Easy Living @ Mira Mesa

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Administrator Oliver Calcetas. The facility's license shows a maximum capacity of six (6) non-ambulatory residents, one (1) of whom may be bedridden in room #3 only. During today’s inspection there were 2 residents in care. LPA and Administrator Oliver Calcetas toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. Facility contained at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. No toxic chemicals/poisons were accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and clients, and reviewed staff and client records/files. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited during the inspection. An exit interview was conducted with Administrator Oliver Calcetas to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Oct 18, 2023

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced Case Management visit - Incident. LPA was greeted and allowed entry into the facility by Staff, Julieta Combes. Administrator, Oliver Calcetas arrived during the visit. LPA discussed the purpose of the visit with the administrator. During today's visit, LPA toured the facility, requested records, and interviewed staff and residents. The administrator self reported an incident involving Resident #1 (R1) that occurred on 08/25/22. R1 sustained discoloration around their eye approximately a half inch by a half inch in size. It is unknown how the discoloration occurred. Staff did not witness an incident involving R1. R1 was transported to the hospital for evaluation and returned to the facility. No deficiencies were observed. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 01/16) was provided to Administrator, Oliver Calcetas whose signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, Oct 25, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced annual required licensing inspection. LPA was greeted and allowed entry into the facility by Staff, Julieta Combes.. Administrator, Oliver Calcetas arrived during the visit. LPA stated purpose of today’s visit, to verify 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 conducted a tour of the facility and observed the residents in care. In accordance with the Department’s Infection Control, LPA provided consultation, observed, and evaluated the facility's implementation of their COVID-19 Mitigation Plan, to include disinfection, testing, vaccination, screening protocols, and the use of personal protective equipment. No deficiencies were observed during today’s visit. Technical Advisories were issued for not having staff N95 fit tested and not having the Provider Notification Information (PIN) printed and available in the facility. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 01/16) were provided to Administrator, Oliver Calcetas whose signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, Oct 25, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced annual required licensing inspection. LPA was greeted and allowed entry into the facility by Administrator, Oliver Calcetas. LPA stated purpose of today’s visit, to verify 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. During today’s visit, LPA toured the facility and reviewed the facility’s Plan for Epidemic Outbreak Specific to COVID-19 Mitigation Plan Report (LIC 808) with Administrator including the following sections: Person in Care; Staff; Visitors; Residents; Facilities without COVID-19; and 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 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. No deficiencies were observed during today’s visit. An exit interview was conducted, and a copy of this report and Licensee Rights (LIC 9058 01/16) were provided to the administrator via electronic mail. An electronic mail read receipt was requested to be provided upon receipt of the documents..the state’s words, verbatim · CDSS document, Oct 21, 2021

Allegation investigated: Staff treated resident roughly

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Administrator Oliver Calcetaand discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, clients and outside agency. It was reported to CCL that staff treated resident roughly. Unsubstantiated Regarding the allegation, it was reported that resident (R1) stated that staff who gave a bath was “rough”. It was also reported that R1 said that facility staff was aggressive. Review of records revealed that R1 has a diagnosis of Senile Degeneration of the brain and Chronic Kidney Disease. Interviews with facility staff revealed that staff have never witnessed anyone handle residents in a rough manner. Facility staff reported that they do not bathe R1, and stated that home health staff from outside agency bathe R1. Interviews with R1 revealed that the “bath nurse is rough”, no additional information was provided. Interviews with outside sources revealed no concerns for staff handling residents in a rough manner. Outside sources reported being satisfied with care facility provides. Based upon the foregoing, the above listed allegations are unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegations are not valid. No deficiencies were cited today. An exit interview was conducted with Administrator. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to NAME whose signature below verifies receipt of these rights.the state’s words, verbatim · CDSS document, — · control 08-AS-20240612153959