A+ Right Time Care

Type of visit: Required - 1 Year

At approximately 12:00pm, Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection visit. LPA was greeted by Administrator Joy Johansen. Facility is a Residential Care Facility for the Elderly that has a fire clearance approved for a capacity of 3 non-ambulatory, of which 1 may be bedridden. Room 2 approved for bedridden resident and a hospice waiver for 2. Facility is a 2 story home with only first floor accessible for residents. There are currently 2 residents in care. LPA toured the building and grounds which was found to be clean and at a comfortable temperature. LPA observed all walkways and exits to be unobstructed. All required postings were in a highly visible area. Fire extinguishers were charged and last inspected 01/17/2025. Fire alarms and carbon monoxide detector were tested and operational. Outdoor emergency exit clear from obstruction. Outdoor furniture accessible for resident use. Water temperature measured at 116 and 110 degrees F at faucets accessible to residents which is within the allowable range of 105 to 120 degrees F. Disaster drills are conducted quarterly. All bedrooms were equipped with lighting, a night stand and chest of drawers. Resident bathroom observed to have bath mat and grab bar. Facility had an ample supply of linens, towels and extra hygiene products for residents. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable foods. Emergency food was observed to meet the 72 hour emergency supply. Facility kitchen, refrigerators and freezers were clean, and food was stored properly with expiration dates noted. Toxins are locked and inaccessible to residents. Sharps and knives were locked in kitchen drawer. Continued onto 809C... continued from 809... LPA reviewed 3 staff records. All documentation found to be present. LPA reviewed 2 of 2 resident records. All required documentation was present. Physician reports were up to date. LPA and Admin conducted a spot check of medication and medication records, all records up to date. Medication is centrally stored and locked. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility Liability Insurance No deficiencies given during todays visit. Exit interview conducted and report read with Administrator.the state’s words, verbatim · CDSS document, Nov 25, 2025

Allegation investigated: Personal Rights

On 05/21/2025, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct 10-day complaint investigation and to deliver complaint investigation findings for complaint #21-AS-20250509084830 regarding the above allegation and met with Joy Johansen, Licensee. Reporting Party (RP) alleges a personal rights violation where facility staff pushed Resident 1 (R1) in the back of the head. LPA Florio conducted 10-day complaint investigation visit on 05/21/2025 and obtained documents, made observations, and conducted interviews. Based on interviews with Licensee, R1, R1's responsible party, Resident 2 (R2), Resident 3 (R3), and a third party outside agency nurse, LPA received conflicting information regarding the above allegation. Outside agency nurse stated that they conducted a thorough investigation which revealed that there where no signs of abuse. Continued on LIC9099C... Unsubstantiated Continued from LIC9099... Based on observations made, LPA did not see any marks or signs of physical abuse on R1. Based on progress notes obtained from R1's record, LPA received conflicting information stating muscle soreness as the result of R1's physical diagnosis and exercises R1 engaged in during the time period from 05/03/2025 through current. . Based on record review, interviews conducted, and observations made, the allegation that the facility staff committed a personal rights violation is UNSUBSTANTIATED. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies cited. Exit interview conducted. Copy of report discussed and provided to Licensee. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, May 21, 2025 · control 21-AS-20250509084830

Type of visit: Prelicensing

At approximately 11:40 AM, Licensing Program Analysts (LPAs) Julie Florio and Star Stevenson arrived announced to conduct a pre-licensing inspection and was greeted by Licensee/Applicant, Joy Johansen. This pre-licensing inspection is being conducted for an initial licensing of an Residential Care Facility for the Elderly (RCFE). Fire Clearance has been approved for 3 non-ambulatory residents, one of whom can be bedridden and is approved for bedroom number 2 only. Facility has a dementia care plan and has applied for a Hospice waiver for 2 residents. Licensee/Applicant is not currently in partnership with North Bay Regional Center (NBRC) or a placement agency but plans to look into this. Licensee/Applicant already has one resident who would like to be admitted to the home upon facility receiving license. At approximately 11:55 AM, LPAs initiated a tour of the facility and observed the following: Facility is a two story home, was a comfortable temperature, and passageways were free from obstructions. Water temperature in residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed resident showers with the required non-slip mats and grab bars in place. LPA observed a supply of clean linens, hygiene products, incontinent care products, and paper products available for residents. Hallways are equipped with night lights and residents' bedrooms have all the appropriate furnishings as outlined in Title 22 regulations. All resident bedrooms are located on the first floor. There is a sufficient amount of dishes and cooking supplies for resident use with sharps and other hazardous items kept secured in various designated drawers and cabinets as well as under the kitchen sink. Cabinets in communal areas of the facility containing cleaning supplies and other items that could pose a risk were observed locked. Licensee/Applicant agrees to keep magnets and keys to these locked in facility safe secured and inaccessible to residents in care. Facility has at least two days of perishable foods, one week of non-perishable foods, and an emergency water supply. Continued on LIC809-C... ...continued from LIC809... LPAs observed a sample menu posted in the common area to indicate a healthy and balanced set of meals for residents in care. The facility has a designated cell phone on site and has internet services. Licensee/Applicant agrees to purchase an internet access device which will be designated for resident use. Facility has a designated locked closet for centrally stored medications and resident, staff, and facility files. LPA observed the facility's infection control plan, first aid kits, PPE, other emergency supplies, activity schedule, and games available for resident use. Facility has a fire extinguisher, which was last inspected 10/2024 and is fully charged. Smoke and Carbon Monoxide detectors were tested and operational during inspection. LPAs observed a generator for emergency preparedness. Licensee/Applicant has a baby gate installed making the upstairs area of the facility inaccessible to residents in care. Licensee/Applicant agrees to install a mounted screen in front of the gas fireplace to prevent residents from touching it. Licensee/Applicant has posted hard copies of the admissions agreement, emergency disaster plan and maps, personal rights information, and reporting posters in facility communal areas. LPA informed Licensee/Applicant that visiting hours shall be posted as well. The facility currently has Licensee/Applicant and one staff member associated to facility and will hire an additional staff member once license is approved. Licensee has been informed of association and staff transfer process. The backyard features paved walkways and a patio with a shaded seating for resident outdoor use. Windows, screens, and blinds are all found to be in good repair. Licensee/Applicant submitted a copy of the facility's lease agreement to the Centralized Application Bureau and will submit proof of liability insurance once plan is active post licensure. LPAs observed a facility sketch which accurately reflects the floor plan. Component III orientation was conducted with the Licensee/Applicant at facility where they conveyed knowledge and understanding of Title 22 regulations. The pre-licensing evaluation has been completed. Exit interview conducted with Applicant, whose signature on this document confirms receipt.the state’s words, verbatim · CDSS document, Jan 7, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 3 Census (if any clients in care): none COMP II Participants: Joy Johansen Interview Method: Telephone interview On December 31, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staffing/Activities/Transportation 3. General Provisions/ Training 4. Pre Licensing readinessthe state’s words, verbatim · CDSS document, Dec 31, 2024