Briones Family Homecare

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an Annual inspection. LPA met with Katrina and Penafranci explained the purpose of the visit. LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 106.9 degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees. Fire extinguishers is outdated there is no service date on the extinguisher. Smoke detectors and carbon monoxide detector is current and in compliance with fire safety. LPA observed centrally stored medications. LPA reviewed and compared resident medication vs. resident medication logs. LPA reviewed 3 resident and 2 staff files, including criminal record clearances. All staff are fingerprint cleared and is associated to the facility. First aid kit was checked and is complete. No deficiencies were cited per Title 22 Regulations and the Health and Safety Code. Appeal Rights provided, exit interview conductedthe state’s words, verbatim · CDSS document, Apr 18, 2023

Type of visit: POC

LPA Albert Johnson made an unannounced POC visit to the facility to verify correction of citations issued during the annual visit. LPA toured the facility, reviewed document submitted for plans of correction observed that the deficiency cited has been cleared. Deficiency cited under Title 22 Regulations has been cleared. Licensee did complied with the terms of the Plan of Correction by POC due date. Exit interview conductedthe state’s words, verbatim · CDSS document, Mar 9, 2023

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct a Case management. LPA met with Penafranci explained the purpose of the visit. LPA was following up on the request for an exception for R1. R1 graduated from hospice on 3/13/2022. During this visit LPA was made aware that R1 is now back on hospice and there is no need to have home health or an exception to keep R1 in her current setting. During the safety check LPA observed an outdated Fire extinguishers. LPA reviewed and compared resident medication vs. resident medication logs for R1. Deficiencies were cited on 809- D attached as per Title 22 Regulations and the Health and Safety Code. Appeal Rights provided. Exit interview conductedthe state’s words, verbatim · CDSS document, Jul 26, 2022

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202 · Plan of correction due date: Jul 26, 2022

87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. 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. Fire extinguisher was observed by House manager and LPA to have tagged dates of 05/24/2021.the state’s words, verbatim · CDSS document, Jul 26, 2022

Plan of correction: The Licensee agrees to purchase a new fire extinguisher or service the current fire extinguishers. The Licensee will send a copy of the purchase receipt or a picture of new service tag for the fire extinguishers by POC date via email to CCL.

Type of visit: POC

LPA Albert Johnson made an unannounced POC visit to the facility to verify correction of citations issued during the annual inspection conducted on 4/19/2022. Deficiencies 87411(f) have been cleared along with citation 1569.695 (c) cited under Title 22 Regulations and Health and Safety Code have been cleared. Licensee complied with the terms of the POC by POC due date. However, citation 87612 Restricted Health conditions has not been met. The Facility will need to provided the department with an exception request by 4/30/2022. R1 is being provided with home health services after graduating from hospice on 3/3/2022. The home health services started on 3/13/2022, based on plan of care documents reviewed. The following deficiency were cited on 809- D attached as per Title 22 Regulations and the Health and Safety Code. Appeal Rights provided, exit interview conductedthe state’s words, verbatim · CDSS document, Apr 29, 2022

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87616(a)(b) · Plan of correction due date: Apr 30, 2022

87616 Exceptions for Health Conditions (a) As specified in Section 87209, Program Flexibility, the licensee may submit a written exception request if he/she agrees that the resident has a prohibited and/or restrictive health condition but believes that the intent of the law can be met through alternative means. (b) Written requests shall include, but are not limited to, the following: (1) Documentation of the resident's current health condition including updated medical reports, other documentation of the current health, prognosis, and expected duration of condition. (2) The licensee's plan for ensuring that the resident's health related needs can be met by the facility.(3) Plan for minimizing the impact on other residents. R1 is being provided with home health services after graduating from hospice on 3/3/2022.the state’s words, verbatim · CDSS document, Apr 29, 2022

Plan of correction: Licensee agrees to submit a request for an exception to retain (R1) who has a prohibited health condition. Licensee shall review the regulation on prohibited health condition and submit a statement of understanding of this regulation. The plan should be submitted by POC date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an Annual inspection. LPA met with Penafranci explained the purpose of the visit. Later joined by Jean Briones LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 112.9 degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees. Fire extinguishers, smoke detectors and carbon monoxide detector are current and in compliance with fire safety. LPA observed centrally stored medications. LPA reviewed and compared resident medication vs. resident medication logs. During the file review it was discovered that R1 does not have a package for home health services, including: Foley catheter maintenance (last records indicated that the catheter was changed on 3/16/2022), medications management and positioning (currently facility staff are turning R1 every two hours). R1 graduated from Hospice on 3/13/2022(?) no records to support this date. LPA reviewed 4 resident and 2 staff files, including criminal record clearances. All staff are fingerprint cleared and is associated to the facility. During the staff file review, S1 did not have a health screening or TB test completed. First aid kit was checked and is complete. Fire drill has not been completed. The following deficiencies were cited on 809- D attached as per Title 22 Regulations and the Health and Safety Code. Appeal Rights provided, exit interview conductedthe state’s words, verbatim · CDSS document, Apr 19, 2022

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(f) · Plan of correction due date: Apr 20, 2022

General. Good physical health of personnel shall be verified by a health screening, including a T.B. test, performed and signed by a physician not more than six months prior to or seven days after employment. LPA observed staff did not have a health screening and TB test results in S1's file.the state’s words, verbatim · CDSS document, Apr 19, 2022

Plan of correction: Administrator to provide a health screening/TB results for staff (S1) by POC date 4/20/2022

From the deficiency page — Deficiency type: Type A · Section cited: CCR87612(a)(2,4,7,) · Plan of correction due date: Apr 20, 2022

87612 Restricted Health Conditions (a)The licensee may provide care for residents who have any of the following restricted health conditions, or who require any of the following health services: (2) Catheter care as specified in Section 87623. (4) Contractures as specified in Section 87626. (7) Incontinence of bowel and/or bladder as specified in Section 87625. This requirement is not met as evidenced by records review the facility does not have records of home health services to address the needs of R1. This poses an immediate risk to residents in care.the state’s words, verbatim · CDSS document, Apr 19, 2022

Plan of correction: Administrator will provide the department with an order from the Primary care physician of R1 to confirm discharging from Hospice and starting home health services. This information shall be submitted by POC date 4/20/2022. The facility will also request an exemption for R1 by POC date 4/20/2022

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.695(c) · Plan of correction due date: Apr 20, 2022

Drills shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above in 1569.65(c). LPA observed Administrator was unable to provide a copy of facility fire drill, which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 19, 2022

Plan of correction: Administrator agreed to conduct a fire drill and submit proof to CCLD by POC date.