Sunnyhill Guest Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kathleen Banrasavong arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction and visit purpose. Upon arrival LPA learned that six (6) clients attend this day program and there are currently three (3) staff members present. The Administrator assistant, Zoraida Margate (S1) conducted the facility tour. There is an Infection Control Plan on file. Client Records-Incident Reports/Clients Rights-Information/Dental- LPA reviewed client records. Six (6) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. Personnel Records/Training/and Staffing- LPAs began review of employee records- Three (3) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrative organization. Zoraida Margate, Administrator’s license expiration date is 04/12/2025. Food Service- Food prep areas are clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a locked location for sharps in the kitchen. (Continued on LIC809C) (Continuation from LIC809) Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The facility is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured 108.0 degrees F. Laundry is done at a different building. There is a locked room for storing laundry soap and other chemicals. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. The LIC 610, emergency disaster plan is maintained. There are no firearms at this facility. There is a secured fireplace at this facility. There is not a pool at the facility. Medications- are centrally stored. There is a locked cabinet allocated for medication storage. Centrally stored medication and destruction logs are maintained separately. Medications reviewed appear to have been dispensed accurately. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. LPA observed seven (7) dual fire and carbon monoxide detectors, 1 central alarm for the outside. There was five (5) fire extinguisher on site. Based on the information received during this visit today in the areas reviewed, there are zero (0) deficiencies observed per Title 22, Division 6 of The California Code of Regulations Article 06. This LIC 809 was reviewed with, and a copy will be provided to the Administrator's assistant.the state’s words, verbatim · CDSS document, Jul 6, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Janira Arreola made an unannounced visit to the facility to conduct an annual inspection focused on infection control. LPA met with staff, Rose De los Santos, who was informed of the purpose of the visit. At the time of visit there was 2 staff and 5 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 has implemented. LPA observed Covid-19 postings at the facility and a single entry point was designated where symptoms screenings and temperature checks occur daily for all visitors, residents, and staff. The facility had an adequate amount of hand hygiene supplies (soap, hand sanitizer, paper towels) in all restrooms. Common areas such as dining rooms and activity rooms have been modified with social distancing and masking policies. There are designated isolation rooms and a plan in place to monitor and attend to those in the isolation rooms. LPA observed a sufficient 30-day supply of PPE equipment. LPA observed facility mitigation plan LIC808 had been approved and submitted to the department. LPA observed the following technical violations: LPA review (2) out of (5) resident records and found PCP information had not been updated. Staff have not been N95 Fit Tested LPA will document this on LIC9102 TV pages. LPA along with facility staff noticed the following deficiencies: Unlocked knifes in kitchen were accessible to resident, as well as unlocked disinfectant in resident restroom. LPA observed kitchen had a door in the frame with a lock. Facility does not have a current waiver on file for this, per facility administrator Zoraida Margate. There was no staffing schedule that was provided to LPA at the time of the visit. Therefore, LPA could not verify proper staffing and coverage at the facility. LPA observed PRN medication in R1's room. Per staff, PRN and vitamins are longer being taken by the resident. LPA reviewed R1's file and found that per physican's report, R1 is not able to store their own medication. Deficiencies were documented along with Plan of Correction on LIC809-D pages. An exit interview was conducted, where a copy of this report, along with 809-D pages, LIC9102TV, and appeal rights were reviewed and provided to facility staff, Rose De los Santos.the state’s words, verbatim · CDSS document, Sep 2, 2022

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Kristina Ryan conducted an unannounced annual required licensing inspection. LPA was granted entry by Caregiver Maryrose Delos Santos and met with Administrator Bella Margate. LPA was granted entry after identifying herself 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 the facility’s Plan for Epidemic Outbreak Specific to COVID-19 Mitigation Plan Report (LIC 808) with Bella Margate including the following sections: Person 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 reviewed items pertaining to one central entry point for universal entry screening; routine symptom screening initiated at entry for staff, residents 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 and residents; 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 following implemented infection control practices as outlined in its LIC 808. Based on today’s inspection, no deficiencies were observed. An exit interview was conducted with Bella Margate. A copy of this report, along with the Licensee Rights (9058 01/16) was emailed to Ms. Margate at the conclusion of the visit, an electronic response confirms the receipt of these documents.the state’s words, verbatim · CDSS document, Jul 9, 2021