Carter Place

Type of visit: Required - 1 Year

On 07/27/23 around 09:15 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a required annual inspection. LPA was greeted by one staff upon entry and explained the purpose of the visit. Tomas Salinas, Administrator (ADM) arrived about 10 minutes later. ADM currently holds a standard certificate (#6023774740). The facility’s fire clearance was approved for six (6) non-ambulatory residents; one (1) may be bedridden. Upon entry, LPA observed two residents, one eating breakfast and the other watching television. LPA and ADM toured the facility including, but not limited to common areas, bathrooms, bedrooms, kitchen, storage area, and backyard. LPA observed mask, cough etiquette, social distancing and hand washing signs posted throughout. The facility has an updated Infection Control Plan (ICP) and routine safety drills are conducted. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All hand washing stations were equipped with soap, paper towels and garbage cans. There is a surplus of PPE stored in the downstairs area and centrally located inside the facility that is accessible to all care staff. Hot water temperature in the shared residents' bathroom was measured at 106.5 degrees Fahrenheit (F) and the facility's temperature was 77 degrees (F). Fire extinguisher was observed full and purchased 07/19/23. Smoke/Carbon Monoxide detectors were observed operational and first aid kit complete. continued on LIC809C... ...continued from LIC809. Fire extinguisher was purchased 07/19/23. Emergency Disaster Plan is updated. Safety drills were last conducted 03/2023 and are rotational between AM and PM schedules monthly. LPA reviewed three (3) staff records, two (2) were complete, and five (5) completed resident records. ADM to complete his personnel file. The following forms are to be updated and submitted to CCLD 08/10/23: -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility (Reviewed) -LIC610E Emergency Disaster Plan (Reviewed) -An updated copy of Administrator Certificate(s) Exit interview conducted and a copy of this report provided to ADM.the state’s words, verbatim · CDSS document, Jul 27, 2023

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 06/20/2022 at 03:35 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct an Infection Control Inspection. LPA was greeted by one staff upon entry and explained the purpose of the visit. LPA was informed that the Administrator, Tomas Salinas is out of town. Facility has a COVID-19 mitigation plan on file and routine safety drills are conducted. LPA observed a screening station at the entry that contained a thermometer, hand sanitizer, COVID-19 signage, and a sign-in log. LPA toured the facility including, but not limited to common areas, bathrooms, bedrooms, kitchen, storage area and backyard. LPA observed mask, cough etiquette, social distancing and hand washing signs posted throughout. Caregiver to post 20 seconds to hand washing signs and add covered garbage cans to shared bathrooms. LPA reviewed staff and residents' files; all vaccinated. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All hand washing stations were equipped with soap, paper towels and garbage cans. There is a surplus of PPE stored in the downstairs area and centrally located inside the facility that is accessible to all care staff. Hot water temperature in the shared residents' bathroom was measured at 107.2 degrees Fahrenheit (F) and the facility's temperature was 82 degrees (F). Fire extinguisher was observed full along with two newly purchased ones. Smoke/Carbon Monoxide detectors were observed operational and first aid kit complete. The following forms are to be updated and submitted to CCLD: -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility (Reviewed) -LIC610E Emergency Disaster Plan (Reviewed) -An updated copy of Administrator Certificate(s) Exit interview conducted and a copy of this report provided to Caregiver, Robert Milloy.the state’s words, verbatim · CDSS document, Jun 20, 2022

Type of visit: Required - 1 Year

On 7/22/2021 at 9:50 AM, Licensing Program Analyst (LPA) Leslie Ibo conducted an infection control annual inspection and explained the purpose of the visit with Administrator Tomas Salinas . LPA observed 1 resident relaxing outdoor area while the other 4 residents were resting in their bedrooms. LPA inspected the facility inside and outside. LPA observed no bodies of water. Pathways were observed to be free of obstruction and fire hazards. Infection control designated leader is the Administrator. LPA observed COVID-19 posters posted in common areas to promote hand washing, cough/sneeze etiquette and physical distancing. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Facility staff were observed to be wearing proper PPE (mask). Facility has a mitigation plan and maintains record of routine screening for residents and staff. Facility has enough supplies of PPEs, paper supplies and hygiene supplies. Medications are centrally stored in a locked area that is inaccessible to clients and refilled every at least 30 days. There was at least 7 days of nonperishable and 2 days of perishable foods. Hot water temperature was measured at 112.2 degrees Fahrenheit . A certified administrator is on site a minimum of 20 hours a week to oversee proper business operation. Smoke and Carbon monoxide detectors were operational. LPA observed: Facility has NOT conducted staff training on infection prevention, symptoms, transmission and PPE use (technical assistance was provided). No deficiency cited during the visit. Exit interview conducted. Appeal Rights and copy of this report provided.the state’s words, verbatim · CDSS document, Jul 22, 2021