Renaissance Living III

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Amy Rodgers and Patrice Bazemore conducted an unannounced visit to commence a annual inspection. The facility file was reviewed prior to the visit. LPA identified themselves and discussed the purpose of the visit Caregiver Towna Kitt. Licensee Richard Edwards joined the visit later. During today’s visit, LPA toured the facility property. LPA also reviewed resident files. Due to time constraints, the inspection will be continued on a separate date. A deficiency is being cited based on LPA observations, interviews with Tenant #1 and facility staff. The deficiency is documented on LIC 809D in accordance with the California Code of Regulations, Title 22. During the inspection, LPA observed that medications belonging to Tenant #1 were stored openly in Room #4. Interviews revealed that while the door has a lock, Tenant #1 does not have a key and does not secure the room, resulting in medications being accessible to residents. This resulted in immediate health and safety concerns and a deficiency was issued. An exit interview was conducted. The Plan of Correction was reviewed and developed with the Licensee. A copy of the report and appeal rights were provided to the Licensee.the state’s words, verbatim · CDSS document, Aug 17, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Renita Hall conducted an unannounced annual required visit to the above-mentioned facility. Upon arrival, LPA met with the Administrator. The facility operates as a Residential Care Facility for the Elderly, ages 60 and over. A facility tour was conducted, which included indoor activity areas, restrooms, kitchens, and outdoor space. All areas were clean, safe, and in good repair. Furniture and equipment were in good condition and appropriate for the clients in care. The facility has sufficient space and seating for all clients, with no exit obstructions. The restrooms were equipped with grab bars and adequate supplies. The hot water temperature was measured above the required range of 105°F to 120°F, signs were posted for "caution hot water." Staff prepared meals, and menus were available at the time of the visit. A random sample of client files was reviewed. Files contained current physicians’ reports, admission agreements, emergency information, needs and services plans, and other required documentation. Staff records reviewed contained criminal record clearance, health screening, current first aid/CPR certification, and required training. The activity schedule was reviewed and observed to be posted. Clients were engaged in individual activities during the visit. Supervision was observed to be appropriate, and staff were seen interacting with clients in a respectful and supportive manner. LPA interviewed staff and clients present. No concerns were noted. The facility’s emergency disaster plan was observed to be current and posted. Fire extinguishers were serviced within the past year, and smoke/carbon monoxide detectors were operable. No deficiencies were cited during today’s visit. An exit interview was conducted with the Administrator, and a copy of this report, along with the Licensee Rights (LIC 9058), was provided to the Administrator. Her signature on this form confirms receipt of the documents.the state’s words, verbatim · CDSS document, Aug 20, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Renita Hall, conducted an unannounced Required 1 year Annual Visit. LPA was allowed entry by Cheffon Weir, CNA . LPA identified herself and disclosed the purpose of the visit with Cheffon Weir, CNA and was later joined by Unique Maye, Administrator. Physical Environment: The facility was found to be clean, well-maintained, and free from any safety hazards. Adequate lighting and ventilation were observed in all areas of the facility. All necessary safety equipment, such as fire extinguishers and emergency exits, were present and in good working condition. The facility's outdoor spaces were properly maintained and accessible to residents. Staffing and Training: The facility had a sufficient number of qualified staff members to meet the needs of the residents. The staff member was observed to be professional, courteous, and knowledgeable in their respective roles. All staff members had completed the required training and certifications per the licensing regulations. Staffing schedules were posted and adhered to, ensuring adequate coverage at all times. {Continued on 809C} Resident Care and Services: Residents' care plans were reviewed and found to be comprehensive and up-to-date. Medication administration was observed to be in accordance with the facility's policies and procedures. Residents' nutritional needs were met, and the meals provided were nutritious and well-balanced. Recreational activities and social engagement opportunities were available to residents regularly. Health and Safety: Regular health assessments and monitoring of residents' well-being were conducted by qualified healthcare professionals. Infection control measures were in place and followed by staff members. The facility had established protocols for emergencies and evacuation plans were readily available. Overall, the facility was found to comply with the licensing regulations. An exit interview was conducted and a copy of this report along with the Licensee Rights (LIC 9058) was provided to Unique Maye, Administrator. Her signature on this form confirms receipt of the documents.the state’s words, verbatim · CDSS document, Aug 22, 2024

Type of visit: POC

LPA Hall at the facility to AMEND 9099D from June 18, 2024 with the correct policy citation as Health and Safety Code1569.652 (c) Plan of Correction has been completed.the state’s words, verbatim · CDSS document, Aug 22, 2024

Allegation investigated: Licensee did not provide refund to resident's responsible party

Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit to open a complaint and deliver findings. LPA was allowed entry by Richard Edwards, Licensee. LPA identified herself disclosed the purpose of the visit, and shared findings with the Licensee. On June 12, 2024, the Department received a complaint that the Licensee had not refunded the responsible party after Resident 1 (R1) 's death in May 2024. R1 lived at the facility for 3 days from May 13, 2024, to May 15, 2024, and passed away on May 15, 2024. On June 18, 2024, the Department investigated the above-listed complaint allegation. The investigation consisted of a tour of the facility an interview with the Licensee and a review of records. Continued 9099C Substantiated Review of records showed on page 12 of the admission agreement "Death of resident", "within fifteen (15) days after your personal property is removed from the facility, your estate, or other person or entity responsible for payment of fee and charges under this Agreement, will receive a refund of any fee paid in advance covering the period after the personal property has been removed." The family removed R1's belongings from the facility on May 15, 2024. The responsible party asked the Licensee for a refund and was told that a refund would be given within 15 days. After 15 days, the responsible party had not received a refund. The Licensee stated that he misunderstood the regulation and that by charging a flat fee for all costs a refund would not be given. The flat fee cost also included payment to the placement agency. The regulation for refunds after the death of a resident is 15 days. Based on the evidence obtained during the complaint investigation, the allegation that Licensee did not provide a refund to the resident's responsible party was found to be SUBSTANTIATED, as there is a preponderance of evidence to prove the alleged violation occurred. An exit interview was conducted; a copy of this report along with Licensee Appeal Rights LIC 9058 (REV 3/22) were provided to the Licensee and his signature confirms receipt of these documents.the state’s words, verbatim · CDSS document, Jun 18, 2024 · control 08-AS-20240612162203

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.652(c) · Plan of correction due date: Jun 25, 2024

(c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility or entity contractually responsible to.... the resident’s estate, within 15 days after the personal property is removed. This requirement was not met as evidenced by: Based upon interviews, records reviewed. The licensee did not provide refund timely to the responsible party after the death of resident.the state’s words, verbatim · CDSS document, Jun 18, 2024

Plan of correction: Review section Health and Safety Code1569.652 (c) and make refund payment to responsible party bay June 25, 2024.