Welcome Home Senior Residence (Concord 2)

Type of visit: Required - 1 Year

On 08/16/2023 at 09:08 am Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to do an annual inspection. LPA meet with Administrator Raquel Flores and explained the purpose of the visit. LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the living room, dining area, kitchen, bedrooms, hallways, bathrooms, side and backyards. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Food supplies checked and observed good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, cleaning supplies, and central storage for medications were observed with locks. Activity supplies were available. Outdoor activity space was observed furnished with tables, chairs and shade. Fire extinguishers were observed fully charge and tags showed serviced 11/30/2022. At 09:40 am LPA reviewed 6 residents records. At 10:20 am, LPA reviewed 5 staff records and 5 of 5 were fingerprint cleared and associated to the facility. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Aug 16, 2023

Allegation investigated: Staff did not provide 60-day notice prior to rent increase

On 06/09/2023 starting at 01:45 pm, Licensing Program Analyst (LPA) J. Clancy-Czuleger arrived unannounced to conduct complaint investigation for the above allegation. LPA spoke with house manager, Clara Delgado and explained the purpose of the visit. Clara designated Ivee Regalado to sign off on the report. On the allegation facility tsaff did not provide 60-day notice prior to rent increase. Based on record review and interviews the facility provided a 2-day stating a change of condition of the resident. A case management will be conducted on the 2-day notice that was given. This agency has investigated the complaint allegation. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without reasonable basis. We have therefore dismissed the complaint. Exit interview conducted with Administrator and a copy of this report provided. Unfoundedthe state’s words, verbatim · CDSS document, Jun 9, 2023 · control 15-AS-20230522142044

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Case Management - Deficiencies

On 06/09/2023 while at the facility for a different purpose, Licensing Program Analyst (LPA) conducted a case management. LPA spoke with house manager, Clara Delgado and explained the purpose of the visit. Clara designated Ivee Regalado to sign off on the report. On January 30, 2023, the facility issued a 2-day notice of rate increase for R1 stating that there was drastic increase of R1’s needs since the initial assessment. The increase notice did not include detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges as required in the regulations. Based on LPA’s interviews and record review, the last Appraisal/Needs and Services plan done for R1 occurred on 09/07/2022. In interviews both S1 and S2 stated that R1 has required more attention from the staff since she join the facility on 07/09/2022 indicating that there has not been a change of needs for R1. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Jun 9, 2023

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.657(a) · Plan of correction due date: Jun 23, 2023

For any rate increase due to a change ...The notice shall include a detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges. This requirement was not met as evidence by: Based on records review and interviews the facility did not give a detailed explanation of or record for new level of care or provide the additional services to be provided at the new level of care or providethe state’s words, verbatim · CDSS document, Jun 9, 2023

Plan of correction: The facility agrees to submit a written statment stating that they have reviewed the regulation and LIC 625 form. The written statment will be sent to CCLD by POC date.

Type of visit: Required - 1 Year

On 09/29/22 at 2:05 pm Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to conduct infection control inspection LPA meet with Administrators Clara Delgado and Racquel Flores and explained the purpose of the visit. During the Infection Control Inspection, LPA toured facility including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen, and backyard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. 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. Hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. The facility has a mitigation plan. Cabinet for knives, cleaning supplies, and central storage for medications were observed with locks. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Sep 29, 2022