Caring Hands Residential Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Required 1 Year visit and met with Lead Staff, Imuentinyan Ibinigie. LPA Rai observed 1 staff and 1 resident at the facility and 2 residents were attending day program. Licensee/ Administrator was notified of the visit but was not available for today's inspection. During visit, LPA Rai toured the inside and outside of the facility. When touring the outside area of the facility, the exits were cleared of obstruction. LPA Rai toured the facility kitchen and observed food supply of at least 2 days of perishable food and at least 7 days of nonperishable food. Sharps and medications were locked in secured areas. LPA observed additional food supply areas and secured areas for cleaning supplies and laundry detergents. The facility bathroom had available soap, paper towels, and trash cans with lids. The shower had grab bars and non-skid mats. The water temperature in the bathroom faucet was recorded at 112.3F. The water temperature in the kitchen sink was 110.7F. Fire extinguisher was observed and inspected on October 20, 2022. S1 stated the company overseeing the fire system will stop by tomorrow to do the annual inspection for the fire extinguisher. Facility smoke detectors and carbon monoxide detectors were in working condition. 3 out of 3 resident bedrooms had available bedding, drawers, and functioning lights. LPA Rai reviewed facility records for 3 residents. The facility did not maintain staff records and was not available for LPA Rai to review. S1 states the facility does not have a central administrative location where the staff records would be kept outside of the facility. Continuation on LIC 809-C, Page 1 of 2. Page 2 of 2. LPA Rai reviewed R2's medications and central stored medication records. LPA observed the 3 out of 3 resident's file contained a blank LIC 622 Centrally Stored Medication and Destruction Log which did not contain the necessary information. S1 stated he/she has not used the LIC 622 form to record resident's medications. During review of R2's medications, S1 kept 2 medications in the fridge which was unlocked and accessible to persons other than employees responsible for the supervision of the medication. Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 809-D. One Technical Violation Note was provided during today's visit. This report was reviewed with Lead Staff, Imuentinyan Ibinigie and a copy of the report was provided. Appeal Rights were provided.the state’s words, verbatim · CDSS document, Oct 19, 2023

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the annual inspection focusing on infection control. LPA met with staff, Imentinyan Ibinigie. During visit, LPA toured the facility to include the living room, kitchen, resident rooms, bathrooms, and backyard. Facility has a designated entry point for temperature check and sign-in. LPA advised to place a symptom screening questionnaire at the entry for all visitors and staff. Hand sanitizer available at entry. Visitation guidelines posted at entry. Staff clean and disinfect multiple times daily and as needed. Bathrooms supplied with hand washing sign, paper supplies, and hygiene products. Facility has procedures to isolation. Staff states to have conducted infection control training. LPA did not observe at least a 30 day supply of complete Personal Protective Equipment (PPE) supplies. Trash can with lid observed. Staff are not N95 fit tested. The following posters observed to include symptoms of COVID, hand washing, and stop the spread of germs. Facility's fire extinguisher was last serviced on 10/02/2020. The following documents were requested during visit to include facility's LIC-500 and LIC610E by 10/21/2022. A deficiency is being cited per California Code of Regulations, Title 22. Advisory notes provided. This report was reviewed with Imentinyan Ibinigie and a copy of the report and appeal rights will be emailed to the Administrator due to printer error.the state’s words, verbatim · CDSS document, Oct 19, 2022

The state marks this report as 6 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Steve Chang, Licensing Program Manager (LPM) Sarah Yip, and Program Clinical Consultant (PCC) Helen Shi conducted Technical Assistant through tele-inspection (Zoom), and met with Administrator (ADM) SYLVESTER OKORO. The purpose of this TA Tele visit was to review the facility COVID-19 infection mitigation plan and conducted inspection of the facility to ensure plan is being carried out and to provide support and guidance to staff in mitigating the spread of virus. During tele-visit inspection, a tour of the facility was conducted which started at the main entrance to check COVID-19 signage and screening procedures. The facility has the sanitizer, face masks, thermometer, glove, and a visitor log book at the screening station. The facility common areas were inspected such as the kitchen, living room, family room, dinning area, and bathrooms were observed. There are 3 resident bedrooms, 2 bathrooms and 1 staff live-in room in facility. Trash cans were observed with covers. Paper towels with holders were observed. No washing hands for 20 second signs by the sinks were observed. Cloth towels were observed in the kitchen. The resident bedrooms were observed. One isolation room was observed. Laundry area was inspected. ADM stated all the residents and staff are fully vaccinated and done with boosters. Based on today's inspection, the facility is being recommended the following: 1. Facility to post more COVID-19 signage on the main door. 2. Facility to post more COVID-19 signage by the screening station. 3. Facility to put the COVID-19 questionnaires on the screening station. 4. Facility to put more hand sanitizers in common areas. 5. Facility to frequently wipe and disinfect high touch areas. 6. Facility to remove the cloth towels in kitchen and restrooms. 7. Facility to conduct staff training at least monthly or frequently such as donning and doffing PPE and COVID -19 updates. 8. Facility use of N95 mask by staff must have completed a N95 mask fitting test conducted by medical professional per CalOSHA. 9. Facility to have a laundry hamper inside the positive resident’s room, laundry hamper should have a double trash bag. 10. Do the laundry for negative residents first, then do the laundry for the positive residents. 11. Use high temperature hot water for laundry. 12. Facility to post washing hand for 20 seconds signage by the sinks. 13. N95 Seal check reference: https://www.cdc.gov/niosh/docs/2018-130/pdfs/2018-130.pdf https://www.youtube.com/watch?v=oU4stQgCtV8 14. Facility to review PINs (Providers’ Information Notification) through CCLD website: www.ccld.ca.gov. 15. Facility to post the washing hands signs by the sinks. No deficiencies cited during today's Tele Visit. Exit interview conducted with Administrator. A copy of this report emailed to ADM for signature.the state’s words, verbatim · CDSS document, Feb 11, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Yatfai Eric Ng conducted an unannounced infection control site visit. LPA met with the Caregiver Tinyan Igbinigie. One central entry point was designated for all staff, residents, and visitors. A temperature screening station and sign in sheet were present at the entrance. LPA was temperature screened before entering. LPA toured the facility. The facility was observed to be in sanitary condition. There were hand sanitizers at the entrance and in the facility. LPA inspected the residents' restroom. The restroom was observed to be adequately stocked with paper towels, hand soap, and a covered trash bin. Hand washing sign was present. A plan for epidemic outbreak specific to COVID-19 mitigation plan report (LIC 808) from the facility was submitted and approved. LPA discussed the infection control with Caregiver. LPA reviewed the current Provider Information Notice PIN 21-40-ASC with Caregiver. All residents and all staff were fully vaccinated per Caregiver. No deficiency cited during visit. However, advisory notes were issued. See LIC 9102s. This report was reviewed with Caregiver. A copy of this report were provided.the state’s words, verbatim · CDSS document, Sep 21, 2021

The state marks this report as 6 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.