All Season Care

Type of visit: Required - 1 Year

At 8:25am, on 02/04/2023, Licensing Program Analyst (LPA) Jeffries arrived at the facility unannounced to conduct the annual, infection control inspection. LPA was properly screened upon entrance in accordance with current infection control best practices. LPA met with licensee, Amaylyn Deliema, and announced who he was and the reason for the visit. Licensee and LPA conducted a cursory tour of the entire facility. This facility is a five bedroom, three bathroom, living room kitchen and dining room layout with laundry room and garage, there is an backyard patio with umbrella for shade. Medications are locked in a cabinet in the dinning room area and staff and client files are locked in a enclave of the dining room. The facility has battery operated fire alarms in each room that are all working and in the green, the carbon monoxide detector is in the hallway and functioning normally. All the door ways and exits are free and clear of debris and hazards. LPA observed a working fire extinguisher near the kitchen dining room area. LPA tested facility water and was within regulation temperatures 105*-120* (f). LPA observed at least 2 days of perishable and at least 7 days of non perishable foods. LPA observed a 30 day supply of PPE and incontinence supplies on hand at the facility. LPA observed liquid soap and paper towel dispensers in all bathroom of the facility. LPA noted that the facility was clean and in good repair. LPA noted that the cursory tour did not indicate any violations, technical or citations during the cursory tour walk through. Licensee and LPA conducted the infection control module of the annual inspection. LPA noted that there were no citation, technical or citations issued during the infection control module of the annual inspection. LPA noted that there were no violations, technical or citations issued during this annual inspection. Exit interview, report signed, and report given.the state’s words, verbatim · CDSS document, Feb 4, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Olson conducted an on-site 1 year infection control annual visit to the facility above on 02/28/2022 at 12:05 PM. LPA met with Administrator Analyn Estoque and explained the purpose of the visit. LPA took a physical plant tour of the inside and outside of the facility with Administrator. The facility has an entry point at the front door where everyone entering completes sign-in, symptoms screening and temperature check for all staff and visitors wanting to come into the facility. All documentation is kept in a file. The staff screen residents for symptoms and temperature 2x's a day and documentation is kept on file. Increased monitoring is conducted if any change of condition are noted or any residents are showing any signs, symptoms or a temperature. Signs are posted on the front door, entry area regarding Covid-19. Staff makes sure residents have a mask when leaving the facility on outings into the community. All staff wear face coverings in the facility and when on outings with residents. Facility has areas for visiting inside and outside. The facility also offers virtual and telephone communications to all residents in care. Staff, Residents and visitors are informed of the facilities infection control policies. New residents and staff will be tested and negative results received before working or residing in the facility. Residents rights are not being violated. Residents and Responsible Parties are notified by facility when required. Continued 809-C The facility has procedures and plans for screening, isolation, testing, when to call 911 and notifying all responsible parties and agencies when needed. Emergency Disaster plan is updated with telephone numbers. Administrator is in charge of infection control and provides training and education to staff, residents and visitors. Administrator oversees staffing and works on any issues or additional coverage. If any suspected or confirmed cases of Covid-19 are found in the facility a staff will use PPE supplies that will be located right outside those rooms when required. Facility has a 30 day supply of PPE on hand. Facility has plans for delivering medications and meals to any quarantined or isolated resident room. The facility has proper cleaning and disinfectant policies. Facility Administrator has a plan in place for when and whom to notify in an outbreak or other emergencies. Administrator will keep a line list of all vaccinated and tested staff/residents in care with dates/results. Facility has conducted training on infection prevention, symptoms, transmission and PPE use. Facility has non-punitive sick leave polices for staff. Sick staff are requested to stay home and not report to work if ill. Activities have been modified to individuals or small groups with social distancing. Residents medication is delivered in 30 day supplies to the facility. The facility ensures proper cleaning is done on frequently touched surfaces and between any individuals sharing of space or items. Sinks were well stocked with soap, paper towels and hand washing signs. Staff and resident records are kept in locked cabinet. Facility does realize guidance changes and the most up to date guidance from CCL-PINS, CDC, CDPH, and local health departments should be followed to remain in compliance. The most stringent orders should be followed by any of these agencies. Administrator Certificates are valid. Fire extinguishers are charged and inspected annually. Smoke alarms and Carbon monoxide detectors are present. No deficiencies observed during the visit and all infection control protocols are implemented and are being followed. Exit interview completed and copy of report emailed to Administrator/Licensee.the state’s words, verbatim · CDSS document, Feb 28, 2022

Type of visit: Prelicensing

At 9:00am on 03/22/2021, Licensing Program Analysis (LPA) Mark Jeffries conducted an announced pre-licensing visit. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s pre-licensing visit was conducted via FaceTime with Analyn Deliema. LPA conducted FaceTime video tour of facility. The outside grounds appeared to be free of obstructions and hazards. The gate on the south side of the facility was equipped with a self latching gate and a auditory delayed egress device was added to the gate. There were two storage sheds both equipped with padlocks and secured. The back side yard. There is seating with shade in the back yard. There is a fence on the North side of the back yard to close off access to the North side gate and entrance to the garage. Physical Plant: The facility is a 5 bedroom, 4 bathroom, with a living room, staff area, small activity area, kitchen, small laundry room and long hallway. There are two filing cabinets in the staff area that have keyed locks where confidential files can be stored and intake medication can be stored according the the licensee. The main medication storage is a key and lock cabinet in the kitchen area next to the refrigerator. The general appearance of the facility appears to be clean and will maintained. The chemical products are kept under the sink in the kitchen and in the cabinet in the laundry room in a locked closet above the washer and dryer. There is a door that is kept locked at all time that separates the laundry room and second door that leads to the garage. These door are kept locked at all times. The garage has storage of emergency food and furniture Bedrooms: There are 4 single occupancy rooms and one double occupancy room. All rooms have the appropriate amount of drawers and storage, single beds with spring mattresses, linin, and mattress pads. Bathrooms: There are 4 bathrooms for 6 residents, each bathroom has a shower/tub combination. The grab bars are securely fastened non-slip-skid mats are present in all showers. LPA advised Licensee of water temperature regulations of 105-120*(f). Supplies: LPA observed a full linin closet with ample linin supplies and hygiene supplies to support 6 residents. CONTINUE on LIC809-C Food Service: All appliances appeared to be clean and in good working order. Storage of cleaning chemicals as described above. Trash can in kitchen area had a tight fitting lid. LPA observed sufficient amount of utensils and dishware in good condition and sharps were stored in a keyed locked drawer in the kitchen. There was more than a seven day supply of Non-perishable foods and no residents at this time as LPA advised Licensee of the two days of perishables once resident occupy. Records:. There are two filing cabinets in the Staff Office area both have keyed locks for confidential storage. Administration: Emergency plans were posted in the hallway at the entrance door to the left as you walk into the facility. All required posting per 87468(c) were observed by LPA. Activities: LPA observed an inn table with several board games, puzzles and books for a variety of resident activities. There is ample space for 6 resident to participate in normal activities and keep social distancing in the living room and the activities area. Dementia: LPA observed delayed egress devices on all exits and the north exterior fence. LPA did hear the several of the auditoria devices in working when doors would open and close. With the exception of the north fence (single battery powered audible alarm) all audio door alarms are managed through a central alarm system and each door alarm has to be cleared by the main control panel in the living room area. The system is serviced by MACE SECURITY with a card and service contact number located on the main control panel. There is also a manual fire alarm lever just below the main alarm control panel. LPA observed a clear lock box over the facility temperature control panel located in the hallway. LPA observed the removable knobs of the stove. The door that access the laundry room is to remain locked at all times. There are no bodies of water and no firearms located at this facility. LPA advised Licensee in a review of RCFE Regulations 87705. LPA completed the RCFE Pre-Licensing inspection checklist and did not have any objections with licensing at this facility. Exit interview conducted, a hard copy of report was provided via email for signature and return by mail to LPA.the state’s words, verbatim · CDSS document, Mar 22, 2021