Our Lady Perpetual Help Care Home

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA's) Kesha Lewis at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA was met by Staff member and Administrator joined 15 minutes later. LPA were screened upon entry for COVID precautions. LPA explained the purpose of the visit to Administrator. Administrator's Certificate # 6019316740 Expires 07/25/2024. LPA and Administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a 6 bed facility with a current census of 5. There is entry door is leading to the living room, kitchen with a hallway to the bedrooms and bathrooms. The hallway has COVID precautions in place including social distancing noted. Chemicals and medications noted to be locked to residents in care. LPA also conducted the infection control domain tool. Hot water temperature was measured at 105 F degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees Fahrenheit. All necessary documents were in place. LPA observed the following posted on the facility wall: Facility license, sketch, See Something Say Something poster, Ombudsman poster, Theft and Loss Policy, Resident Bill of Rights, Rights of Resident/Family Councils. The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point and has implemented screening and sign in procedures at the front door area. The facility conducts routine symptom screening for employees, residents, and visitors. LPA observed the facility to have hand washing stations, COVID - 19 informational signage, and social distancing signs posted throughout the facility, on the front door, and outside. The facility has a designated infection control lead individual. The facility is able to designate and dedicated a COVID -19 room/bathroom if needed. Common touch surfaces are cleaned after each use. LPA observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place. Resident rooms were sanitary and had the required furniture and furnishings. LPA observed, fire extinguishers inspected on 08/30/2022 and current, smoke and carbon monoxide detectors, central heating and air in the facility. The first aid kit was found in compliance containing at least the following: a current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency, sterile first aid dressings, bandages or roller bandages, adhesive tape, scissors, tweezers, thermometers, and Antiseptic solution. LPA reviewed three (3) staff files. All staff is fingerprint cleared and associated to the facility after review of staff records LPA observed that only one (1) Staff member had a valid CPR and first aid certificate and it was not the staff member working at the time. LPA reviewed three (3) resident facility files, COVID-19 Plan, and survey binder. All necessary documents were in place. Administrator Maria Arcal will stay at the facility until another staff member has valid CPR. The following deficiencies are being cited Per California Code of Regulations, Title 22, Division 6, Chapter 8. See 809D page. Exit interview held with staff and copies of reports left at conclusion of visit.the state’s words, verbatim · CDSS document, May 16, 2023

From the deficiency page — Deficiency type: Type A · Plan of correction due date: May 17, 2023

a) All direct care staff and the facility manager shall have first aid training from persons qualified by agencies including, but not limited to, the American Red Cross. (1) A copy of the current First Aid card shall be maintained in the personnel record. This requirement is not met as evidence by observation. LPA reviewed 3 staff personnel files and only 1 staff member had a valid training. this was not the staff member working at the time. This poses an imitate health and safety risk for residents in care.the state’s words, verbatim · CDSS document, May 16, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sarah Hurt made an unannounced visit on this day at approximately 02:00 p.m. for the purpose of conducting an abbreviated annual inspection. An annual inspection was previously conducted on March 10, 2022. LPA Hurt met with Administrator, Maria Arca, observed the following • Covid precautions being followed • Interior and exterior of the plant • (7) seven day non-perishable and (2) day perishable supply of food • Medications were observed to be locked up • LPA observed Fire extinguishers are not fully charged. • Smoke detectors all operational. • Hot water temperature measured 106 degrees. • All employees requiring background checks are cleared. The following deficiencies are being cited Per California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed during this visit. An exit interview was held, and a copy of the report was left with Administrator, Maria Arcal.the state’s words, verbatim · CDSS document, Aug 20, 2022

Type of visit: Annual/Random

LPA Bruce Jacobs arrived at this facility unannounced to conduct an annual inspection visit. LPA was met by Maria Felcisim Arcal (Fel) who informed Administrator Antionio the LPA' s visit. Mr. Arcal was not avaiable to meet with LPA and LPA discussed the purpose of the visit over the phobne. LPA explained the purpose of the visit and Fel accompanied LPA on the facility inspection. LPA Jacobs inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a 6 bed facility with a current census of 5 clients and 5 bedrooms and 3 bathrooms. There is entry door is leading to the living room, kitchen with a hallway to the bedrooms and bathrooms. The hallway has COVID precautions in place including social distancing noted. Medications and toxins noted to be locked to residents in care. LPA also conducted the infection control domain tool. The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point and has implemented screening and sign in procedures at the front door area. The facility conducts routine symptom screening for employees, residents, and visitors. LPA observed the facility to have hand washing stations, COVID - 19 informational signage, and social distancing signs posted throughout the facility, on the front door, and outside. The facility has a designated infection control lead individual. The facility is able to designate and dedicated a Covid-19 room/bathroom if needed. Common touch surfaces are cleaned after each use. LPA observed the facility to have adequate food supply of 7 days non-perishables and 2-days perishables in place. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were tested and are operational and in good repair. Fire extinguishers were serviced in June 2021 and are in compliance. All staff on-site have current fingerprint clearances. Carbon monoxide detector was on-site, tested and is operational. LPA wspoke to several residents and thier family members who were at the home LPA received a current LIC 500 and LIC 309 . Per California Code of Regulations, Title 22 no deficiencies were observed during this visit. Exit interview was held and a report was issued Ms Arcal.the state’s words, verbatim · CDSS document, Mar 10, 2022