Saint Jarrielle Residential Care

Type of visit: Required - 1 Year

On 8/31/2023 LPA Grace Donato conducted an unannounced annual visit to the facility. LPA met with Administrator, Nancy Uy. LPA explained the purpose of the visit. LPA toured the facility inside and outside including resident rooms, common areas, and kitchen area. LPA observed a resident having breakfast. While touring the facility it was observed that the temperature was at 72 deg F. Hot water was also tested in the resident bathrooms and the temperature was 110 deg F. Bathrooms are equipped with grab bars and non-skid floors. Resident bedrooms were observed to be in good repair. Carbon monoxide monitor is working properly. Fire extinguisher have been checked dated 7/8/23. LPA toured the kitchen, food supply is enough for the 2 remaining residents until they are transferred. Two resident records and two staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic 20hr requirement. Facility has a certified administrator on site with complete certification and training requirements. Facility accepts hospice residents and are following the required waiver requirements. LPA attempted to interview the two residents. One staff member was interviewed. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. While touring the facility outside, there’s a lot furniture, household items to be picked up for trash due to facility will be non-operational after the last resident has been transferred. Health and safety issues being the reason why facility will be non-operational. No deficiencies are cited at this time. Report is reviewed and a copy is provided.the state’s words, verbatim · CDSS document, Aug 31, 2023

Type of visit: Prelicensing

On 9/6/2022 at 12:50pm, Licensing Program Analyst (LPA) Murial Han met with caregiver, Elizabeth Huliganga to conduct an unannounced Pre-Licensing inspection for a change of ownership. LPA Han was properly screened for COVID-19 at entry point. The Licensee Jacquelyn Melosantos arrived shortly thereafter and assisted with the rest of the inspection. LPA toured the facility's building and grounds and observed the indoor and the outdoor passageways are free of obstruction. LPA observed proper postings around the facility. This is a single story facility with 4 bedrooms (3 private rooms and 1 semi-private rooms and 1 staff room) and 2 bathrooms. The residents bedrooms are observed to be cleaned and tidy. There are 5 residents and two staff present during the visit. The beds in the semi-private room observed to be 6ft apart. The facility is observed to be in good repair, clean, and odor-free. There is good lighting and the temperature measured at 76 degrees. LPA observed disinfectants, chemicals, medications, and toxins are locked and inaccessible to residents. LPA inspected the kitchen and dining room area. Both fresh food and frozen food supplies are observed to be sufficient. Dry goods/emergency food supplies are stored in the storage room. Dining room area is observed as clean and in order. Chairs are in place and there are two residents present during the inspection. LPA inspected the water temperature in both bath/shower rooms, and kitchen and they measured at 116-118 degrees. All bath/shower rooms were observed to be equipped with grab bars, non-skid mats, hand washing signs, liquid soap, and paper towels. Comp III orientation was given to Licensee, Jacquelyn Melosantos. Pre-Licensing is now complete. Immediate Licensure is recommended pending final approval from the Central Applications Bureau. Exit interview conducted with licensee. A copy of the report is provided.the state’s words, verbatim · CDSS document, Sep 6, 2022

Type of visit: Office

On 07/29/2022, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jul 29, 2022