Ramona Care Home

Type of visit: Annual/Random

On 5/16/2023 at 10:57 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to continue annual inspection from last visit on 05/11/2023. LPA met with caregiver, Josefina Luy. Johnny Lingbanan, husband to Licensee/Administrator, arrived shortly and advised that Victoria Lingbanan was currently taking a continuing education class. LPA reviewed 5 of 5 resident's records. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 05/23/2023: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, May 16, 2023

Type of visit: Required - 1 Year

On 05/11/2023 11:00 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregivers, Josefina Luy and Delma Ong, and explained the purpose of the visit. The facility’s fire clearance was approved for 6. LPA toured facility with Josefina including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 1 bedroom is for double occupancy by the residents. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 103.3.degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide dectector were in operating condition during visit. Fire extinguisher was last serviced on 04/06/21. Emergency Disaster Plan was last posted on 08/30/2017. First aid kit was observed to be complete. No current Emergency Disaster Drill conducted. LPA reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 11:10 AM, LPA observed RAID Spray, Microban Disinfecting Spray located unlocked under kitchen sink At 11:14 AM, LPA observed unlabeled date jars, food containers in the refrigerator At 11:21 AM, LPA observed Febreeze Fabric Spray, Lysol Spray, disincentive wipes located unlocked in the garage At 11:36 AM, LPA observed mattresses, wheelchair, toilet commodes, walkers located outside At 11:38 AM, LPA observed a bathtub and wood planks located outside on the side of the house The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code. Failure to correct deficiencies by POC date may result in additional Civil Penalties. LPA will return at a later time to complete the inspection. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, May 11, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(f)(1) · Plan of correction due date: May 12, 2023

(f)...shall be stored inaccessible to residents with dementia: (1)...matches, cigarettes ...that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not having cigarettes, lighters, inaccessible to residents which poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, May 11, 2023

Plan of correction: Administrator removed and locked cigarettes and lighters. Deficiency cleared.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87705(f)(2) · Plan of correction due date: May 12, 2023

(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication..cigarettes, and toxic substances such as...cleaning supplies and disinfectants. Based on observation, the licensee did not comply with the section cited above by not having disinfectant spray, Raid Spray, Lysol Spray inaccessible which poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, May 11, 2023

Plan of correction: Administrator removed and locked toxic chemicals. Deficiency cleared.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87203 · Plan of correction due date: May 18, 2023

All facilities shall be maintained in...regulations adopted by the State Fire Marshal for the protection ...against fire and panic. Based on observation the licensee did not comply with the section cited above by not obtaining a new fire extinguisher which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, May 11, 2023

Plan of correction: Administrator replaced with a new fire extinguisher. Deficiency cleared.

From the deficiency page — Deficiency type: Type B · Section cited: CCR80087(a)(1) · Plan of correction due date: May 25, 2023

(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employess and visitors. This requirement is not met as evidenced by: mattreesss, wheelchairs, bathtub accessible to clients in care which poses potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, May 11, 2023

Plan of correction: Administrator will clean up backyard, side yard and will send photos to CCLD by POC due date

Type of visit: Required - 1 Year

On 5/05/2022 at 11:30am Licensing Program Analyst (LPA) C. Fowler arrived unannounced to conduct infection control inspection LPA's met with Caregiver, Delma Ong and explained the purpose of the visit, Administrator Victoria Lingbanan arrived at 11:50 am. During the Infection Control Inspection, LPAs toured facility including but not limited to common areas, kitchen, bedrooms, and shared bathrooms. Front entrance, screening station, hand washing stations, common areas. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing signs were posted in common areas. Hand washing posters and soap, were observed at hand washing stations. Facility has a sufficient 2-day perishable and 7-day non-perishable food supply. Visitors policy is posted on the front door. Facility staff were observed wearing masks. Facility has a mitigation plan and maintains record of routine screening for residents and staff. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, May 5, 2022