Mariah's Garden Home Care

Allegation investigated: Staff does not ensure residents have no access to knives. Staff does not ensure kitchen floor is clean. Staff does not ensure food is properly stored.

On October 11, 2023 Licensing Program Analyst (LPA) Murial Han conducted an unannounced complaint visit to deliver the findings. LPA met with administrator and explained the purpose of today's visit. Regarding to allegation of- staff does not ensure residents have no access to knives, the reporting party reported that during the visit, he/she observed cutlery were exposed. During LPA's visit on August 29, 2023, LPA conducted a facility tour and observed toxins and sharps objects were not locked. After the investigation, this allegation is deemed to be substantiated and the deficiency was issued on August 29, 2023 on LIC 809 and LIC 809D reports. Facility has submitted a copy of the plan of correction and it was reviewed and approved by CCL. Substantiated Regarding to allegation of- staff does not ensure kitchen floor is clean, the reporting party stated that the kitchen was filthy. During LPA's visit on August 29, 2023, LPA observed the kitchen floor in between the medication cabinet and the food cart was filled with brown and white particles, and the stairs to the garage appeared to be black in the middle and sticky. These observations were acknowledged by the administrator. After the investigation, this allegation is deemed to be substantiated and the deficiency was issued on August 29, 2023 on LIC 809 and LIC 809D reports. Facility has submitted a copy of the plan of correction and it was reviewed and approved by CCL. Regarding to allegation of staff does not ensure food is properly stored, the reporting party stated that opened food condiments, such as mayonnaise, hot sauce and other items were not refrigerated, vegetables on the floor, and etc. During LPA's visit on August 29. 2023, LPA did not observe the observations that were reported by the reporting party, however, based on the photos provided by the reporting party, it revealed that fruits and vegetables were placed on the floor, and opened food condiments were stored inappropriately. After the investigation, this allegation is deemed to be substantiated. Based on interviews, record reviews and observations during the investigation, the preponderance of evidence standard has been met. Therefore, this allegations were determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with Administrator, and Appeal Rights provided. According to the male adult, on the day of the incident, there was an unidentified male parked in his driveway so he asked the person to park somewhere else as there was a deliver coming for the facility and the driveway needed to be cleared for the delivery truck. However, this person refused to move initially but eventually did. In regards to the Ombudsman's requests, the male adult stated that he was not a staff at the facility, therefore, he did not have any authorities to provide any information to the Ombudsman. LPA checked facility's association list and this adult male was not associated with the facility. After the investigation, this allegation is deemed to be unfounded as this male adult is not a staff and he was not able to cooperate with the Ombudsman's request. Based on the above information, the Department has found that this allegation to be UNFOUNDED, meaning that this allegation was false, could not have happened and/or is without a reasonable basis. Report was discussed and a copy of this report is provided.the state’s words, verbatim · CDSS document, Oct 11, 2023 · control 14-AS-20230823130422

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87555(b)(8) · Plan of correction due date: Oct 12, 2023

87555 General Food Service Requirements..(b)The following food service requirements shall apply:..8) All food shall be of good quality. This requirement is not met as evidenced by open food condiments were stored in appropriately and fruits and vegetables were stored on the floor which poses an immediately health risk to residents in care.the state’s words, verbatim · CDSS document, Oct 11, 2023

Plan of correction: The administrator/licensee will develop a plan to ensure food is in good quality and properly stored at all times. The administrator/licensee will submit a copy of the plan to CCL by 10/12/2023.

Type of visit: Required - 1 Year

On August 29, 2023 Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA met with administrator and explained the purpose of today's visit. LPA toured the facility inside and outside including the bedrooms (3 shared bedrooms), 2 full- bathrooms, kitchen, living and dining rooms. Bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars, but no nonskid mats. Facility temperature is comfortable. Hot water temperature was measured at 94-95 degrees F. LPA observed stairs to the garage were dirty and sticky, garbage can in the kitchen was dirty, garbage can and toilet paper holder in the female bath/shower room were dirty and rusty. During the Central stored medication review, LPA observed, toxins and sharps objects were not locked and accessible to residents. Resident #1 (R1) was given a medication that was not prescribed by the physician and 6 out of 6 resident's medication records have omissions from 8/26/2023 - 8/29/2023 AM and the administrator stated that the medications were given by staff failed to sign it. Emergency drills, and staff training records were reviewed and observed to be inadequate. Food supplies were observed to be adequate. Facility is equipped with smoke detectors and carbon monoxide detectors. Staff records were reviewed and contained criminal clearance, first aid / CPR certificate, Health Screening with TB test result and criminal record statement. LPA reviewed resident's files contained resident's identification and emergency information, admission agreement, medical assessment, LIC 602 (Physician Order), Appraisal Needs and Service Plan, etc. During today's inspection, there was 3 residents present and 3 were out in the community as their physician's order indicated that they are able to leave the facility unattended. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed. A copy of this report and Appeal Rights were provided.the state’s words, verbatim · CDSS document, Aug 29, 2023

Type of visit: Required - 1 Year

On 12/9/2021, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was greeted by the Administrator, Marie Zepeda. LPA explained the purpose of the visit. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident and staff daily monitoring records (LPA recommended to document the temperature that was taken for the staff instead of check mark), containment strategies. there are 5 residents at the facility (2 females and 3 males). PPE supply and the environmental cleaning supply are adequate, bathrooms are equipped with liquid soap and paper towels, hand washing instruction is posted by the hand washing stations. Trash cans are recommended to have foot operated lids. The beds in the shared bedrooms are 6"ft apart from each other. Medications, toxins and sharps are stored appropriately and inaccessible to resident, a comfortable temperature is maintained, lighting is sufficient for comfort and safety and food supply was checked and observed to be sufficient. First-aid kit is inspected and complete. During today's inspection, LPA Han requested for the following documents to be submitted to the Regional Office by 12/14/2021: - LIC 610E Updated Emergency Disaster Plan - Lease Agreement - LIC 308 Designation of Administrative Responsibility No deficiency cited today; this report is reviewed and discussed with the Administrator. A copy is provided.the state’s words, verbatim · CDSS document, Dec 9, 2021