Asher's Residential Care Facility

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Seo Jeon and Abdoulaye Zerbo conducted an unannounced annual required visit. Upon entry, LPAs were greeted by staff/admin Mark Maligaya and informed them of the purpose of the visit. At the time of the visit, there were 2 staff members and 6 residents present. Facility Overview: The facility is a one-story home with 8 bedrooms and 7 bathrooms. There is a pool with locked gate and fences that are in compliance. There are no firearms on the premises. Infection Control: LPAs observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well-maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 106.8°F. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Continued on LIC 809-C...... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate. Record Review and Resident/Staff Files: LPAs reviewed files for three staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Six residents' files were reviewed and contained all required documentation. Health-Related Services/Incidental Medical Services: All residents' medications were securely locked. LPAs reviewed medications for two residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Disaster Preparedness: LPAs reviewed the facility’s emergency and disaster plan, including documentation of the last fire drill conducted on 06-1-24, which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed and a copy was provided.the state’s words, verbatim · CDSS document, Sep 20, 2024

Allegation investigated: Resident sustained unexplained injuries while in care

Program Analyst (LPA) Crystal Colvin conducted an unannounced visit to the facility for the purpose of conducting a complaint investigation for the above allegation. LPA Colvin met with Administrator Mark Maligaya and advised him of the purpose of today's inspection. Below is a summary of the investigation. Regarding allegation "Resident sustained unexplained injuries while in care" - LPA Colvin conducted interviews with resident, staff, and other outside parties with information relevant to the complaint. LPA Colvin additionally reviewed records in Resident 1's (R1) file. According to interviews conducted, R1 has a history of bruising often and easily, partially due to being on blood thinning medication. LPA Colvin reviewed R1's medications and confirmed that R1 is taking blood thinners. All parties interviewed stated that there were no concerns with R1's care or the bruising that was observed during R1's recent hospital visit on 2/21/24. No additional information was provided by the Reporting Party and LPA Colvin was unable to reach them for interview. Therefore, due to lack of evidence to support the allegation, the findings of the allegation "Resident sustained unexplained injuries while in care" is UNSUBSTANTIATED. Unsubstantiated A finding of UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with Administrator Mark Maligaya and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 29, 2024 · control 18-AS-20240222133233

Type of visit: Case Management - Deficiencies

During Licensing Program Analyst (LPA) Crystal Colvin's inspection at the facility to conduct an inspection. During the inspection, LPA Colvin confirmed that Resident One (R1) was taken to the hospital via 911 on 2/21/24, but the facility did not submit an Unusual Incident Report to Licensing. Deficiency cited. LPA Colvin counseled Administrator Mark Maligaya and informed him of the circumstances in which Licensing should be notified of an event occurring with a resident. LPA Colvin additionally advised the Administrator of proper procedure for submitting reports, as LPA Colvin observed that no Incident Reports or Death Reports have been submitted to Licensing since the issuing of this license. Based on LPA Colvin's observations, the facility was cited and deficiency issued. LPA Colvin conducted an exit interview with Administrator Mark Maligaya and a copy of this report, LIC809D, LIC9098 Proof of Correction Form, and appeal rights were provided.the state’s words, verbatim · CDSS document, Feb 29, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Mar 15, 2024

Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports...including...(1) A written report shall be submitted...within seven days of...(D) Any incident which threatens the welfare, safety or health of any resident... This was not met by: Based on interview and record review, the Licensee did not comply with the above regulation with at least one incident. R1 was taken to the hospital via 911 on 2/21/24 and no report was submitted to Licensing. This is a potential personal rights risk to R1.the state’s words, verbatim · CDSS document, Feb 29, 2024

Plan of correction: Administrator states that he will retake training on Reporting Requirements and submit an Incident Report for the event from 2/21/24. Administrator to provide report and proof of training by Plan of Correction date of 3/15/24.