Sonia's Guest Home 3

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Kesha Lewis arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA were met by Staff member. LPA was screened upon entry for COVID precautions. LPA explained the purpose of the visit to staff. 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 care 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 replaced on 09/20/2023 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 and staff have current First Aid or CPR certifications on file. Facility is conducting initial and continuing training as required. LPA reviewed three (3) resident facility files, COVID-19 Plan, and survey binder. All necessary documents were in place. Exit interview held with staff and copies of reports left at conclusion of visit.the state’s words, verbatim · CDSS document, Sep 21, 2023

Type of visit: POC

On 8/10/22 at 12:45pm Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced inspection at Sonia's Guest Home 3 for the purpose of inspecting the facility's corrections to deficiencies cited on 8/4/22. LPA met with staff Nora Gale and together conducted Plan of correction (POC) inspection. LPA tested the hot water and observed a recorded temperature of 107 degrees F. POC clearance letter was generated and left at the facility. LPA also observed a new floor lamp in the living room/office and LPA tested the lamp to ensure it is operational. the new lamp is operational and provides adequate lighting to meet the regulations. POC clearance letter was generated and left at the facility. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Aug 10, 2022

Type of visit: Required - 1 Year

On 8/4/22 at 12:45pm Licensing Program Analyst (LPA) Kevin Gould arrived at Sonia's Guest Home 3 for the purpose of conducting a required 1 year annual inspection. LPA met with staff, Nora Gale and together conducted a tour of the home. LPA and staff evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that the living room did not have an appropriate light source in the room. The living room lacked overhead lighting and only had a small desk lamp to illuminate the room which would not adequately light the room for resident and staff safety. LPA measured the water temperature, temperature measured at 135 degrees F which does not meet the 105-120 degree Fahrenheit regulation. LPA observed staff turn down the hot water heater but did not have enough time for the hot water to be corrected prior to LPA concluding the inspection. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. LPA Requested the following documents for facility file: LIC 308 Designation of Facility Responsibility, LIC 500 personnel report, Current Administrator Certificate and Client Roster Per California Code of Regulations, Title 22 the following deficiencies were cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Aug 4, 2022

Type of visit: Required - 1 Year

On 08/17/21 at 10:35 AM LPA Bruce Jacobs arrived at this facility unannounced to conduct an annual inspection visit. LPA was met by care staff who informed Sonia Gapasin of the LPA's visit and Ms. Gapasin arrived during the visit. LPA explained the purpose of the visit and staff 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 6. There are 4 client bedrooms and 3 client 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 and other signage noted. Medications noted to be locked to residents in care. Lysol, Clorox and other hazardous cleaning supplies were seen in the unlocked cabinet under the sink in two client bathrooms. 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 in good repair. Fire extinguishers were checked April 2021 and are in compliance.Facility has an emergency food and water supply in a separate storage area in kitchen. All staff on-site have current fingerprint clearances. LPA requested the following documents to be updated: LIC 500 and LIC 309 as needed. Per California Code of Regulations, Title 22 one deficiency was observed during this visit. Exit interview was held and a report was given to Sonia Gapasinthe state’s words, verbatim · CDSS document, Aug 17, 2021

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.