Elite Manor II Residential Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jacqueline Shaw Ross arrived to the facility to conduct a required annual inspection and was greeted by Caregiver, Norma Tosoc. Licensee I Chen Lee and Administrator William Lee arrived shortly. Present at the facility were two (2) staff and five (5) clients. The facility is approved for six (6) non-ambulatory elderly residents; age 60 and above. Hospice care waiver is approved for one (1). LPA conducted staff and client interviews. The facility is a six (6) bedroom, three (3) bathroom house. Each client has a private room. LPA toured the facility and conducted a general overall inspection of the facility inside and outside. Passageways were observed to be free of obstructions. LPA observed each bedroom to be clean and odor free with the required furnishings. Furniture throughout the facility was in good repair. The facility temperate was 75 degrees. Hot water temperature tested at 122.5 degrees Fahrenheit which is above the maximum hot water temperature of 120 degrees; however LPA observed hot water warning signs posted throughout all bathrooms. Each bathroom contained grab bars for each toilet, bathtub and shower; and non-skid mats or strips in shower or bathtub. LPA observed the kitchen in its entirety. The kitchen appeared clean and odor free. Dishes, cups, pots and pans were observed to be of good quality and quantity. The facility contains a sufficient supply of perishable and non-perishable foods. The facility has an in-ground pool in the back yard secured with fencing that is in compliant with the Health and Safety code. LPA observed the gate was locked with an automatic latch mechanism. There are no firearms/weapons stored in the facility. Continue on LIC809C.... Continued from LIC809.... LPA reviewed facility records to ensure staff have received required training and criminal record clearances. LPA also determined there were no excluded personnel employed by the facility. All staff are properly associated to the facility with current first aid certification. First aid kit was available and contained the necessary items. LPA also reviewed client files to determine if residents have medical assessments on file. All client files contain required documents and are current. William Lee is the certified administrator for the facility and certificate is valid through 2/14/2025. LPA observed required postings throughout the facility. Drills are conducted quarterly and the last drill was 9/1/2023. Fire extinguishers and smoke alarms were observed to be operable. LPA reviewed medications and the following deficiencies were observed: - medications were stored in a locked cabinet in the kitchen, however medications were pre-prepared in medication cups. LPA informed Administrator medication is to be always stored and dispensed from its original container. -LPA reviewed medication log and observed that morning medications were given but not initialed/recorded by staff in the medication log. LPA was informed staff usually log medications given later in the day. LPA informed Administrator medications dispensed are required to be logged and signed off by staff at the time it is given. An exit interview was conducted. A copy of this report along with a LIC809D and copy of Appeal Rights was provided to Administrator, William Lee.the state’s words, verbatim · CDSS document, Sep 27, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct an annual inspection with emphasis on infection control. LPA met with Caregiver Sheryl Tapia and explained the purpose of today’s visit. The facility has a Mitigation Plan Report on file as required. During the inspection, LPA observed appropriate COVID-19 postings at the facility front entrance and throughout the facility itself. The facility has a COVID-19 symptom and temperature screening process in place which was in accordance with the Department's guidelines. LPA observed that the facility was also equipped with sufficient hand hygiene supplies, sufficient cleaning/disinfecting provisions, and a supply of Personal Protective Equipment (PPE). As documented in the facility's Mitigation Plan Report (Report), the facility has a designated infection control lead person/infection preventionist who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring staff are trained in the facility's infection control procedures, and ensuring infection control measures are implemented. Also detailed in the Report, the facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolation, and properly caring for residents and staff with COVID-19 positive results and/or exposures. Additionally, the Report describes the facility's plan to monitor residents regularly for any changes in condition and to subsequently notify the resident's physician, emergency personnel, and responsible party in the event the resident presents with any COVID-19 symptoms. During facility file review prior to this visit, LPA was unable to locate an Infection Control Plan (LIC9282). An Infection Control Plan was required to be submitted by June 30, 2022. The facility's Mitigation Plan Report will stay in effect until the completion and submission on the Infection Control Plan. The following deficiency was issued during today's visit. An exit interview was conducted, and a copy of this report was provided along with Appeal Rights.the state’s words, verbatim · CDSS document, Sep 13, 2022

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Adam Hamer conducted an unannounced annual required inspection on today's date. LPA was greeted at the front door and granted entry after identifying himself and disclosing the purpose of the visit. An overall tour of the facility was conducted inside and out, and Administrator William Lee later arrived at the facility and met with LPA. 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 Mr. Lee 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; 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 Mr. Lee and a copy of this report along with the Licensee Rights (LIC 9058 FAS 01/16) was provided to him via email; he expressed that he would send LPA a confirmation email upon receipt of these documents.the state’s words, verbatim · CDSS document, Aug 12, 2021