All for Moms Homecare

Type of visit: Case Management - Annual Continuation

Licensing Program Analysts (LPA) Tao conducted an unannounced subsequent visit to the facility for purpose of an annual continuation inspection. LPA met with Phuoc Truong, administrator, who assisted with the visit. The facility is licensed to serve Residential Care Elderly to serve elderly, ages 60 years old and older, and has dementia program. Today's annual inspection, LPA completed the domains in CARE tools which were pending from 9/11/23 visit, conducted staff/residents file reviews and medication reviews. Medications were centrally stored, locked and the records were current. Staff / residents' records were stored in a locked cabinet and the section has been inspected along with the available records present. No deficiencies were cited per California Code of Regulations, Title 22. Exit conference was conducted with administrator. This report, LIC 809s were provided to administrator.the state’s words, verbatim · CDSS document, Sep 21, 2023

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Tao conducted an unannounced visit to the facility for purpose of an annual inspection. LPA met with Phuoc Truong, administrator, who assisted with the visit. The facility is licensed to serve Residential Care Elderly to serve elderly, ages 60 years old and older, and has dementia program. The capacity is six (6) including five (5) non-ambulatory and one (1) bedridden. The facility has approved of six (6) hospice waiver. Currently, five (5) residents are non-ambulatory and no bedridden residing at the facility. Annual licensing fees are current. Administrator certificate is current and the expiration date is 12/5/23. Two live-in staff are residing in bedroom #6. During the visit, the infection control domain tool was used, a tour of the facility was conducted, food supply was reviewed, and staff/residents were interviewed. LPA toured the facilities physical plant, indoor and outdoor. The facility is located in a residential neighborhood. Facility is a single house with six (6) resident bedrooms, two (2) bathrooms, living room, kitchen, backyard with shaded area, and laundry room. Passageways, walkways, driveways, steps and patios are free from obstructions. Residents' bedrooms and bathrooms are spacious and will easily accommodate the residents furnishings. Common areas were observed for the ability to safely serve the needs of the residents. Hot water temperature was 113.0 degrees Fahrenheit which was within Title 22 Regulation guidelines. Adequate linen and personal hygiene supplies was observed. No pools and bodies of water on the premises. Facility maintained a comfortable temperature for residents. Auditory alarm devices to monitor exits were operable. Last fire drill was conducted on 7/10/23. (-continued in LIC 809C-) Sufficient supply of perishable and nonperishable foods is observed. Knives, tools, sharp items are inaccessible to residents. Smoke detectors and carbon monoxide detectors are operable. Fire extinguishers’ last service is 8/21/123 and are fully charged. Due to insufficient time, this annual visit needs a further inspection for staff/residents file reviews, medication reviews and complete the other domains in CARE tools. An Exit interview was completed with Administrator. A copy of this licensing report LIC 809 was provided.the state’s words, verbatim · CDSS document, Sep 11, 2023

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Tao conducted an announced visit for pre-licensing follow up inspection. The applicant notified the department for visit since corrections were made. The initial pre-licensing visit was conducted on 09/08/2022. LPA met with Phuoc Truong (Henry), applicant/administrator, to discuss the purpose of today's visit and the inspection. During this visit, LPA observed the following corrections were made: 1) Water Temperature: Tested at 114.0 degrees Fahrenheit 2) Resident records: Stored in a cabinet with a lock and inaccessible to residents 3) Alarm auditory devices at exits: all exits are installed with alarm auditory devices. 4) Resident bedrooms: Mattress pads are in place in all residents' beds 5) Resident bedrooms: A chair is available in each residents' room 6) Side gate exits: Side gate exits are self-closing and not locked. 7) Laundry room with cleaning compounds: Laundry room's door is installed a lock and inaccessible to residents. 8) Backyard: Water host is rolled and mounted on the wall. Component III was conducted with applicant during the initial visit on 09/08/22. No further corrections are needed. An Exit interview was completed with Administrator. A copy of this licensing report LIC 809, dated 09/15/2020, has been furnished to applicant. Applicant is advised to contact Centralized Application Bureau regarding the status of the application.the state’s words, verbatim · CDSS document, Sep 15, 2022

Type of visit: Prelicensing

Licensing Program Analysts (LPAs) Tao and Ramirez, conducted an announced visit to the facility for purpose of a pre-licensing evaluation. LPAs met with Phuoc Truong, applicant/administrator, who assisted with the visit. An application was submitted to CCLD on 05/25/2022. It is an initial application applying for Residential Care Elderly to serve elderly, ages 60 years old and older. The requested capacity is six (6) including five (5) non-ambulatory and one (1) bedridden. The applicant is D & P Homecare LLC and applied for dementia program. Fire clearance was approved on 7/8/22 and approved bedroom #2 for bedridden resident. Structure: Facility is a single house with six (6) resident bedrooms, two (2) bathrooms, living room, kitchen, backyard with shaded area, and laundry room. Passageways, walkways, driveways, steps and patios are free from obstructions. Bedrooms for Residents: Bedrooms are for six (6) residents including five (5) non-ambulatory and one (1) bedridden. The resident bedrooms are spacious and will easily accommodate the residents furnishings. Bathrooms: All bathrooms have a working toilet, wash basin, and shower with non-skid mat and grip bar. Linens & Hygiene Supplies: Beds have linen/supplies which include, pillowcase, fitted sheet, blanket and bedspreads. ( - continued in LIC 809 C - ) Emergency Phone Numbers, Exit Plan & Menu: Posted & readily available for review at the entrance. Fire extinguishers located at kitchen mounted on the wall. First Aid kit and Red cross manual are in stock Smoke Detectors: Carbon monoxide detectors and smoke detectors are dual and operable. Appliances: Stove burners, oven, microwave, washer, and dryer are working. Medications: Medication drawer is locked and available to staff but inaccessible to residents. Issues were observed during the visit. 1) Water Temperature: Tested at 138.5 degrees Fahrenheit 2) Resident records: Stored in a cabinet but not locked 3) Alarm auditory devices at exits: Exits are not installed with alarm auditory devices. 4) Resident bedrooms: Mattress pads are missing in all residents room. 5) Resident bedrooms: No chair in residents' room 6) Side gate exits: Side gate exits were locked with a key lock. All key locks need to be removed. 7) Laundry room with cleaning compounds: cleaning supplies and water heater are stored in laundry room and accessible to residents. Laundry room needs to install a lock and inaccessible to residents. 8) Backyard: Water host on the ground which has trip hazard. ( - continued in LIC 809 C - ) Applicant will provide the proof of Plan of correction (POC)by 9/13/22. Component III: Conducted at the Pre-Licensing visit, information provided about how to operate the facility within substantial compliance. An exit interview was conducted and a copy of this report has been furnished to the applicant. Accordingly, LPA Tao will submit a copy of this facility evaluation report to the Central Applications Unit (CAU) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAU Analyst assigned to their application.the state’s words, verbatim · CDSS document, Sep 8, 2022

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Phuoc Truong Interview Method: Telephone interview On 08/30/22, 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 the understanding of the California Code Title 22 Regulations. 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. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Aug 30, 2022