Tomorrow's Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced required 1 year annual inspection visit. LPA Wallace met with administrator and explained the purpose of today's visit. Administrator certificate expires October 24, 2024. LPA Wallace and administrator toured the grounds and the physical plant. The grounds were observed to be well maintained and all pathways are free of obstruction. There are no bodies of water on the property. The interior of the physical plant was observed to be sanitary and free of odor. There was adequate lighting observed and adequate furniture observed. There are four resident bedrooms and two of four bedrooms are double occupancy. The resident bedrooms all were observed to contain a lamp, dresser, night stand and chair. There was an adequate supply of linen observed. All medications, toxins, and sharp objects were observed to be locked and inaccessible to residents in care. LPA Wallace observed a two day supply of perishable food and seven day supply of non-perishable food on hand. The water temperature in the resident bathroom in the main hallway was measured at 112.5 degrees which falls within the required regulatory range of 105 - 120 degrees. The thermostat was set at 73 degrees which falls within the required regulatory range of 68 to 85 degrees. The fire extinguishers were serviced on November 2, 2022 and are in compliance. The fire alarm and carbon monoxide detectors were tested and found to be in good in repair. The first aid kit was observed to be complete with tweezers, scissors, a thermometer, manual and various wound dressings. LPA reviewed two staff and three resident files that were locked and readily available for review. Staff had current First Aid/CPR certificates All staff have criminal record clearance and are associated to the facility. LPA received the following updated documents on today's date: Administrator Certificate and copy of liability insurance Per the California Code of Regulations, Title 22 no deficiencies were observed or cited. Exit interview held with administrator. A report and LIC 811 (Confidential Names) was left at the facilitythe state’s words, verbatim · CDSS document, Oct 17, 2023

Type of visit: Required - 1 Year

On 11/17/22 at 2:20pm Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual visit. LPA Jensen met with Licensee Angelique Morrow and explained the purpose of today's visit. LPA Jensen toured the grounds and the physical plant. The grounds were observed to be well maintained and all pathways are free of obstruction. There are no bodies of water on the property. The interior of the physical plant was observed to be sanitary and free of odor. The facility has a single designated entrance with everything necessary for COVID screening. All required signs were posted in prominent areas. There was adequate lighting observed and adequate furniture observed. There are 4 resident bedrooms and 2 of 4 bedrooms are double occupancy. The resident bedrooms all were observed to contain a lamp, dresser, night stand and chair. There was an adequate supply of linen observed. All medications, toxins, and sharp objects were observed to be locked and inaccessible to residents in care. LPA Jensen observed a 2 day supply of perishable food and 7 day supply of non-perishable food on hand. The facility also maintains a 30 day supply of PPE on site. The water temperature in the resident bathroom in the main hallway was measured at 112.5 degrees which falls within the required regulatory range of 105 - 120 degrees. The thermostat was set at 74 degrees which falls within teh required regulatory range of 68 to 85 degrees. The fire extinguishers were serviced on 11/17/22 and are in compliance. The fire alarm and carbon monoxide detectors were tested and found to be in good in repair. The first aid kit was observed to be complete with tweezers, scissors, a thermometer, manual and various wound dressings. Two staff files were observed and found to be complete. 3 of 6 resident Medication Administration Records were compared against actual medications and were found to be compliant. All required signs were posted in prominent locations. Continued on LIC 809C... LPA Jensen requested the following be sent via email to maja.jensen@dss.ca.gov by 11/22/22 LIC 500 LIC 308 Liability Insurance upon renewal in December of 2022 The facility was observed to be in substantial compliance. No deficiencies were issued as a result of this visit. An exit interview was conducted and a copy of this report was given to Licensee Angelique Morrow.the state’s words, verbatim · CDSS document, Nov 17, 2022

Type of visit: Post Licensing

On 1/13/22 LPA M. Jensen and T. White arrived unannounced to conduct a required post-licensing inspection. LPA met with Administrator, Angelique Morrow and explained the purpose of today’s inspection. LPA was allowed entry into the facility that is licensed to serve a total capacity of 6 residents, which 6 may be non-ambulatory and 6 on hospice. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, laundry room, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature is maintained at 71 degrees Fahrenheit. The water temperature was measured at 105.1 which is within the required range of 105-120. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Furniture was observed to be adequate and in good repair. There is a minimum of 7-day supply of nonperishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during inspection. Fire extinguisher was purchased new in July of 2021. First aid kit was observed to be complete. Fire drill was last conducted on 12/7/2021. LPA observed completed mitigation plan. LPA reviewed 1 resident file and 2 staff file. - LPA observed staff #1 (S1) not wearing a mask. Based on interview with administrator and S1 masks are not enforced. - LPA observed outside shed with landscaping equipment including chainsaw unlocked -LPA observed front porch patio in disrepair -LPA observed medicine cabinet unlocked and accessible to residents -LPA observed garage where cleaning supplies are stored to be accessible to residents. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted with Administrator. A copy of report and Appeal Rights given.the state’s words, verbatim · CDSS document, Jan 13, 2022

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Prelicensing

Announced Pre-licensing visit made via to this facility on 11/12/2021, LPA Anthony Tuck was met by the Applicant, Angelique Morrow, who was briefly interviewed by LPA. It was learned that this facility will be licensed to serve up to (6) residents, (4) non ambulatory at any given time. (This Applicant was also seeking a program for dementia care and a hospice waiver to accept and retain up to (6) hospice residents at any given time and 2 bedridden.) There were no residents in care during today's Pre-licensing visit. Tour of the facility was conducted with applicant. Dining area, living area, and all other areas intended for resident use were toured and observed to be furnished and maintained in compliance at this time. Kitchen area was toured. Cabinets and drawers were opened and reviewed by LPA Tuck along with the Applicant. Knives and other sharp utensils were observed to be locked in a cabinet to make them inaccessible to the residents at all times. Food supply for 2-day perishable and 7-day nonperishable quantities were reviewed to make sure that this facility was in compliance at this time. Medication cabinet, located in the hallway area, was toured. First aid kit was observed to be present and contained all required components at this time. A tour of the (4) private resident bedrooms was conducted. It was observed that one resident bedroom was equipped with direct exits at this time. Furnishings and furniture intended for use by the residents were observed to be sufficient and able to meet the needs of the residents at this time. A tour of the resident bathrooms was conducted. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees. Grab bars and nonskid mats were observed to be present and in compliance at this time. Laundry area was toured. All cleaning agents and detergents were observed to be locked and made inaccessible at this time. Linen closet, located in the hallway, was observed to contain a sufficient supply of towels and linens able to meet the needs of the residents at this time. A tour of the exterior grounds was conducted. A review of the facility perimeter fence, side gates, and walkways were observed to be maintained in compliance at this time. Gate latches were reviewed and observed to be functional and allowed access for emergency response. All proper posters were posted on walls. All smoke detectors were operational, and the carbon monoxide detector was operational. There were 0 deficiencies observed during today's Pre-licensing visit. Component III interview was conducted with the Applicant and completed during today's Pre-licensing visit. Exit Interview A copy of this report was provided to the applicant.the state’s words, verbatim · CDSS document, Nov 12, 2021

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE Application Type: LLC Capacity: 6 Census (if any clients in care): NO Method: Telephone at CAB COMP II Participants: Angelique Morrow (Applicant/Administrator) and Carle M. Morrow (Applicant) Applicant/Administrator participated in COMP II at CAB via telephone with analyst at CAB. Identification of the Applicant and Administrator was verified by providing California Driver License number. During COMP II, Applicant and Administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and Administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Applicant and Administrator qualifications 4. Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical plant, food service Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of propertythe state’s words, verbatim · CDSS document, Oct 27, 2021