Chad Corner Assisted Living

Type of visit: Required - 1 Year

On March 28, 2022, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual infection control inspection. Upon arrival, LPA observed COVID signage posted at the front door, but LPA discussed the need to add more reminder signage (masking, COVID symptoms, social distancing, cough etiquette) on the front door and throughout the facility. LPA was greeted by the Licensee, Carmelita Santotomas and explained the purpose of the visit. LPA was not screened at entry point and the Licensee was unable to provide screening log documentation for visitors, residents, and staff. This is a two story facility; 2 bedrooms, 1 full and 1 half bathroom on the first floor and 4 bedrooms and two full bathrooms on the second floor. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are not observed: entry procedures and screening log documentation for staff, visitors, and residents. LPA observed the bathrooms and advised Licensee to ensure all bathrooms have the following; hand-washing signs, liquid soap, covered trash bin, and paper towels. In addition, LPA Charitra advised Licensee to remove all hand-towels and bar soaps and just keep paper-towels and liquid soap. LPA observed two shared resident bedrooms on the first floor with beds 6ft apart. LPA toured the kitchen and advised Licensee to switch out hand-towels for paper-towels and disinfectant wipes. LPA Charitra observed the sharps drawer to be unlocked and accessible to residents during the visit. Licensee immediately locked the knives in LPA's presence. LPA observed 2 day perishable and 7 day non-perishable . In addition, LPA observed the emergency food supply present. Medications and toxins are stored appropriately and inaccessible to residents, and a comfortable temperature is maintained, lighting is sufficient for comfort. First aid kit was observed to be completed. (CONT. to 809C) LPA Charitra toured the second floor of the facility, According to the Licensee, it was indicated that the second floor is ONLY for staff members. There are a total of 4 bedrooms and 2 full bathrooms on the second floor. 1 out of the 4 bedrooms are vacant at this time. The following updated forms are requested to be submitted to CCLD by 4/4/22: • Administrator Certificate • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • LIC 610E Emergency Disaster Plan • LIC 400 Resident Cash Resources Deficiency of the Residential Care Elderly California Code of Regulations, Title 22, Division 6 is observed and cited on a LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with the Licensee; a copy is provided.the state’s words, verbatim · CDSS document, Mar 28, 2022

Allegation investigated: Resident is being illegally evicted.

On 07/14/2021, Licensing Program Analyst Murial Han conducted an unannounced visit on behalf of LPA Christopher Hopkins to deliver the finding. LPA Han met with the Administrator, Carmelita Santotomas and explained the purpose of the visit. The allegation of illegal eviction relates to an incident when a resident was admitted by the facility from the hospital on 6/17/2021. Shortly after the admission (two days later), the licensee determined that was not able to provide the level of care that R1 required. Instead of following eviction procedures, on 6/19/2021 the resident was transferred to the hospital and licensee refused to readmit the resident. This report is continued onto LIC 9099C Substantiated Based on this information, the preponderance of evidence standard has been met. Therefore, this allegation is determined to be substantiated. Deficiency is cited in accordance to California Code of Regulations, Title 22, Division 6, on the attached LIC 9099D. This report is discussed, reviewed with the Administrator; a copy is provided.the state’s words, verbatim · CDSS document, Jul 14, 2021 · control 14-AS-20210621131629

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87224(c) · Plan of correction due date: Jul 21, 2021

EVICTION PROCEDURES (c) The licensee shall, in addition to either serving the required thirty (30) days notice , sixty (60) days notice or seeking approval from the Department and service three (3) days notice on the resident, notify or mail a copy of the notice to quit to the resident's responsible person. This requirement was not met as evidence by the facility refused to readmit R1 after R1 was hospitalized and the facility did not issue a 30-day eviction notice nor a 3-day notice which poses an immediate health, safety or personal rights risk to client.the state’s words, verbatim · CDSS document, Jul 14, 2021

Plan of correction: The Administrator will immediate review the regulation and no later than 7/21/2021 to submit evidence that this has been completed.