Daniela's Country Home Care

Type of visit: Required - 1 Year

10/19/2023 9:45 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with licensee/administrator Daniela Olteanu and explained the purpose of the visit. LPA Knight and the administrator toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to six (6 client rooms, common areas, two (2) bathrooms, kitchen, storage areas and back yard. Staff and resident files were reviewed. All employees requiring background checks are cleared. Administrator certificate renewal submitted 07/19/2022 has not received renewed certificate yet. Administrator has been contacting the Administrator Certificate Unit and has had not response. There is a schedule of recreational activities planned for the clients. Bedding, linens, and towels for clients were observed and found to be clean and in good repair. There is an adequate supply of toiletries for the clients. Medication is locked in a cabinet. The facility was observed to be at a comfortable temperature. Hot water measured between 105 – 120 degrees F. Common area was clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged. Smoke detectors are all operational. No pools/bodies of water are on premises. No firearms are on premises. Last disaster drill was conducted in February 2023 which was a fire drill, the facility has been conducting fire drills every 6 months. In the areas toured no immediate health, safety, or personal rights violations were observed. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report was provided to administrator Daniela Olteanu.the state’s words, verbatim · CDSS document, Oct 19, 2023

Type of visit: Required - 1 Year

On November 19, 2022, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived unannounced to conduct an 1 year required annual Inspection. LPA met with Daniela Olteanu, Licensee, and explained the reason for the visit. Prior to the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted licensee and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Masks. Daniela and LPA completed the Covid infectious control questionnaire with no advisories. LPA and Daniela toured the home. All rooms have the required furniture. The bathrooms clean. LPA observed an adequate amount of linens and found the first aid kit to be complete. There are no bodies of water on the premises. The administrator's certificate was valid expiring on August 7, 2024. Per California Code of Regulation, Title 22, No violations was observed. No citations were issued. The administrator shall submit updated copies of the LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610D the Emergency Disaster Plan, and copy of current Liability Insurance to update the facility file. Administrator shall submit the listed documents to Licensing no later than December 19, 2022. An exit interview was conducted and a copy of this report was given to Daniela.the state’s words, verbatim · CDSS document, Nov 19, 2022

Allegation investigated: Facility did not have enough food for residents in care - UNSUBSTANTIATED Staff did not allow Home Health to visit the resident – UNSUBSTANTIATED Staff yelled at resident - UNSUBSBTANTIATED Staff not wearing masks - UNSUBSTANTIATED

/06/2022 10:00 AM Licensing Program Analyst (LPA) Rebecca Knight, made an unannounced visit to the facility and met with licensee Daniella Olteanu. The purpose of this visit was to deliver the results of the complaint investigation of the above allegations. Prior to initiating the visit, LPA completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95 Mask.. In addition, LPA was screened by facility staff. During the course of the investigation the licensee/administrator, 1 staff, 5 residents and 1 home health nurse, and 1 home health nursing agency Director of Patient Care were interviewed. LPA obtained the following documents to investigate the above allegations: Physician’s Report (LIC602), Admissions agreement, Pre-Appraisal Needs and Services Plan, home health paperwork, staff list with phone numbers, resident list, grocery receipts. Continued on LIC9099-C Unsubstantiated Facility did not have enough food for residents in care - UNSUBSTANTIATED LPA review of documents included grocery receipts from various local stores including Raley’s, Walmart, Foodmaxx, Smart & Final, Grocery Outlet, and Big Lots. The dates on the receipts were from 7/12/2022 through 8/16/2022. Items purchased were an assortment of fresh fruit and produce, canned goods, juice, meat, seafood, bakery goods, frozen food items, and dairy products. During LPA’s tour of the facility on 08/11/2022 LPA observed and took photographs of a refrigerator and freezer full of food and a very large pantry that was completely stocked with canned goods and dried goods. LPA observed a large fruit bowl on the kitchen counter full of fresh fruit as well as a cupboard full of snack items. Staff stated that the food supply is adequate for the residents, and the residents are served 3 meals each day. Staff stated the residents have snacks available to them at all times, and the facility goes grocery shopping everyone to two days. Staff stated the meals are pre-planned in the sense of making sure they are well balanced and not repetitive. During resident interviews 2 residents stated they like to food that is served and the food is good quality. 3 residents were unable to be interviewed. Administrator stated the facility does not pre-plan a menu but does ask the residents what they want and prepare their meals for them. Administrator stated they go grocery shopping almost every day. Based on LPA observation, interviews, and record review it was determined that the facility has plenty of food available to the residents, the residents like the meals that are served to them, the residents are served 3 meals per day and have snacks available to them at all times therefore the allegation is unsubstantiated. Continued on LIC9099-C Staff did not allow Home Health to visit the resident - UNSUBSTANTIATED LPA review of documents included forms from two home health agencies with R1’s name, case manager name and phone number, and dates of service written on them. During LPA’s tour of the facility on 08/11/2022 LPA observed a home health nurse exiting the facility when LPA arrived. Telephone interview with home health nurse revealed on 6/19/2022 R1 was discharged from a local hospital. On 6/25/2022 the home health nursing agency opened R1 to services. On 6/25/22 the home health nurse had a face to face encounter with R1 at the facility. The home health nurse stated the facility administrator let them into the facility to see R1. Staff stated that home health is allowed to enter the facility. During resident interviews 2 residents stated they have not had a home health nurse come into the facility to visit them. 3 residents were unable to be interviewed. Administrator stated home health was allowed to enter the facility to provide care to R1. Based on LPA observation, record review, and interviews it was determined that staff did allow home health to enter the facility therefore the allegation is unsubstantiated. Staff yelled at resident – UNSUBSBTANTIATED Staff stated they have never witnessed the administrator yelling at a resident. During resident interviews 2 residents stated they have never had staff yell at them and have not witnessed staff yelling at any other residents. 3 residents were unable to be interviewed. Administrator stated that some of the residents are hard of hearing so she has to speak loudly to them. Based on LPA interviews it was determined that staff did not yell at a resident therefore the allegation is unsubstantiated. Continued on LIC9099-C Staff not wearing masks – UNSUBSTANTIATED During LPA’s tour of the facility on 08/11/2022 the licensee answered the door wearing a mask and continued to wear the mask during the entirety of the visit. No other staff were observed in the facility. On LPA’s visit to the facility on 10/03/2022 two staff were observed to be wearing masks inside the facility. Staff stated they are wearing masks inside of the facility at all times. During resident interviews 2 residents stated that staff always wear masks inside of the facility. 3 residents were unable to be interviewed. Administrator stated that all staff are wearing masks inside of the facility. Based on LPA observation and interviews it was determined that staff are wearing masks inside of the facility therefore the allegation is unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED. An exit interview was conducted. A copy of the report was emailed to facility licensee Daniella Olteanu. No deficiencies were cited on today’s date.the state’s words, verbatim · CDSS document, Oct 6, 2022 · control 25-AS-20220810104627

Type of visit: Required - 1 Year

12/01/2021 12:30 PM Licensing Program Analyst (LPA) Dawn Keane arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with Administrator (AD) Daniela Olteanu and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA contacted AD and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95. Additionally, LPA Keane was screened by AD at the front door. LPA Keane and AD toured facility to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, two (2) bathrooms, six (6) bedrooms, kitchen, storage areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA Keane and the AD completed the infection control domain and facility was found to be in substantial compliance at this time. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report was given to AD.the state’s words, verbatim · CDSS document, Nov 29, 2021