Amazing Paradise Home Care

Type of visit: Required - 1 Year

On 10/13/23, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Yolanda Bernardo and explained the purpose of today’s visit. The facility is licensed to operate for six (6) non-ambulatory of which one (1) may be bedridden elderly residents ages 60 and above. The facility is approved for (5) hospice residents. Currently, the facility has (3) residents in hospice care. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident's rooms, two (2) common bathrooms, a living area, a dining area, a kitchen, and an outside covered patio area. LPA and administrator toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured 106.9 F. A comfortable temperature of 70 degrees was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. Fire extinguisher were charged, smoke detectors and carbon monoxide were operable. A review of the Medication Administration Record (MAR) was complete and accurate. The facility has conducted a disaster drill on 09/30/23. A landline telephone was in working condition. A review of staff CPR/First Aid training is current. Evaluation Report Continues LIC 809-C During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. The facility has current liability insurance on file effective 08/14/23 - 08/14/24. The facility is current on Community Care Licensing annual dues. An audit of residents #1-#6 (R1-R6) service files and staff #1-#5 (S1-S5) personnel files revealed to be complete. Interviews were conducted with (5) residents and (1) staff. The facility has the current administrator's certification on file for Yolanda Bernardo #6022979740- Expiration 12/02/24. No deficiencies during this inspection visit. An exit interview was conducted with Yolanda Bernardo, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Oct 13, 2023

Type of visit: Required - 1 Year

On 11/12/22, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit with a primary focus on Infection Control measures using the CARE Inspection Tool. LPA met with administrator Yolanda Bernardo and explained the purpose of today’s visit. The facility is licensed to operate for six (6) non-ambulatory of which one (1) may be bedridden elderly residents ages 60 and above. The facility is approved for (2) hospice residents. Currently, the facility has (2) residents in hospice care. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident's rooms, two (2) common bathrooms, a living area, a dining area, a kitchen, and an outside covered patio area. LPA and administrator toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured 106.6 F. A comfortable temperature of 70 degrees was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. Fire extinguisher were charged, smoke detectors and carbon monoxide were operable. A review of the Medication Administration Record (MAR) was complete and accurate. The facility has conducted a disaster drill on 10/13/22. A landline telephone was in working condition. A review of staff CPR/First Aid training is current. Evaluation Report Continues LIC 809-C INFECTION CONTROL: During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed staff were wearing face coverings, LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. A review of staff and residents' vaccination results was observed. The facility has an approved Mitigation Plan Repot submitted with CCLD. No deficiencies cited during this visit. An exit interview conducted with Yolanda Bernardo and a copy of report provided.the state’s words, verbatim · CDSS document, Nov 12, 2022

Allegation investigated: Illegal eviction. The facility abandoned resident at hospital.

On 08/17/22 Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced complaint visit at this facility. LPA Dabuet was greeted by caregiver Christian Matsler. Matsler contacted licensee and administrator Yolanda Bernardo by telephone. LPA Dabuet met with the administrator and explained the purpose of today's visit. The investigation included the following; A review of the Client roster, Staff roster, Face sheet, Admission Agreement, Physician's Report, Preplacement Appraisal, ID/Emergency, Medication Administration Records, and other pertinent documents associated with Resident #1 (R1). Interviews were conducted with staff #1-#2 (S1-S2) and witnesses #1 - #2 (W1-W2). A tour of the facility was conducted. Evaluation Report continues on LIC 9099C Substantiated INVESTIGATION REVEALED THE FOLLOWING: Allegation: Illegal eviction. The facility abandoned resident at the hospital. The details on this complaint state resident #1 (R1) was illegally evicted and abandoned at the hospital by the facility. The complainant reported (R1) was dropped off at the hospital on 08/11/22 and was inappropriately returned to a family member who was asked to meet in front of the hospital. The complainant states the family member was contacted by administrator staff #1 (S1) to meet (R1) at the hospital. It was reported that (S1) is no longer able to care for (R1) as he ran out of medications. The Department reached out to the complainant and was unable to obtain additional information. An interview with family member witness #1 (W1) states that (R1) was admitted to this facility for over 30 days. (R1) admitted himself with the assistance of Life Tree Foundation who contacted the licensee and made arrangements. (W1) claims the licensee/administrator at this facility is accommodating, cooperative and helpful. (W1) reports that (R1) does not have a legal guardian and that Life Tree Foundation was involved with his financial matters. (W1) claims she is uncertain if (R1) was illegally evicted or abandoned as (S1) has been in communication with (W1). (W1) reports (R1) is still in at Harbor UCLA Medical Center under observation. An interview with staff #1 (S1) claims (R1) was admitted to this facility on 07/13/22. (R1) went through the proper admissions procedures with a preplacement appraisal, physician's report, and admission agreement. (R1) was a resident from 07/13/22 through 08/11/22. (S1) states she accepted (R1) on a volunteer basis. (R1) came from Life Tree Foundation a non-profit organization that assisted with the funding of homeless individuals. (S1) claims she accepted (R1) on a charitable lower rate than the normal basic service rate. According to (S1) she did not charge for optional services. The funding agreement for (R1) is paid through contribution from the Life Tree Foundation. However, (R1) was out of medications and with no public guardian; (S1) was contacted the case manager witness #2 (W2) of Life Tree Foundation. (W2) arranged for a transportation service to admit (R1) in the hospital for observation to obtain medications. (S1) coordinated with (W1-W2) and made arrangements with (W1) to meet with (R1) at the hospital through transportation provided by Life Tree Foundation. (S1) claims she did not know what transpired was considered an illegal eviction and did not constitute what happened was considered an abandonment of (R1). (S1) reports she did not go through the proper Eviction Procedures as required by Title 22, Division 6, Chapter 8. Evaluation Report continues LIC 9099-C (S1) asserts she thought she was only doing what was best under the circumstances and followed directives from (W2) at Life Tree Foundation. (S1) claims she had no contact with the hospital or with (R1) only with the family member for (R1). An interview with case manager witness #2 (W2) confirms that (R1) came to the program homeless and did not have family who wanted to get involved financially with (R1's) well-being. Life Tree Foundation assisted with placing the (R1) in an assisted living home through donations. (W2) admitted that he gave directives on how to handle (R1's) admission at the hospital where (R1) has an active LA Care Health Plan and to allow the family members to be involved for the welfare of (R1). Based on the Department's observation and interviews, records reviews, and analysis, the preponderance of evidence standard has been met, therefore the allegations of "Illegal Eviction" and "The facility abandoned resident at the hospital" is Substantiated. California Code of Regulations, Title 22, Division 6, Chapter 8, is being cited on the attached LIC 9099-D. An exit interview was conducted with Yolanda Bernardo. The Rights were discussed and a copy of Appeals Procedures for Licensees was provided, as well as a copy of this report to the Administrator.the state’s words, verbatim · CDSS document, Aug 18, 2022 · control 11-AS-20220816113956

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87224(a)(1-5) · Plan of correction due date: Aug 26, 2022

87224 Eviction Procedures - (a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5)... This requirement was not met as evidence by: Based observations, interviews and analysis, Licensee did not take the appropriate eviction steps and displaced (R1) at the hospital effective 08/11/22. This is a potential health and safety risk to clients in care.the state’s words, verbatim · CDSS document, Aug 18, 2022

Plan of correction: Licensee will review Title 22 Section 87224 and will outline a plan on how to adhere to eviction procedure and re-evaluate residents to reflect Title 22. Licensee will send copy by POC due date to LPA Dabuet by 08/26/22.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(2) · Plan of correction due date: Aug 26, 2022

87468.1 Personal Rights of Residents in All Facilities - (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.the state’s words, verbatim · CDSS document, Aug 18, 2022

Plan of correction: Licensee will review Title 22 section 87468.1 and will adhere to the regulations. Licensee will send plan by POC due date to LPA Dabuet by 08/26/22.

Type of visit: Required - 1 Year

On 08/27/21, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA met with administrator Yolanda Bernardo and explained the purpose of today’s visit. The facility is licensed to operate for six (6) non-ambulatory of which one (1) may be bedridden elderly residents ages 60 and above. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident's rooms, two (2) common bathrooms, living area, dining area, kitchen, and outside covered patio area. LPA and administrator toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured 110.8 F. A comfortable temperature of 74 degrees was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. A fire extinguisher was charged, smoke detectors and carbon monoxide were operable. A review of the Medication Administration Record (MAR) was complete and accurate. The facility has conducted a disaster drill on 08/13/21. A landline telephone was in working condition. Evaluation Report Continues on LIC 809-C During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed staff were wearing face coverings, LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. A review of staff tests and vaccination results was observed. The facility has an approved Mitigation Plan Repot submitted with CCLD. Advisory Notes - Technical Assistance was issued, please see LIC9102-AN. No deficiencies were cited during this inspection visit. An exit interview was conducted and a copy of this report was provided to Yolanda Bernardo by email.the state’s words, verbatim · CDSS document, Aug 27, 2021

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.