Carriage Care

Type of visit: Required - 1 Year

On 02/22/2023 at 1:55 PM, Licensing Program Analyst (LPA) J. Sampair conducted an infection control annual inspection. Upon entry into facility, LPA explained the purpose of the visit. LPA met with and toured the facility with Licensee ERLINDA TUAZON. Facility has a Covid-19 Mitigation Plan and an Infection Control Plan. They were cited for not following aspects of COVID-19 Infection Control. Carbon monoxide and smoke detectors were fully functional and the fire extinguisher had been serviced within one (1) year and it was fully charged. Centrally stored medications were in locked cabinets, and sharp objects were stored in locked closets and cabinets. The temperature inside of the facility was 78 and the hot water was 118 degrees Fahrenheit, both of which were in the safe range. An administrator is on site more than the required 20 hour minimum each week to oversee business operations. Facility cited with 1 A and 1 Type B deficiencies and 1 civil penalty (refer to LIC 809D and LIC 421FC). Updated copies of the following documents were requested for facility file and are to be submitted to CCL on or before 03/01/2023: · LIC500 - Personnel Report · LIC308 - Designation of Facility Responsibility · LIC610E - Emergency/Disaster Plan · Evidence of adequate Liability Insurance Exit interview conducted and a copy of this report provided via email.the state’s words, verbatim · CDSS document, Feb 22, 2023

Type of visit: POC

On 08/17/22 at 9:00 AM, Licensing Program Analyst (LPA) J. Sampair conducted a Plan of Correction inspection. Upon entry into facility, LPA explained the purpose of the visit with Licensee Erlinda Tuazon. This visit was prompted by the licensee's failure to provide documentation to the LPA that the citation from 8/3/22 had been corrected. When interviewed by LPA, the licensee stated that she had neither reviewed donning and doffing PPE videos from CDC with all of the licensee's staff members nor had she reviewed her Infection Control Plan in its entirety. Failure to correct that deficiency has resulted in a civil penalty (see LIC 421FC). Exit interview conducted and appeal rights provided to Licensee.the state’s words, verbatim · CDSS document, Aug 17, 2022

Type of visit: Required - 1 Year

On 08/3/22 at 3:00 PM, Licensing Program Analyst (LPA) J. Sampair conducted an infection control annual inspection. Upon entry into facility, LPA explained the purpose of the visit. LPA met with and toured the facility with Licensee ERLINDA TUAZON. Facility has a Covid-19 Mitigation Plan and an Infection Control Plan. However, they are not following many aspects of the Covid-19 Mitigation Plan, including a lack of indoor signage regarding Covid-19 mitigation. The designated infection control leader is the Licensee. They have one central entry point that has been designated for universal entry screening with the station located near the front entrance with visitor's log and a no touch thermometer, hand sanitizer, and face masks. Facility follows daily cleaning, sanitation of frequently touched common surfaces with disinfectants. Carbon monoxide and smoke detectors were fully functional and the fire extinguisher had been serviced within one (1) year and it was fully charged. However, no Emergency/Disaster plan was posted. Centrally stored medications were in locked cabinets, and sharp objects were stored in locked closets and cabinets. The temperature inside of the facility was 78 and the hot water was 110 degrees Fahrenheit, both of which were in the safe range. An administrator is on site more than the required 20 hour minimum each week to oversee business operations. Facility cited with 3 Type B deficiencies: Continues on LIC 809-C . . . . . . Continued from LIC 809 Infection Control Practices - Type B: 87468.1(a)(2) - Few signs were posted in the facility to promote handwashing, cough/sneeze etiquette, and physical distancing. Additionally, the facility does not have a 30-day supply of PPE (e.g., facemasks, respirators, gowns, gloves, and eye protection such as face shield or goggles) nor a list including items on hand or indicating where such items will be acquired (such as CCL Regional Office) and when. Incidental Medical and Dental - Type B: 87465(c)(3) - MAR records incomplete. Disaster Preparedness - Type B: 1569.695(a) - Emergency and Disaster Plan 610E was incomplete and an incomplete resident roster. Updated copies of the following documents were requested for facility file and are to be submitted to CCL on or before 08/10/22: · LIC500 - Personnel Report · LIC308 - Designation of Facility Responsibility · LIC610E - Emergency/Disaster Plan · Evidence of Liability Insurance & Surety Bond A total of 3 deficiencies cited during this visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Aug 3, 2022

Allegation investigated: Improper handling of resident resulted in resident receiving pain management treatment. Staff do not provide proper care for resident.

On 11/8/2021 at 9:15AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to deliver complaint findings for the allegations above. LPA met with Licensee, Erlinda Tuazon. During the investigation, LPA interviewed staff, witnesses, and complainant. LPA obtained and reviewed R1's file including emergency information, physician's report, care plan, incident report, and hospice information. Interview with witnesses revealed that R1 was receiving pain management treatment as a result of a bad back. Witnesses stated that R1 uses a hoyer lift to transfer to reduce pain during transfers. (Continue LIC9099C...) Unsubstantiated Interview with witnesses indicated that staff takes good care of R1. Witnesses stated that R1 would have a different change of clothes during in-person and virtual visits. Witnesses stated that R1 likes living at the facility and receiving better care. W1 stated that R1 sometimes refused hair cuts, but R1 is groomed regularly. Witnesses have described the facility as clean without odor and R1 is getting good care by staff. Witnesses can see that R1 is happier and able to sleep better at this facility. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore these allegations are UNSUBSTANTIATED. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.the state’s words, verbatim · CDSS document, Nov 8, 2021 · control 15-AS-20200810100116