Covenant Care-Turlock Residential

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Renee Campbell arrived unannounced to conduct an annual inspection. LPA Campbell met with Jennifer Warkentin, Administrator and explained the purpose of the visit. LPA Campbell toured the facility and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas to ensure there are no safety hazards for residents. Furniture and furnishings were sufficient to meet the needs of residents. LPA Campbell observed first aid supplies, a fully-charged and up-to-date fire extinguisher, and working carbon monoxide/smoke detectors. LPA Campbell observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Campbell observed locked closets and cabinets for the storage of medication. LPA Campbell observed locked storage areas for the storage of cleaning solutions and knives as well. LPA Campbell reviewed files for four randomly selected staff and four randomly selected residents. All files were found to be complete. As discussed with Administrator Warkentin, hire dates will be written on the front of the files in the future. Per California Code of Regulations (CCR's) - Title 22, Division 6, Chapter 8, no deficiencies are being cited. An exit interview was conducted with Jennifer Warkentin, Administrator and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jul 23, 2025

Type of visit: Case Management - Deficiencies

On 05/29/2025, Licensing Program Analyst (LPA) Renee Campbell arrived unannounced regarding a staffing issue. LPA Campbell met with Administrator Jennifer Warkentin and explained the purpose of the visit. A call was received by the Department regarding staff who work at the facility as a med tech who was underage. LPA Campbell requested a list of current staff with their birth dates, titles and the date of hire when they received their most recent titles. According to the staff roster and Guardian, staff member R1 was hired on 01/28/2025 as a Qualified Medication Aid (Med Tech). At the time of hire, R1 was 17 years and 7 months old. As of today's date, R1 is 17 years and 11 months old and thus still underage. When discussed with Jennifer Warkentin, the administrator stated that since R1 had worked as a CNA in a skilled nursing facility, she had thought it was appropriate for R1 to work in this facility. A deficiency was cited and R1 was removed from the staff roster and disassociated on Guardian as of 05/29/2025 by Administrator Jennifer Warkentin. LPA Campbell obseved the Electronic Personnel Action Notice (ePAN) as confirmation that R1 was separated from the facility. Per California Code of Regulations, Title 22, the following deficiencies are cited during today's inspection. Exit interview conducted and a copy of this report and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, May 29, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(b) · Plan of correction due date: Jul 4, 2025

87411 Personnel Requirements - General -(b) All persons who supervise employees or who supervise or care for residents shall be at least eighteen (18) years of age. This requirement was not met as evidenced by: Based on record review, the licensee did not ensure a staff med tech met the age requirement for hire at eighteen (18) years of age, whiich poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, May 29, 2025

Plan of correction: The facility will remove R1 from the staff roster for this facility and R1 will not be allowed to work in the facility until they are over 18 years of age. The administrator will email a statement of understanding regarding 87411-Personnel Requirements - General to LPA Campbell at renee.campbell@dss.ca.gov

Type of visit: Case Management - Health Checks

On 10/08/24, Licensing Program Analyst Renee Campbell arrived unannounced to the facility. LPA Campbell was met by Administrator Jennifer Warkentin and explained the purpose of the visit. On 10/04/24, a report was received regarding a possible scabies infestation. LPA Campbell reviewed the incident report database and found no UIR's reporting scabies from the facility. LPA Campbell contacted the facility by phone and asked Administrator Warkentin if any of the residents had scabies, were currently in isolation or if any of them had a diagnoses of any infection before. The administrator stated no. LPA Campbell then entered and conducted a tour of the facility and observed clients laying in bed, watching TV and socializing. The facility was free of odor and pathways were unobstructed. Residents were observed eating lunch in the dining room. LPA Campbell spoke to a resident walking down the hall. When asked what they had for lunch, the client stated they had steak cubes on pasta and chocolate pudding. The administrator's certification was reviewed. Certificate number 7024856740 was displayed in the facility and expires on 3/16/26. LPA Campbell consulted with the administrator to ensure all medical emergencies, falls and med errors are recorded via incident report. The facility is in compliance with Title 22 Regulation, and no deficiencies were cited. An exit interview was conducted, and a copy of this LIC 809 report were provided to the facility.the state’s words, verbatim · CDSS document, Oct 8, 2024

Type of visit: Case Management - Incident

On 07/02/24, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility unannounced to conduct a case management regarding an incident on 06/29/2024 between R1 and R2. R1 and R2 were in an altercation. When R2 fell, they hit their head and the head wound began to bleed. R2 was then taken to the hospital and R1 was arrested. As of this visit, R1 is at the Stanislaus County Jail awaiting a court date. LPA Campbell interviewed the administrator and the staff (S1) who witnessed R2’s fall and injury. The 602’s for both clients were reviewed by LPA Campbell as well as the power of attorney. Discharge paperwork for R2 was provided. No major injuries were identified and R2 was discharged back to the facility on 06/30/24. The responsible parties for R1 and R2 were notified by the Administrator and an SOC 341 sent to the local Ombudsman. Administrator Warkentin provided 6 days worth of medication to R1's responsible party for use at the Stanislaus County Jail where R1 resides. No deficiencies cited as a result of today's visit. An exit interview was conducted with Administrator Warkentin and a copy of this report was left.the state’s words, verbatim · CDSS document, Jul 2, 2024

Allegation investigated: The Licensee allowed an RSO to be present at the facility.

On 06/27/2024 at 9 am, Licensing Program Analyst (LPA) Renee Campbell arrived at the facility unannounced to present findings for the allegations noted above. LPA Campbell met with Jennifer Warkentin, Administrator and informed them of the purpose of todays visit. On 06/20/24, the Department was alerted that a registered sex offender (RSO) who is not a resident of the facility was allowed to be present or work at the facility. The Department investigated the allegations. R1 stated that in July 2023, they were arrested for talking to a minor online. R1 did not provide details about the incident. They stated that on 5/8/2024, they were convicted, and they had a court date on 6/28/2024 for sentencing. R1 denied being on probation or any other type of supervision. Per R1, they told their supervisor, R2 about their charges. R1 stated that when they were arrested, R2 bailed them out of jail. Substantiated R2 initially denied having any knowledge of R1’s charges. R2 then admitted they knew R1’s charges involved them attempting to meet with a minor. R2 attempted to minimize the charge by saying R1 never officially met with the minor. R2 did not report R1’s charges to anyone, including the Administrator. R2 admitted to taking the mandated reporter training and understanding what it meant to be a mandated reporter. Per California Code of Regulations (CCRs) - Title 22, Div.6, Ch. 8, deficiencies are being cited on the attached 9099D during this visit. Exit interview held, Appeal Rights discussed, Copy of report given.the state’s words, verbatim · CDSS document, Jun 27, 2024 · control 27-AS-20240620133101

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(g)(1) · Plan of correction due date: Jul 12, 2024

87411(g)(1) …”all employees and volunteers subject to a criminal record review shall:(1)” maintain “a California clearance or a criminal record exemption as required by law or Department regulations” This requirement is not met as evidenced by: Based on observation and interview, a registered sex offender was present at the facility and had regular and routine contact with clients which poses an immediate Health, Safety or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 27, 2024

Plan of correction: The facility will do in-service training for mandatory reporting and provide a employee sign in sheet once completed. The Administrator will also provide a statement of understanding regarding what information a mandated reporter reports.

Allegation investigated: Facility staff did not provide adequate care and supervision to a resident. Facility staff did not seek timely medical attention for a resident. Facility staff did not communicate with authorized representative.

A visit was conducted on 05/31/24 with Jennifer Warkentin, Executive Director, to amend the document from the 05/02/24 visit. Licensing Program Analyst (LPA) Renee Campbell arrived on 05/02/24 to Covenant Care Turlock Residential to open a complaint for the above allegations. LPA Campbell met with Executive Director Jennifer Warkentin of Turlock Residential and Cheryl Rice, Executive Director of Turlock Nursing and Rehabilitation Center. After a review of the complaint allegations, it was found that R1 had been a patient at Turlock Nursing and Rehabilitation Center and not at Covenant Care Turlock Residential. The department therefore, has found that the complaint is unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Unfoundedthe state’s words, verbatim · CDSS document, May 2, 2024 · control 27-AS-20240426093746

Type of visit: Required - 1 Year

On 05/02/24, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility unannounced at approximately 8:30 am to conduct an annual inspection. LPA Campbell met with Executive Director, Jennifer Warkentin and stated the purpose of the visit. LPA Campbell inspected the physical plant to ensure compliance with Title 22 regulations. The administrator's certificate # is 7024856740. This number's expiration date is pending due to administrator renewal backlogs. The current census is 44 residents with 25 staff. The facility is a one floor building licensed to service adults age 60 and over. The facility may accept up to 49 ambulatory and non-ambulatory residents of which 2 may be hospice. No body of water was found. Upon entry, LPA Campbell observed several residents in wheelchairs sitting by the door without socializing. A glass window lead into the administrators office. A male guest was signing into the guest book. LPA Campbell inspected the physical plant including but not limited to the common area, kitchen, dining area, client bedrooms, laundry room and outside areas of the facility to ensure compliance with Title 22 regulations. Resident rooms have individual patios. that lead to the front of the parking lot or surrounding facility driveway. The facility was observed to be free of odor and in good repair. While touring the facility, LPA Campbell observed the thermostat was set at 74 degrees Fahrenheit. When entering the medication room, LPA Campbell was able to observe the online MAR system that recorded medication dispensation, initialed by staff. First aid kits were verified as having bandages, scissors, tweezers and thermometers as well as a manual. A laundry room was also observed while staff washed resident items. LPA Campbell entered the kitchen and observed two staff preparing for lunch. A freezer was filled top to bottom after a recent shopping trip per the administrator.. The freezer temperature was -5 degrees Fahrenheit which meets the maximum requirement of 0 degrees Fahrenheit. The refrigerator temperature was 34 degrees Fahrenheit and below the required maximum of 40 degrees Fahrenheit and it contained enough perishable food for residents for two days. LPA Campbell observed a covered cake cooling in the food pantry and un-expired milk in the refrigerator. There were a variety of non-perishable foods in the pantry to last the residents 7 days. The hot water temperature was measured in the resident bathroom at 105 degrees Fahrenheit which is within the required maximum range of 105 to 125 degrees Fahrenheit. The fire extinguishers were last inspected on 06/01/2023. There were no changes to the building layout since the most recent floor plan. Due to technical difficulties, the facility was unable to verify that staff had 1st Aid or CPR certification. Facility will provide 1st Aid Staff training report by 05/06/24. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, May 2, 2024