrived at the facility and accompanied LPA Brown on a tour of the inside and outside of the facility. During today’s visit, LPA Brown made observation pertaining to the facility’s current infection control measures. LPA Brown observed a screening area, proper Covid-19 signages throughout the facility, sufficient hand hygiene supplies, cleaning supplies, and a sufficient supply of Personal Protective Equipment (PPE). The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, cleaning and disinfection are in adequate quantities, and that staff are trained in overall infection control. The facility has a plan in place which follows Community Care Licensing guidelines for when and how long to test staff and residents for COVID-19, when and how to isolate/quarantine residents, and when to schedule cleaning and disinfection times of high traffic and frequently touched areas/surfaces. 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 to notify all emergency agencies in the event of any COVID-19 related and/or suspected illnesses. Based on the observations made during today’s visit, no deficiencies were cited. An exit interview was conducted, and a copy of this report was provided to Administrator Laygo.the state’s words, verbatim · CDSS document, Sep 30, 2021