Afable Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Talwinder Bains arrived on 09/28/23 to conduct the annual inspection. LPA met with administrator, Nicolasa Afable who assisted LPA during today's inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed residents (2) and staff files (2). All residents files contained the required paperwork. Staff file contained the required paperwork. Staff have current first aid and CPR training. Facility was clean. All required postings were observed. LPA reviewed medications of 2 residents comparing with physician orders and find no errors. LPA and Administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included residents rooms, bathrooms, kitchen, common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. All exits were unobstructed. The administrator's certificate is current. There is a gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher is ready for emergency use . Water temperature is within compliance (106 degree F) .Inside temperature was observed to be 77 degree F. In the areas toured, there were no health or safety violations were observed. LPA requested a copy of the LIC500, LIC610E and current liability insurance to be sent to the Department by 10/15/23. No deficiencies were observed or cited during today's visit. Exit interview conducted. A copy of this report was printed and given to Administrator.the state’s words, verbatim · CDSS document, Sep 28, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 11/17/2022 to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with Administrator, Nicolasa Afable, and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, the daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA confirmed that facility does not any positive covid-19 cases and nobody is experiencing any covid-19 symptoms today before facility entry. LPA wore the following Personal Protective Equipment (PPE) during today's visit: surgical mask. LPA was screened by facility staff upon entry. LPA and administrator toured the facility to ensure the health and safety of residents in care. Areas toured include but are not limited to: 5 bedrooms , 2 bathrooms , common area, dining room, kitchen, garage, laundry area, outdoor area, and storage. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Administrator completed the infection control domain and facility was found to be in substantial compliance at this time. No deficiencies are being cited. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Nov 17, 2022

Type of visit: Case Management - Deficiencies

An Informal Conference was conducted at 2:00 PM on 3/11/2022 at the Sacramento North Regional Office virtually via Teams Meeting. Present for the meeting was Administrator/Licensee, Nicolasa Afable, Licensing Program Manager (LPM), Laura Munoz, LPM Anthony Perez, and LPM Troy Ordonez, Licensing Program Analyst (LPA), Talwinder Bains and the writer of this report LPA, Jacob Williams. The purpose of the informal conference was to address the facility’s compliance issues. The Department has concerns stemming from site inspections on multiple dates during the year 2021 and 2022. The licensee was told that this Informal conference is a part of the Administrative Action process and that further citations may result in an elevation to a formal non-compliance conference that could then lead to referral to the Department's legal division for possible revocation of license. Issues discussed during the meeting were: Record keeping, physical plant, accessible sharp objects, food service, and COVID related protocols. To support the facility maintaining substantial compliance with health and Safety Statute and Title 22 regulations, the Department is developing a plan with the licensee to address causes for concerns. Plan to address compliance concerns by 3/25/2022: 1. Training with all staff regarding COVID protocols and mask wearing (staff for both Afable facilities) 2. Plan to keep yards clear of all debris/wood 3. Submit grocery receipts for next 30 days (weekly from 3/11/2022 until 4/11/2022) 4. Submit meal menus for next 30 days (from 3/11/2022 until 4/11/2022) 5. Pest control receipts for cockroach infestation (last month’s receipt is sufficient) 6. Statement of understanding that all staff will follow the state’s COVID recommendations 7. Conduct staff training on how to identify expired food items The department will provide additional facility visits and provide Administrator with RCFE Self-Assessment Guide. No deficiencies are cited during today’s meeting. An exit interview was conducted with Licensee Nicolasa and copy of this report was provided to her via email.the state’s words, verbatim · CDSS document, Mar 11, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Williams arrived at the facility unannounced on 09/09/2021 to conduct a Required 1- Year Inspection utilizing the infection control domain. LPA met with caregiver Genoveva Deray, as the Administrator was away, and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms and contacted licensee and completed a facility risk assessment. LPA ensured he applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPA was screened by facility staff upon entering the facility. LPA and staff toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, five (5) resident bedrooms, two (2) bathrooms, kitchen, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and administrator completed the infection control domain and facility was found to be in substantial compliance at this time. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Sep 9, 2021