Chris Best Care for Elderly

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Pang Lee arrived unannounced to conduct a health and safety case management visit. The facility is on quarterly visits due to non-compliance concerns discussed during an zoom meeting on 05/17/2023. LPA Lee met with licensee, Lita Vinluan and explained the purpose of the visit. The census is 3 with one facility staff. At 8:15 AM, LPA Lee entered the facility, LPA Lee observed two resident sitting in the common area watching TV and one resident sitting in the dining table eating breakfast. LPA Lee spoke to 3 residents and 3 residents appeared to be cleaned and comfortable. At 8:45 AM, LPA Lee toured the physical plant to ensure compliance with Title 22 regulations. LPA Lee observed and can hear administrator dogs inside the administrators bedroom barking. LPA Lee observed four small dogs and three cats in the facility. LPA Lee observed resident bedrooms, bathrooms, common areas, exterior plant, garage and storage shed. LPA Lee observed resident bedrooms to have the necessary furniture and furnishings. Bedrooms were equipped with a bed, chair, dresser, and closet space. LPA Lee observed resident bedroom #3 sliding door is missing; therefore, the licensee did not ensure to keep the facility free of flies and other insect. Resident bathroom was stocked with toilet papers, paper towels, and soap. Resident bathroom also had hand rails and non-slip mat. Temperature inside the home is 72*F. Hot water temperature was measured at 113.5*F. LPA Lee observed the fire extinguisher located in the kitchen next to the china cabinet. The fire extinguisher was last serviced on 08/18/2023. The carbon monoxide was in good repair. LPA Lee observed no emergency exits was obstructed and the fire alarm is in good repair. LPA Lee observed chemicals were made inaccessible to residents in care. LPA requested to review resident files and staff files. LPA Lee reviewed 3 out of 3 resident files and 2 out of 2 staff files and they were all complete. LPA Lee reviewed and compared 3 out of 3 medication administration record (MAR) and residents medications and it was complete and accurate. The first aid kit was checked and contained all of the required components. As a result of this annual visit, the facility is not in compliance with Title 22 Regulation, and the deficiencies can be found on the LIC 809 D page. An exit interview was conducted, and a copy of these LIC 809 reports, LIC 809-D page, and Appeals rights were provided to the facility.the state’s words, verbatim · CDSS document, Nov 6, 2023

From the deficiency page — Deficiency type: Type B · Section cited: CCR 80087(a)(1) · Plan of correction due date: Nov 10, 2023

80087 Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. (1) The licensee shall take measures to keep the facility free of flies and other insects. This requirement was not met as evidence by: Based on observations, the licensee did not ensure that resident bedroom #3 has a sliding screen; therefore, the licensee did not ensure the facility was free from insects, which poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Nov 6, 2023

Plan of correction: The licensee agrees to replace or purchase a sliding window screen for resident bedroom #3. The licensee agrees to conduct Building and grounds training and Licensee will also write a statement of acknowledging that all facility Staff have read and understood regulation being cited today. The licensee will send LPA Lee copies of the training agenda and sign in sheet of all staff that attended the training to LPA Lee at pang.lee@dss.ca.gove by 11/17/2023 by 5:00 PM by end of day.

Type of visit: Required - 1 Year

On 08/18/2023 at 8:00 AM, Licensing Program Analyst (LPA) Pang Lee arrived at the facility to conduct an unannounced annual inspection. LPA Lee met with , Licensee, Lita Vinluan and explained the purpose of the visit. Licensee assisted with today’s visit. Administrator certificate # is 6009565740 and will expire on 12/27/2023. Licensee called Another administrator, Christopher Vinluan who then arrived to the facility an hour later and joined the visit. The current census is 3 with 1 facility staff. This facility is a single story building licensed to serve five (5) non-ambulatory residents. LPA Lee inspected the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms, resident bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA Lee observed the facility to have pet odor smell. LPA Lee observed 5 cats and 5 dogs in the facility. LPA Lee observed the kitchen china glass cabinet observed to be clutter. LPA Lee also observed the hardwood floor by the kitchen is not in good repair. LPA Lee bathroom #1 and #2 did not have a non-slip mat. LPA Lee observed bedrooms to be properly furnished with appropriate bedding and lighting. LPA Lee observed There are no bodies of water present. LPA Lee observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 105.5 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Fire alarm is in good repair. Fire extinguishers and carbon monoxide detectors are not in compliance with fire safety. Fire extinguisher was last serviced on 06/16/2022. The carbon monoxide was observed to be broken and not working. Administrator added new batteries and it still was not working. Administrator stated that the last fire drill was conducted on March of 2022. LPA Lee observed the facility has a has a public telephone in the common room and the facility have the required posters posted. The facility has infection control plan and has an emergency disaster plan. Facility thermostat observed at 75 degrees Fahrenheit. Chemical was made accessible to residents in care. LPA Lee addressed the concern and observed administrator locked the chemical. Continued LIC 809-C LPA Lee checked medication storage and found medication to be locked away and inaccessible to clients. LPA Lee reviewed 3 out of 3 medication administration record (MAR) and it was complete. First aid kit was checked and is complete. LPA Lee requested residents and staff files for review. LPA Lee reviewed 3 out of 3 resident files and 3 out of 3 staff files and they were complete. LPA Lee reviewed staff criminal record clearances and a review of staff records indicates that all facility staff or other individuals who require caregiver background checks are fingerprint cleared and associated to the facility. The following documents will be email to LPA Lee (pang.lee@dss.ca.gov) by 08/22/2023 by 5:00 PM by end of day: (1) LIC 308 Designation of Administrative Responsibility (2) LIC 500 Personnel Report (3) Copy of Administrator Certificate (4) LIC 610 Emergency Disaster Plan (5) Proof of Current Liability Insurance As a result of this annual visit, the facility is not in compliance with Title 22 Regulation, and the deficiencies can be found on the LIC 809 D page. An exit interview was conducted, and a copy of these LIC 809 reports, LIC 809-D page, and Appeals rights were provided to the facility.the state’s words, verbatim · CDSS document, Aug 18, 2023

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Pang Lee arrived unannounced to conduct a health and safety case management visit. The facility is on quarterly visits due to non-compliance concerns discussed during an zoom meeting on 05/17/2023. LPA Lee met with licensee, Lita Vinluan and explained the purpose of the visit. LPA toured the physical plant to ensure compliance with Title 22 regulations. Today, there were 2 staff on shift that were observed to be fingerprint cleared. LPA observed resident bedrooms, bathrooms, common areas, exterior plant, and storage shed. LPA observed resident bedrooms and bathrooms to have necessary furniture and furnishings. Bedrooms were equipped with a bed, chair, dresser, and closet space. Bathrooms were stocked with paper towels, soap, and hand rails; however, bathrooms did not have Non slip mat. Temperature inside the home is 75*F. Hot water temperature was measured at 105.5*F. LPA Lee observed Fire extinguishers were not up to date, with a service tag of 06/16/2022 and the carbon monoxide not in good repair. LPA Lee observed no emergency exits were obstructed and the fire alarm is in good repair. LPA Lee observed chemicals were made accessible to residents in care. LPA Lee observed 5 dogs and 5 cats in the facility. LPA Lee also observed the facility to have a pet order smell. LPA Lee observed the hardwood floor near the kitchen not in good repair. LPA requested to review 3 resident files and 3 staff files. Staff files and resident files were observed to be current with up to date. During the visit, residents were observed eating breakfast and watching TV. LPA spoke to 3 residents and 3 residents appeared to be cleaned. The following deficiencies above were found during today's visit; however, no licensing citations will be given for this visit. The following deficiencies were cited on an annual visit on 08/18/2023. Per California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies cited. An exit interview was held, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Aug 18, 2023

Type of visit: Case Management - Other

LPA Lee conducted a health and safety case management visit. No citation was issued during today's visit. An exit interview was conducted, and a copy of these LIC 809 reports were provided to the facility. On 08/18/2023 at 12:00 PM, Licensing Program Analyst (LPA) Pang Lee met with, licensee Lita Vinluan, of Chris Best Care Home For Elderly for a case management visit to follow up on a substantiated allegations which resulted in resident being hospitalized. On March 1, 2023, the Department concluded a complaint investigation which alleged the following allegations: due to staff neglect, a resident was hospitalized; and Client not treated with dignity and respect. The allegations were substantiated, the licensee was cited for violating California Code of Regulations (CCR) Title 22, § 87465(a)(1) Incidental Medical and Dental Care for failure to arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of resident resulting in the resident being hospitalized and requiring surgery. Resident #1 (R1) obtained a wound on R1's leg that became infected and required hospitalization and surgery. Responding paramedics and treating physician concurred that leg wound was likely infected for approximately 1 week prior to admission to hospital The investigation revealed that Staff #1 (S1) reported Resident #1 (R1) had a wound to R1's leg for about 2-3 weeks. S1 stated that R1 had a blister on R1's leg for about four days. The blister popped then the wound started getting worse. S1 told R1's family, but S1 was not sure if they saw the wound. S1 told R1's sister, (A1) that R1 had a sore on R1's leg. A1 brought bandages and medicated ointment. S1 was not sure if A1 saw the wound. S1 thought the wound would get better. On 9/8/2022, R1's niece, A2 visited R1. At this time S1 told A2 that R1 had a scratch to R1's leg. A2 reported that S1 made it sound like it was not a big deal and did not think any of it. On 9/12/2022, S1 sent A2 a picture of the leg. A2 was “shocked.” A2 contacted R1's doctor who said to send R1 to the emergency. room. R1 went to the emergency room on 9/12/2022, by ambulance. Continued LIC 809-C THIS REPORT WAS CREATED IN ERROR. The paramedic report notes that the caregiver said the wound had been infected for about one week. The paramedic, Blake Rivera (P1), was interviewed and reported R1 had a “very infected” wound on R1's foot/shin area. It did not appear wound care was being done. The wound did not appear to be in healing stages, and the wound had a smell. P1 reported that the bandages were dirty, and it looked like they hadn’t been changed. P1 also reported R1 had a fever of 103 degrees Fahrenheit. R1 was seen by (D1) who was not sure how long R1 had the wound. R1’s wound which appeared to be old, it got worse and had become infected. (D2). performed a surgical procedure to the wound. D2 reported that R1 had a blood clot that had become infected, the wounds were incised and drained. Per the operating room report, there was minimal pus, and it was more dead tissue that was removed. D2 had no idea if R1 had had the infection for some time. D2 felt the paramedic report of the wound being infected for about one week was reasonable based on his assessment, and it would usually take about one week to develop an infection S1 reported that R1's leg had been like it was depicted on 9/12/22 for about two weeks. Based on observation, interview, and record review, the licensee failed to obtain timely medical attention when the resident had a change condition and worsening wound. The licensee failed to obtain timely emergent care for the resident which caused the resident to suffer serious bodily injury to include a leg infection that required surgery. The licensee’s failure to seek timely emergent care caused the resident to suffer serious bodily injury. At the time of the complaint visit, the issuance of a Civil Penalty was still being determined and the licensee was informed that a civil penalty might be assessed based on Health and Safety Code §1548(e)(1)(A). The Department has concluded an analysis and has determined that an Enhanced Civil Penalty is warranted for serious bodily injury. The Penal Code § 243 defines serious bodily injury as “a serious impairment of physical condition, including, but not limited to, the following: loss of consciousness; concussion; bone fracture; protracted loss or impairment of function of any bodily member or organ; a wound requiring extensive suturing; and serious disfigurement.” Today, 08/18/2023, the Department will be issuing a Civil Penalty per Health and Safety Code §1548(e)(1)(A) for $10,000. Exit interview was conducted with Licensee, Lita Vinluan. Appeal Rights provided and a copy of the report LIC 809, LIC 809-C and LIC 4211E was given to the licensee.the state’s words, verbatim · CDSS document, Aug 18, 2023

Allegation investigated: Facility failed to provide supervision.

On 07/06/2023 at 11:00 AM, Licensing Program Analyst (LPA) Pang Lee arrived unannounced at this facility to conduct a complaint visit. LPA Lee met with administrator, Lita Vinluan and explained the purpose of the visit. The purpose of this visit was to deliver complaint findings for the allegations above. Throughout the course of this investigation, the Department conducted interviews, reviewed facility files, and reviewed medical documents. Allegation: Facility failed to provide supervision It was alleged that the facility failed to provide supervision. LPA conducted 4 out of 4 resident interviews and 4 out of 4 residents did not have any concern with facility staff not providing supervision. During facility visit on 04/27/2023, 05/10/2023, 06/30/2023 and today's visit LPA Lee observed 3 out of 3 residents in the common being supervised by administrator Lita Vinluan. Continued to LIC 9099C Unsubstantiated Allegations: Facility failed to do appraisal prior to admission. LPA reviewed resident files and learned that 1 out of 4 resident files were not complete. It was learned that resident 1 (R1) was missing the second page of (R1)'s LIC 603A, resident appraisal; therefore, the appraisal was incomplete. As a result of this investigation, this LPA found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met. The following deficiencies were cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes. An exit interview was conducted, a copy of the LIC 9099, LIC9099-C, LIC9099-D and appeals rights were provided to the facility at this end of this visit. As a result of this investigation, and based on LPA’s observations, and interviews the allegation(s) are deemed to be UNSUBSTANTIATED - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, the preponderance of evidence standards has not been met. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 6, no deficiencies are being cited. An exit interview was conducted, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Jul 6, 2023 · control 27-AS-20230426160803

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87628(a) · Plan of correction due date: Jul 14, 2023

87628 Diabetes (a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled profession This requirement is not met as evidenced by: Based on record reviews it was learned that on R1's LIC 602A resident has dementia and is not able to administor R1's own injection. This posed an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jul 6, 2023

Plan of correction: Licensee will ensure that all facility staff review regulations in regards to residents who has diabetes. Licensee will write a statement stating all staff have read and acknowledge the regulations. Licensee will ensure to review resident's LIC 602A to ensure that resident can administor residnet's own injection prior to accepting any residents. Licensee will send POC to LPA Lee by POC due date 07/14/2023 by 5:00 PM.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(a) · Plan of correction due date: Jul 14, 2023

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Based on record reviews it was learned that on R1's LIC 603A is not complete. R1's is missing the second page of the LIC 603A. This posed a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jul 6, 2023

Plan of correction: Licensee will ensure that all facility staff reivew regulation cited. Licensee will write a statement acknowledging that all staff has read and understood the regulations. Licensee will ensure that prior to accepting any resident all LIC 603A are complete and in resident files. Licensee will send POC to LPA Lee by POC due date 7/14/2023 by 5:00 PM/.

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

A Non-Compliance Conference (NCC) was conducted today on May 17, 2023, via Microsoft Teams with the Sacramento South Regional Office. The purpose of this Non-Compliance Conference meeting was to follow up on a previous citation issued to the facility on 03/01/2023, following a resident who sustained a wound that became infected and was not provided medical attention until a week later. Present in the meeting is Regional Manager (RM) Stephenie Doub, Licensing Program Manager (LPM) Czarrina Camilon-Lee, Licensing Program Analysts (LPA) Pang Lee, Licensee/Administrator, of Chris Best Care for Elderly, Lita Vinluan and administrator Christopher Vinluan. During this virtual meeting, the Non-Compliance Conference process was explained to the Licensee. A Non-Compliance Conference Summary (LIC 9111) was generated to document this office meeting. A copy of this report and the LIC 9111 was provided to the licensee. On 03/01/23, Licensee was issued a citation under Title 22 section 87465(a)(1). The licensee did not provide care and supervision as necessary to meet the client’s needs due to licensee not ensuring necessary and timely medical care was provided which led to resident sustaining an infected wound that required surgery to repair the infection. Issues discussed during the meeting were: · The current citation regarding resident’s person rights due to neglect wound care · Timely Medical Attention · Reporting Requirements · Licensee/Administrator accountability · Required 20 hours of continue training for all staff · (Following) the Plan of operations Continued on LIC 809-C ·LIC 603 Preplacement Appraisal Information (provided to administrator) · Annual Visit and Records to be Maintained at the facility (provided to administrator) · Up dated LIC 500 that ensure administrator Christopher Vinluan will commit 20 hours per week · 30 days eviction notice if facility can no longer meet resident’s need · TSP Technical Support Program The facility has stated they will agree to do the following · Increase presence of administrator Christopher Vinluan to at least 20 hours a week · Submit new and current LIC 500 Personnel Summary for facility to include the administrator Christopher Vinluan presence by 5/22.23 · Submit proof of current continuing educations trainings to all facility staff by 5/22/23 During today’s meeting it was discussed that TSP engagement is available and the Regional Office will make a referral to the Unit to provide services to the facility. The Regional Office (RO) will continue to monitor the facilities progress. The RO will continue increased monitoring to verify compliance with issues discussed during the meeting on 05/17/2023. The RO will revisit compliance in 9-12 months and begin the legal process if facility is not in compliance.the state’s words, verbatim · CDSS document, May 17, 2023

Allegation investigated: Physical Abuse: Staff physically abused resident while in care.

Licensing Program Analyst (LPA) Kevin Gould made an unannounced inspection to Chris Best Care for Elderly on 3/1/23 at 2:30pm to conclude the investigation of the above allegation and to deliver the findings. LPA met with Administrator and together discussed the investigation details. Based on the interviews and statements obtained during the investigation process, the allegation cannot be substantiated because the department was unable to corroborate the allegation. The Department conducted interviews with the alleged victim, facility staff, facility residents and hospital staff. No other individuals interviewed could corroborate the allegations and there was no physical evidence of abuse to corroborate the allegation. Hospital staff also could not identify any indicators of abuse. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has determined that the allegations of Physical Abuse are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. Unsubstantiated There are no deficiencies noted or cited per California Code Regulation, TITLE 22. Exit interview was conducted with the facility administrator. Appeal Rights were issued, and a copy of this report was left at the facility. The department also determined facility staff did not treat resident with dignity and respect, based on observations of a video recorded on 9/8/22 where a staff member made statements infantilizing the resident. LPA and the administrator discussed the matter and the ways that California is changing and how we need to be more careful how we talk with people and to be respectful of one another. The Department has determined, based on the preponderance of the evidence obtained during this investigation, that the allegation of Neglect/Lack of Supervision and Personal Rights are substantiated but if any additional information is received this complaint can be amended and the finding can be changed. Per California Code of Regulations, Title 22, the following deficiencies and immediate civil penalty have been issued. The circumstances of this complaint are being evaluated for enhanced civil penalties. An exit interview was conducted and a copy of this report and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Mar 1, 2023 · control 27-AS-20220921090543

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(1) · Plan of correction due date: Mar 3, 2023

Incidental Medical and Dental Care: The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by, A facility resident sustained a wound that became infected and remained so for about a week until the resident was sent to the hospital for evaluation and surgery to repair the infection which poses an immediate health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Mar 1, 2023

Plan of correction: The facility will conduct wound care training for all staff members including the licensee by a qualified professional. The licensee will provide the department with copies of the training materials used and qualifications of the trainer to ensure continued compliance.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(1) · Plan of correction due date: Mar 3, 2023

Personal Rights of Residents in All Facilities: To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by a video observed by investigators where a staff member refers to an adult resident as a kid, or acting like a child which poses a potential health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Mar 1, 2023

Plan of correction: All facility staff including the licensee will conduct personal rights training to ensure that all staff understand the changing landscape of personal rights and to better communicate with residents. Licensee will write a written plan to the department how the facility staff will ensure residents are treated with dignity and respect.

Type of visit: Required - 1 Year

On 9/30/22 at 9:25AM Licensing Program Analyst (LPA) Chris Hopkins arrived at Chris Best Care for Elderly for the purpose of conducting an unannounced required 1 year annual inspection. A risk assessment call was performed prior to entry verifying there were no active covid cases. LPA met with Administrator, Lita Vinluan and together conducted a tour of the home. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 107 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven-day non-perishable and two-day perishable food supplies. Fire extinguishers and smoke and carbon monoxide detectors are in compliance with fire safety. First aid kit was checked and is complete. LPA observed centrally stored medications, toxins, and sharp knives kept locked and inaccessible to clients. LPA reviewed Fingerprint clearance and associations to the facility. The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point and has implemented screening and sign in procedures at the front door area. The facility conducts routine symptom screening for employees, residents, and visitors. LPA observed the facility to have hand washing signs and Covid-19 informational signs posted throughout the facility. The facility is able to designate and dedicate a Covid-19 room/bathroom if needed. Common touch surfaces are cleaned after each use. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Sep 30, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Anthony Tuck Island arrived to conduct an unannounced annual/random inspection on 09/02/2021. LPA met with Lita Vinluan and explained the purpose of the visit. Lita Vinluan is the Administrator and holds certificate #6009565740 that expires on 12/27/2021. This facility is a single story building licensed to serve five (5) non-ambulatory residents. LPA toured the physical plant including but not limited to two resident bedrooms, two resident bathrooms, garage and backyard area. LPA observed the facility to be free of odor, clean and in good repair. LPA observed sufficient furniture and lighting throughout the facility. There are no bodies of water present. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at (105) degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Fire extinguishers and smoke and carbon monoxide detectors are in compliance with fire safety. Fire extinguisher last serviced 06/22/2021 Thermostat observed at 73 degrees Fahrenheit. LPA observed centrally stored medications, toxins and sharp knives kept locked and inaccessible to clients. LPA reviewed staff associations to the facility. First aid kit was checked and is complete. The following forms need updating and were collected during today's visit on 09/02/2021: LIC 308 copy of liability insurance LIC 500 copy of administrator certificate LIC 610 Per California Code of Regulations, Title 22 Division 6, Chapter 8, No deficiencies were cited during today's visit. Exit interview held with Lita Vinluan and a copy of report given at the conclusion of the visit.the state’s words, verbatim · CDSS document, Sep 2, 2021

The state marks this report as 4 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.