Fairhill Elder Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kathleen Banrasavong arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction and visit purpose. Upon arrival LPA learned that five (5) residents reside at this facility and there are currently two (2) staff members present. The facility’s caregiver (S1), Barbara Balisi conducted the facility tour. There is an Infection Control Plan on file. Client Records-Incident Reports/Clients Rights-Information/Dental- LPA reviewed client records. Five (5) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. Personnel Records/Training/and Staffing- LPAs began review of employee records- Two (2) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrator certification. Glyka Nico Manahan, Administrator’s license expiration date is 12/02/2024. (Continued on LIC809C) (Continuation from LIC809) Food Service- Food prep areas are clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a locked location for sharps in the kitchen. Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured 108.0 degrees F. Laundry facilities and a locked room is present for storing laundry soap and other chemicals. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. The LIC 610, emergency disaster plan is maintained. There are no firearms at this home. The fireplace is secured and not operable at this facility. There is not a pool at the facility. Medications- are centrally stored. There is a locked cabinet allocated for medication storage. Centrally stored medication and destruction logs are maintained separately. Medications reviewed appear to have been dispensed accurately. (Continued on LIC809C) (Continuation from LIC809) LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. LPA observed five (5) smoke detectors and one (1) carbon monoxide detectors. There were two (2) fire extinguisher last charged 09/20/2022. The last emergency disaster/ fire drill was done 02/06/2023. Based on the information received during this visit today in the areas reviewed, there are three (3) deficiencies observed per Title 22, Division 6 of The California Code of Regulations Article 06. Per CCR 87458(a) (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year, will be cited due to resident (R1) health condition, the facility did not maintain a current physician report. HSC 1569.618 (c)(3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. The facility does not have record of current CPR or first aid certifications for staff. The facility had an uncleared staff that will be cited per CCR 87355 (e)All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility. This LIC 809 and appeal rights was reviewed with, and a copy will be provided to the caregiver.the state’s words, verbatim · CDSS document, Jun 22, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Janira Arreola made an unannounced visit to the facility to conduct an annual inspection focused on infection control. LPA met with staff Shirley Cervantes, who was informed of the purpose of the visit. At the time of visit there was 2 staff and 6 residents present. The facility currently has zero positive or suspected Covid-19 cases. During today's visit, LPA toured the facility and made observations regarding the infection control measures that the facility has implemented. LPA observed Covid-19 postings at the facility and a single entry point was designated where symptoms screenings and temperature checks occur daily for all visitors, residents, and staff. The facility had a plan in place to monitor residents regularly for any changes in condition. The facility had an adequate amount of hand hygiene supplies (soap, hand sanitizer, paper towels) in all 2 restrooms. Common areas such as dining rooms and activity rooms have been modified with social distancing and masking policies. There are designated isolation rooms and a plan in place to monitor and attend to those in the isolation rooms. The facility also has a designated infection control lead and a plan in place to clean and disinfect the highly touched surfaces. There were no deficiencies noted at the time of the visit. Advisory notes were documented on LIC9102TA and LIC9102TV forms. An exit interview was conducted, and a copy of this report along with advisory notes was reviewed and provided to facility staff, Barbara Balisi .the state’s words, verbatim · CDSS document, Jun 21, 2022

The state marks this report as 6 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

Licensing Program Analysts (LPAs) Deborah Mullen and Jesse Gardner conducted an unannounced annual inspection. LPAs met with Barbara Balisi and Mercy Rapada, Caregivesr. LPAs conducted a walk through of the facility with Ms. Balisi. The facility is licensed for 6 residents (5 non-ambulatory and 1 bedridden). The facility has an approved hospice waiver for 4 residents. The facility is a two story home. Upstairs there are 4 bedrooms, 1 bath and a loft area. Downstairs there are 3 resident bedrooms, 2 baths, a living room, dining room and kitchen. The second story is not used by the residents. LPAs conducted an inspection of the home and found that each resident bedroom was furnished with a bed, dresser and overhead lighting. 3 out of 3 resident's bedrooms did not have a night stand and a reading lamp for resident use. The bathrooms had handrails for resident safety. The facility had amble towels and linens for resident cleanliness. The kitchen had cups, plates, bowls, utensils, pots and pans. Sharp knives are kept in a locked drawer in the kitchen. The cleansers are kept in a locked cabinet under the kitchen sink. LPAs observed 7 days non-perishable and 2 days perishable food supply for residents. LPAs observed the backyard to be fully fenced with a shade area for residents. During the inspection, LPAs observed dressers and drawers in the back yard along the fence, as well as on the patio. Facility staff was advised that the furniture needs to be removed from the backyard. During the inspection, LPAs discussed infection control practices and procedures with Ms. Balisi and Ms. Rapada. An exit interview was conducted and a copy of this report was reviewed with and provided to Ms. Balisi and Ms. Rapada.the state’s words, verbatim · CDSS document, Aug 9, 2021

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.