Eclipse Home Care II

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced and met with the Administrator and Licensee/Administrator to conduct a Required-1 Year Inspection. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are six (6) bedrooms and one (1) bathroom for resident use. 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 118.2 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 outdoor area 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 and carbon monoxide detectors are operational. Fire extinguisher and first aid kits are maintained and ready for emergency use. LPA checked medication storage and found medications to be locked away and inaccessible to the residents. LPA reviewed three (3) resident files and also reviewed two (2) staff files. As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit interview conducted and copy of report provided.the state’s words, verbatim · CDSS document, Dec 5, 2025

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct a required annual inspection. LPA met with Administrator and explained the purpose of the visit. LPA is conducting an annual inspection today but this report is being generated to clear the Post-Licensing inspection in the system. There are no citations issued on this report. Exit interview. Copy of report was provided.the state’s words, verbatim · CDSS document, Dec 27, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct a required annual inspection utilizing the CARE tool. LPA met with co-Administrator and explained the purpose of the visit. Administrator arrived shortly to the facility. Today's census is six residents in care with three residents on hospice services, Facility is licensed for six non-ambulatory residents, hospice waiver of four. Facility is in compliance to licensure. LPA and Administrator discussed possibly increasing facility hospice waiver. LPA provided Administrator a copy of CCR 87632 Hospice Care Waiver. During today's inspection, LPA and co-Administrator conducted a tour of the facility to ensure the health and safety of residents in care. LPA observed the facility to have the required CCLD poster and Long Term Care Ombudsman poster posted in a conspicuous space. LPA observed facility to be at a comfortable temperature of 76*. LPA observed the presence of two days of perishable and seven days of nonperishable foods. LPA observed fire extinguisher to be recently serviced on October 21, 2024. LPA observed facility to have audio alerts on exit doors, LPA was informed facility does not have any exit seekers and that alerts are disabled during active hours when home health and hospice agencies are visiting. LPA observed resident rooms to be free of sharps, toxins and medications. LPA conducted a file review and observed facility to have quarterly fire drill training documented for the year of 2024. LPA observed facility to have documentation of active liability insurance. Emergency Disaster Plan was present and recently updated on October 8, 2024 by Administrator and co-Administrator. File review conducted for six residents in care and observed the required documents present and completed. Inspection tool was completed and found facility to be in substantial compliance. No deficiencies cited. Exit interview conducted and a copy of the report was provided.the state’s words, verbatim · CDSS document, Dec 27, 2024

Allegation investigated: Staff neglect resulted in resident developing worsening pressure injuries.

On 11/8/23, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Administrator Magdalena Saeger. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: **Report continued on 9099-C** Substantiated Staff neglect resulted in resident developing worsening pressure injuries. Interviews and records review indicated that over a nine-day period (9/16/2023 - 9/25/2023), facility staff failed to seek medical care intervention, until a Nurse Practitioner came to the facility on 9/25/2023. During the nurse visit to R1 on 9/25/2023, the nurse examined and described R1’s wound as unstageable. Interviews and documentation indicated Nurse Practitioner instructed Administrator on getting Home Health and Hospice involved, which Administrator verbalized understanding. Due to R1’s insurance not taking effect in California, the facility waited a couple more days before sending R1 to the Emergency room on 9/28/23. Facility staff did not contact 911 as soon as the wounds were noticed, nor did they get immediate care for R1 as soon as the wounds were observed. The Nurse Practitioner felt R1’s pressure wounds required immediate medical attention and advised the facility to get Home Health out as soon as possible. Since R1 was documented as being frail with limited ability to move on their own, facility staff should have observed R1’s pressure wounds worsening and contacted a doctor or the Emergency room as soon as possible, but facility failed to do that. It has been concluded that facility staff did not seek timely medical attention for R1. Based on interviews conducted by the department and records reviewed, the preponderance of evidence standards has been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22 Division 6, Chapter 8, a deficiency is cited on the attached 9099-D page. Exit interview conducted. Appeal Rights and copy of this report has been provided to facility.the state’s words, verbatim · CDSS document, Nov 8, 2023 · control 59-AS-20231010090536

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87466 · Plan of correction due date: Nov 9, 2023

87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This was not evidenced by: The facility failed to ensure that the resident’s medical needs were met in that R1 developed unstageable ulcers while under the care of the facility; the facility failed to seek timely medical care for the condition between 9/16/2023 to 9/28/2023 which poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Nov 8, 2023

Plan of correction: Licensee agrees to provide CCL a statement of understanding stating facility has reviewed Title 22, Division 6; Chapter 8, Article 8 by POC Date- 11/9/23. Failure to submit Proof of Correction (POC) by Plan of Correction date may result in civil penalties.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Lavinia Muscan arrived on 10/4/23 to conduct the annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident (3) and staff files (2). All resident files contained the required paperwork. All staff files contained the required paperwork. All staff have current first aid and CPR training. Facility was clean and well organized. Facility is current on fire drills. All required posting were observed. Staff training contained the required initial training. LPA and Administrator Magdalena Saeger toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, and common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. The administrator's certificate is current. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher is ready for emergency use. Water temperature is within compliance. In the areas toured, there were no health or safety violations observed. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by end of the month. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Oct 4, 2023