Gavero's Care Home

Type of visit: Required - 1 Year

On 09/19/2023, Licensing Program Analyst (LPA) Arielle Pascua arrived to the facility unannounced to conduct an annual visit. LPA was greeted by Facility Designated Representative, Jesusa Gavero and explained the purpose of the visit. Shortly after, LPA met with the Facility Designated Administrator, Edson Gavero. There was one other staff member present at the facility, This facility is licensed to serve and retain 6 residents who are 60 and over of which may be all non-ambulatory. This facility also holds a dementia plan on file. Current Census was 6. A brief interview with FDA Gavero was conducted. It was learned that there is currently one resident on hospice services and 2 residents who are non-ambulatory. LPA reviewed 3 resident files and 3 staff files. All resident and staff files were current and up to date. The FDA has a current administrator certificate #6017960740 and expires on 09/06/2024. A tour of the facility was conducted. There are currently two fire extinguishers located throughout the facility and have been serviced by GBFE on 03/15/2023. Smoke alarms and carbon monoxide detectors were present and in compliance. The kitchen area was toured. LPA observed a sufficient seven days of non-perishable as well as two days worth of perishable food supplies in the main kitchen. LPA Pascua observed a locked centralized stored medication cabinet located in the kitchen. Along with Administrator, the LPA observed, reviewed, and compared resident medication with the medication dispensing logs. First Aid Kit was present and contained all of the required components. The exterior of the physical plant was toured with no hazards present. One exit gate was inspected and the perimeter fence was observed to be stable. The common areas were toured. Living room, dining area and all other areas intended for resident use were observed to be furnished and maintained in compliance at this time. Laundry area was toured. Laundry detergent, bleach, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. A tour of 3 resident rooms were conducted. Resident furniture was observed to be sufficient to meet resident needs at this time. A staff room was also toured. A linen closet was located in the hallway and presented a sufficient amount of linen to adequately supply and meet the needs of the residents at this time. A tour of the bathrooms was conducted. Hot water temperature was measured and observed to be within the required range of 105-120 degrees. A tour of the garage was conducted. Additional storage for supplies and files were stored in cabinets. Additional perishable food supply was identified. The following forms and documents were requested to be updated and submitted into CCL. -LIC 308 -LIC 400 -LIC 500 -LIC 610 No deficiencies were observed or cited during this annual visit. A copy of this report was given to Facility Designated Representative. Exit interview.the state’s words, verbatim · CDSS document, Sep 19, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Arielle Pascua conducted an unannounced Required 1-year inspection visit. LPA Pascua met with Facility Designated Representative, Jesusa Gavero and stated the purpose of today's visit. Staff was asked to call the Facility Designated Administrator at this time to let them know that CCL was present. There was one other staff member present, Yolanda Tosco. Administrator holds a current certificate and expires on, 09/06/2022. This facility has a hospice waiver for 2 and a dementia program on file. The current census was 6. A tour of the facility was conducted. Fire extinguisher located by the dining room is valid until 11/23/2022. The facility has a main entrance COVID screening point. The facility has a 30 day supply of PPE. The facility conducts disinfecting cleaning daily. The kitchen area was toured. LPA observed a sufficient seven days of non-perishable as well as two days worth of perishable food supplies in the main kitchen. LPA Pascua observed a locked centralized stored medication cabinet located in the kitchen. Along with Administrator, the LPA observed, reviewed, and compared resident medication with the medication dispensing logs. First Aid Kit was present and contained all of the required components. The exterior of the physical plant was toured with no hazards present. One exit gate was inspected and the perimeter fence was observed to be stable. The common areas were toured. Living room, dining area and all other areas intended for resident use were observed to be furnished and maintained in compliance at this time. Laundry area was toured. Laundry detergent, bleach, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. A tour of 3 resident rooms were conducted. Resident furniture was observed to be sufficient to meet resident needs at this time. A staff room was also toured. A linen closet was located in the hallway and presented a sufficient amount of linen to adequately supply and meet the needs of the residents at this time. A tour of the bathrooms was conducted. Hot water temperature was measured and observed to be within the required range of 105-120 degrees. A tour of the garage was conducted. Additional storage for supplies and files were stored in cabinets. Additional perishable food supply was identified. The following forms and documents were requested to be updated and submitted into CCL. -LIC 308 -LIC 400 -LIC 500 -LIC 610 No deficiencies were observed or cited during this annual visit. A copy of this report was given to Facility Designated Representative. Exit interview.the state’s words, verbatim · CDSS document, Aug 18, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Arlene Garcia conducted an unannounced Annual/ Infection Control visit on this date. LPA met with Jesusa & Edson Gavero (AD), Administrators LPA and AD inspected physical plant including but not limited to the main kitchen, residents bedrooms and bathrooms, laundry room, and dining room area. LPA observed sufficient seven days non-perishable and two days perishable food supplies in the main kitchen. LPA observed cabinet under sink in kitchen locked. LPA observed sharps and centrally stored medications locked in pantry closet. Hot water temperature was measured in residents' bathroom with the Administrator at 119.5 degrees which is in required range of 105 to 120 degrees. LPA observed there was a Carbon Monoxide/ Fire monitors in facility. LPA verified the last FireDrill was conducted July 2021. Fire extinguisher maintained on 9/27/20. LPA reviewed 3 staff and 4 resident files. Resident emergency contact complete. LPA observed all staff files complete. Administrator Certificate valid until 9/6/2022. All persons in facility fully vaccinated. LPA observed resident practicing social distancing. LPA observed 30 days PPE supply. LPA observed there was no non-skid pad in resident's bathroom. LPA observed in one of the residents bedrooms 2 hospital beds and a hoyer lift. Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies are being cited today in violation of California Code of Regulations. Exit interview held with AD and a copy of report given via email.the state’s words, verbatim · CDSS document, Sep 7, 2021

From the deficiency page — Deficiency type: Type A · Plan of correction due date: Sep 9, 2021

Postural Supports (a)(3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require ... documentation ... This requirement was not met as evidence by: The administrator failed obtain a written order from physician for use of bedrails. LPA observed bedrails and hospital bed in residents bedrooms. This poses an immediate health risk to residents in care.the state’s words, verbatim · CDSS document, Sep 7, 2021

From the deficiency page — Deficiency type: Type B · Plan of correction due date: Sep 18, 2021

Buildings and Grounds - The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. This requirement is not met as evidenced by: LPA observed both shower rooms need non-skid mats/materials installed. This poses a potential safety risk to the residents in care.the state’s words, verbatim · CDSS document, Sep 7, 2021