Twin Oaks Garden

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jacqueline Shaw Ross made an unannounced visit to the facility to conduct an annual licensing inspection. LPA met with Snezana Lukic, Administrator, and discussed the purpose of the visit. The facility is licensed to serve six (6) elderly residents, all of whom may be non-ambulatory. A Hospice waiver is approved for three (3) residents. A tour of the facility was conducted inside and out. At the time of visit, there were five (5) residents home and one (1) staff was available. The facility consist of two (2) housing structures that contain three (3) bedrooms and one and one half (1-1/2) bathrooms in the main house, and a three (3) bedrooms and two and one half (2-1/2) bathroom in the second house. The laundry room is also located in the second structure. During the tour the following was observed: Resident bedrooms had the required furnishings and were observed to be in good condition. Bathrooms had required signage, hand rails, non-slip mats. Night-lights were observed in the hallways. Fixtures and furniture for an operational facility are present and in good repair. All passageways were free of obstructions, charged fire extinguishers and the fire alarm system was operable, medications are kept centralized and locked, hazardous items are kept inaccessible clients. Hot water was tested at 114 degrees Fahrenheit. Backyard area is free from obstructions. Kitchen/Food Service: LPA observed the entire kitchen, food is stored properly and dishes are clean and in good condition. There is a sufficient supply of perishable and non-perishable foods. Area was observed to be clean and functional. Care & Supervision: Facility has sufficient care staff employed. Administration: Emergency exiting plans, telephone numbers and Ombudsman information and other required signage are posted throughout the facility. Drills are conducted quarterly. The last drill was conducted on 10/1/2023. Record Review and Client/Staff Files: LPA reviewed current staff and all staff have Criminal Background Clearance, current CPR/First Aid certification, and trainings are current. Resident records were reviewed and contained required documents. All resident documents were current and up to date. Medication Review: LPA reviewed medication and medication appears to be dispensed according to Physicians orders. No deficiencies were cited per Title 22, Division 6 of the California Code of Regulations at this time. A copy of this report was provided to Administrator, Snezana Lukic.the state’s words, verbatim · CDSS document, Oct 9, 2023

Type of visit: Annual/Random

On 07/20/2022, Licensing Program Analyst (LPA), Venus Mixson arrived at the above facility for an unannounced random annual with emphasis on infection control. LPA Mixson was greeted and granted entry by Administrator, Tanja Lukic. LPA Mixson met with Administrator introduced self and stated the purpose of the visit. Present in the facility were 6 residents and 2 caregivers. There are currently no cases of COVID-19 within the facility. LPA Mixson toured the facility and made observations pertaining to the facility's infection control measures. LPA observed sufficient hand hygiene supplies, sufficient cleaning and disinfecting provisions and the proper use of 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, and cleaning and disinfection provisions are in adequate quantities. LPA Mixson later discussed infection control practices and procedures with Administrator. An exit interview was conducted, and a copy of this report along with the LIC 811 was provided to Administrator.the state’s words, verbatim · CDSS document, Jul 20, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Adam Hamer conducted an unannounced annual required licensing inspection on today's date. LPA was greeted at the front door and was granted entry after identifying himself and disclosing the purpose of the visit. An overall tour of the facility was conducted inside and out. The inspection included, but was not limited to, verifying compliance with statutes, regulations and other written requirements that are most relevant to protecting the health of residents in care and staff, including in the area of infection control practices. LPA reviewed with Administrator Suzie Lukic the facility’s Plan for Epidemic Outbreak Specific to COVID-19 Mitigation Plan Report (LIC 808) including the following sections: Persons in Care, Staff, Visitors, Facilities without COVID-19, Residents, Facility has Plans for Infection Control, and Physical Distancing. LPA assessed the strategies that the facility is employing for the prevention, containment and mitigation of COVID-19, implementation of infection control guidance, staff retention and essential health and safety. LPA observed one central entry point for universal entry screening; routine symptom screening initiated at entry for staff and visitors; a sign-in policy enacted for all visitors; signs posted at facility entrance with the facility’s visitor policy, and signs throughout the facility to promote hand hygiene, cough/sneeze etiquette and physical distancing; face coverings worn by staff; hand sanitizer/hand washing stations readily available; a designated visitation area; emergency agencies’ contact information posted in a location visible to staff and residents; and an adequate supply of PPE. The facility is in compliance with and has implemented infection control practices as outlined in its LIC 808. No deficiencies were observed during today's visit. An exit interview was conducted with Ms. Lukic and a copy of this report along with Licensee/Appeal Rights (LIC 9058 FAS 01/16) was provided to her via email; she expressed that she would send LPA a confirmation email upon receipt of these documents.the state’s words, verbatim · CDSS document, Sep 21, 2021