Care Horizons II

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced on 8/31/2023 to conduct a Case Management Legal visit in accordance with the Stipulation and Order effective 7/27/2022. A copy of the Stipulation and Order is posted in a conspicuous place and is available for review upon request. LPA met with the Administrator, Adrian Iodarche During today's visit, LPA reviewed the following stipulations of the order: 1. Staff shall have criminal record clearance -LPA checked criminal record clearance for all staff 2. Facility shall be clean, safe, and sanitary -LPA toured facility which was clean, safe, and sanitary 3. Facility shall ensure that poisons, detergents, cleaning compounds, and other toxic products are locked away -LPA toured facility and all products that could pose a danger to residents in care were locked away 4. Facility has not accepted residents with restricted health conditions LPA observed facility to be in compliance and residents receiving care. No deficiencies are being cited. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Aug 31, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 7/5/23 to conduct a Required-1 Year Inspection utilizing the CARE inspection tool. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition, properly maintained, and the hot water temperature was observed to be between 105- 120 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two-day perishable and (7) seven-day non-perishable food supply on hand. LPA observed knives, cleaning products and other toxins to be locked away and inaccessible to residents. LPA observed the backyard and perimeter of the care home to be free of clutter and debris and there appeared to be no potential safety hazards to the residents in care. Smoke detectors and carbon monoxide detector are hardwired and operational. Fire extinguisher and first aid kit are maintained and ready for emergency use. LPA checked medication storage and found medication to be locked away and inaccessible to the residents. LPA reviewed five resident files and also reviewed 4 staff files. Administrator has completed required CEUs for recertification- Certificate pending. Licensee provided a current copy of certificate of liability insurance to LPA. LPA advised record of staff training be maintained with date of training, residents have locked gate agreements, Care plan meetings are documented, PRN medications be documented as required,Infection control lead training be documented and Fire drills to be consistently documented. As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit interview conducted and copy of report given at the conclusion of this visit.the state’s words, verbatim · CDSS document, Jul 5, 2023

Type of visit: Case Management - Other

On 6/29/23, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit and met with licensee. LPA conducted a health and safety visit. All residents were receiving appropriate care. The home is clean and in good condition. As a result of today’s inspection, no deficiencies were noted. Report reviewed. Copy of report providedthe state’s words, verbatim · CDSS document, Jun 29, 2023

Type of visit: Case Management - Legal/Non-compliance

On 6/8/22, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit and met with licensee . The purpose of the visit was to review compliance with conditions of the Stipulation. All conditions are met. The home is clean, safe and sanitary. Licensee will complete plans for restricted health conditions as needed. As a result of today’s inspection, no deficiencies were noted. Report reviewed. Copy of report providedthe state’s words, verbatim · CDSS document, Jun 8, 2023

Type of visit: Office

On 08/23/2022, 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 23, 2022

Type of visit: Prelicensing

On 8/22/2022, Licensing Program Analyst (LPA) Cassie Yang arrived announced at the facility to conduct a Pre-licensing inspection for change of ownership referencing the infection control domain. LPA met with Administrator/Licensee, Dragos Adrian Iordache, and explained the purpose of the visit. Prior to initiating the 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. LPA ensured she 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 toured the interior and exterior of the facility together with Licensee to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathrooms, kitchen, laundry room, garage and backyard. In the areas toured, no immediate health, safety, or personal rights violations were observed. LPA observed sharps, toxics and medications to be secured. Fire extinguisher was last serviced 6/13/2022. LPA and Licensee completed the infection control recommendations and facility was found to be in substantial compliance at this time. LPA confirmed that masks were worn by staff. Component III waived as the current facility Administrator, Dragos Adrian Iordache, will remain the same. 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, Aug 22, 2022