Angels in Grace

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management visit. LPA was welcomed by and identified himself to Caregiver Isabel Juarez. LPA then met and discussed the purpose of the visit with Licensee Maria Castro. LPA briefly toured the facility, performed a health and safety welfare check on the residents in care, and spoke with staff to provide technical assistance. No deficiencies were observed or cited on this date. An exit interview was conducted with Castro, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided.the state’s words, verbatim · CDSS document, Jun 16, 2023

Type of visit: Case Management - Health Checks

Licensing Program Analysts (LPA) Dang Nguyen and Alyssa Ramirez conducted an unannounced Case Management visit. LPAs were welcomed by, identified themselves to, and discussed the purpose of the visit with Licensee Maria Castro. LPAs briefly toured the facility, performed a health and safety welfare check on the residents in care, and spoke with staff to provide technical assistance. No deficiencies were observed or cited on this date. An exit interview was conducted with Castro, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided.the state’s words, verbatim · CDSS document, Mar 20, 2023

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management visit. LPA was welcomed by and identified himself to Caregiver Isabel Juarez. LPA then met and discussed the purpose of the visit with Licensee Maria Castro. LPA briefly toured the facility, performed a health and safety welfare check on the residents in care, and spoke with staff to provide technical assistance. No deficiencies were observed or cited on this date. An exit interview was conducted with Castro, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided.the state’s words, verbatim · CDSS document, Mar 3, 2023

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management visit. LPA was welcomed by and identified himself to Caregiver Rosia-Maribel Ferrer. LPA then met and discussed the purpose of the visit with Licensee Maria Castro. LPA briefly toured the facility, performed a health and safety welfare check on the residents in care, and spoke with staff. No deficiencies were observed or cited on this date. An exit interview was conducted with Castro, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided.the state’s words, verbatim · CDSS document, Feb 10, 2023

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensee Maria Castro. LPA briefly toured the facility, performed a health and safety welfare check on 5 of 5 residents in care, and spoke with staff. No deficiencies were observed or cited on this date. An exit interview was conducted with Castro, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided.the state’s words, verbatim · CDSS document, Jan 26, 2023

Type of visit: Office

Interim Assistant Program Administrator (IAPA) Icela Estrada, Interim Regional Manager (IRM) Simon Jacob, and Licensing Program Manager (LPM) Lizzette Tellez conducted an Office Meeting with Licensee, Maria Castro, and their relative, Jessie Castro, to discuss the facility's fire clearance and pending application items. On 1/13/23, the RO was notified that the facility's request for a fire clearance for bedridden residents was denied by the Oceanside Fire Department. During today's meeting, Ms. Castro provided information regarding the status of the current residents, along with a plan for needed changes to the facility's structure. Ms. Castro stated she would inform the RO when these changes are completed. The RO will reach out to Oceanside Fire Department requesting a Fire Safety Inspection. On today's date, the Licensee submitted a revised LIC 200 - Application requesting a change of ambulatory status. An exit interview was conducted with Ms. Castro. A copy of this report was provided to her at the conclusion of the meeting.the state’s words, verbatim · CDSS document, Jan 17, 2023

Allegation investigated: Licensee did not maintain fire safety requirements

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced investigation visit to open a complaint investigation regarding the above mentioned allegation. LPA was greeted by and identified herself to Caregiver Rosio Maribel Ferrer. LPA spoke with Administrator Maria Eugenia Castro via telephone and explained the purpose of the visit and the basic elements of the complaint. During today’s visit, LPA toured the facility, reviewed and obtained copies of facility records, and interviewed staff. The Department's investigation consisted of observations, records review, and a tour of the facility. LPA conducted a tour of the facility accompanied by Caregiver Ferrer and Administrator via phone and observed the facility's living room, dining room, kitchen, four bedrooms being used for residents, two bathrooms, the garage, and the backyard. Continued on LIC9099-C page... Substantiated LPA tested the facility's smoke detectors and found them to be operational. Two residents were observed to be residing in a room cleared for staff use. Review of resident records revealed that 2 of 5 residents are bedridden. Review of the facility's fire clearance and license revealed that the facility does not have a fire clearance for retaining bedridden residents. The Department has investigated the above-mentioned allegation and based on observation and record review, the preponderance of the evidence has been met, therefore, this allegation is deemed substantiated. The following deficiency is cited per CA Code of Regulations Title 22 and noted on the attached LIC9099-D page. A civil penalty in the amount of $500 has been assessed during today's visit. An exit interview was conducted with Caregiver Rosio Maribel Ferrer with Administrator Maria Eugenia Castro on the telephone, and a copy of this report, the LIC421IM (7/17), and the Licensee Appeal Rights (LIC9058 01/16) were provided to Rosio Maribel Ferrer via hard copy.the state’s words, verbatim · CDSS document, Dec 28, 2022 · control 08-AS-20221219161347

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a)(2) · Plan of correction due date: Dec 29, 2022

87202 Fire Clearance (a) All facilities... Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. (2) Bedridden persons This requirements has not been met as evidenced by: Based on observation and record review, the facility does not have a fire clearance for bedridden residents. This poses an immediate safety risk to 2 of 5 residents in care. A civil penalty of $500 was assessed.the state’s words, verbatim · CDSS document, Dec 28, 2022

Plan of correction: Administrator will submit a updated fire clearance request, an LIC200 and an updated facility sketch to the Department by POC due date.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Rebecca Ruiz conducted a complaint investigation visit where an unrelated deficiency was discovered. LPA was greeted by, identified herself to, and explained the purpose of the visit to Caregiver Rosio Maribel Ferrer. LPA spoke to Administrator Maria Eugenia Castro via telephone. During the visit, LPA observed Staff 1 (S1) present at the facility. A review of the Department clearance system revealed that S1 does not have a criminal background clearance from the Department. Per California Code of Regulations Title 22, the following deficiency is cited on the attached LIC809-D page. A civil penalty in the amount of $100 has been assessed during the visit. An exit interview was conducted with Caregiver Rosio Maribel Ferrer with Administrator Maria Eugenia Castro on the telephone, and a copy of this report, the LIC421BG (6/17), and the Licensee Appeal Rights (LIC9058 01/16) were provided to Rosio Maribel Ferrer via hard copy.the state’s words, verbatim · CDSS document, Dec 28, 2022

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(1) · Plan of correction due date: Dec 29, 2022

87355 Criminal Record Clearance (e) all individuals subject to a criminal record review persuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing, or volunteering in a licensed facility (1) obtain a California clearance or a criminal record exemption as required by the Department. This requirement has not been met as evidenced by: Based on observation, interviews and record review, S1 did not obtain a criminal background clearance prior to working at the facility. This poses an immediate health and safety risk to 5 of 5 residents in care. A civil penalty of $100 was assessed.the state’s words, verbatim · CDSS document, Dec 28, 2022

Plan of correction: LPA verified that S1 left the facility prior concluding the visit. Administrator will submit a letter to the Department stating that S1 will not return to the facility until receiving a cleared background check by POC due date.

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, Perla Salinas Velazquez and met with Administrator, Maria Eugenia Castro. 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 Ms. Castro 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 observed 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 encouraged for 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 has implemented infection control practices as outlined in its LIC 808. Based on today’s inspection, no deficiencies were cited. An exit interview was conducted with Ms. Castro. A copy of this report, along with the Licensee Rights (9058 01/16) was emailed to the administrator at the conclusion of the visit, an electronic response confirms the receipt of these documents.the state’s words, verbatim · CDSS document, Dec 13, 2021