Comfort Care Home II

Allegation investigated: Facility staff did not complete required training.

On 11/01/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver finding on the above allegation. LPA introduced self, stated the purpose of the visit, and met with caregiver Althea Warren. Licensee Amy Dhillon was called and arrived shortly. LPA delivered finding to Licensee. During the course of the investigation, interview were conducted, and records were reviewed. All staff have trainings completed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED. Exit interview was conducted. A copy of this report was provided to Licensee, whose signature confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 1, 2023 · control 24-AS-20231009154102

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 08/02/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct a Annual visit. LPA introduced self, stated the purpose of the visit, and was greeted by Licensee/Administrator Amy Dhillon. LPA was granted entry into the facility. All five residents were present during inspection. The tour started in the kitchen into the common areas, to residents’ bedrooms, and bathrooms. The facility was observed to be at a comfortable temperature of 75 degrees F, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. An adequate supply of perishable and non-perishable food was observed. Refrigerated temperature maintained at 39 degrees F and freezer temperature maintained at -9 degrees F. Fire extinguisher was observed with a service date of: 02/27/23. Fire drill last completed on 06/23/23. Medications are kept locked in laundry cabinet. MARs were reviewed. Cleaning chemicals observed locked in laundry shelves and in garage. LPA toured all resident’s bedrooms and observed 2 single occupant rooms and 2 shared bedrooms. Residents’ room observed to be adequately furnished with bed, dresser, and adequate lighting. Bathrooms were properly equipped, and the hot water temperature was tested range between 111.1- and 111.6 degrees F in shared master bathroom and 107.1 degrees F in bathroom 1. Outside of facility toured. Side gate was self-closing and self-latching. Smoke detectors were tested and observed to be operational. All residents’ file reviewed to have update emergency contacts, Admission agreement, and Pre-Appraisal. Staff files were also reviewed. Staff files were observed to have current First Aid/CPR, Health screening, and Personnel record. Staff are fingerprinted clear and associated to the facility. No deficiency cited during inspection. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 8/8/23. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, Lic 9282, control of property, current liability insurance, and current Administrator Certificate. A copy of this report was provided to Licensee.the state’s words, verbatim · CDSS document, Aug 2, 2023

Allegation investigated: Staff spoke inappropriately to residents in care

On 05/16/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct a subsequent complaint investigation visit and delivered finding on the above allegation. LPA was greeted by Staff Weinfredo “Wayne” Agustin and granted entry. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. Administrator Amy Dhillon arrived shortly. During the course of the investigation, LPA conducted interviews with staff and residents which confirm S1 have spoke inappropriately to residents in care. Based on interviews conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 are being cited on the attached Lic 9099D. An exit interview was conducted, and a Plan of Correction was reviewed and developed with Administrator. A copy of this report and Appeal rights was provided to the Administrator. Substantiatedthe state’s words, verbatim · CDSS document, May 16, 2023 · control 24-AS-20230328135159

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468(a)(1) · Plan of correction due date: May 17, 2023

87468(a)(1) Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met: Based on interviews conducted, it was confirmed that S1 have spoken to residents in care in appropriately which poses an immediately health and safety and personal rights risk to the person in care.the state’s words, verbatim · CDSS document, May 16, 2023

Plan of correction: Administrator stated regulations will be reviewed with staff. Documentation of staff retrained on personal rights regulations shall be submitted to Fresno CCL by 05/17/23.

Type of visit: Required - 1 Year

On 9/29/2022, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA met with Licensee/Administrator Amy Dhillon and stated the purpose of the visit. A tour of the facility was conducted. COVID-19 guidelines are in place. Facility appeared clean with no obstruction or fire clearance issues. Visitor sign-in book, masks, and hand sanitizer was readily available to visitors. Social distancing is maintained in the common and dining areas. Bathrooms have trash cans with lid. Hand washing posters were observed by the bathroom sink. Resident bedrooms toured, currently 1 shared room and 2 private bedrooms. Resident bedrooms with 2 occupants observed to have a minimum of 6 feet between beds. Kitchen toured, food supply observed to be adequate for residents in care. Fire extinguisher present and has a service date of 04/27/2022. Carbon monoxide detector and smoke detectors present and observed to be operational during today's inspection. No deficiencies observed during inspection. Exit interview conducted. Report signed by Administrator and a copy of this report provided for facility records.the state’s words, verbatim · CDSS document, Sep 29, 2022

Type of visit: Required - 1 Year

On 09/30/2021, Licensing Program Analyst (LPA) L. Salazar arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit and was granted entry to the facility by . LPA met with Licensee. Facility has one entry/exit point. Visitor log-in/temperature check observed at the entrance of the facility. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathroom had a trash cans with lid. Signs promoting social distancing, cough/sneeze etiquette, and hand-washing observed. 2 out of 4 bedrooms were single occupancy during this inspection. LPAs checked residents’ locked medications. Food supply was checked and there appeared to be an adequate supply. Cleaning and PPE supplies were checked. Facility has a 30 day supply of required PPE. Staff records were reviewed for good health and infection control training. Residents wear masks when away from the facility. Resident’s files have updated emergency contact information. No deficiencies were observed. Exit interview was conducted. Administrator was informed that as a COVID-19 precautionary measure, this report will be emailed and an electronic signature will confirm receipt of this document.the state’s words, verbatim · CDSS document, Sep 30, 2021

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.