Guardian Angels Homes I

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Roy Bueno. LPA discussed the purpose of the inspection and Administrator (AD) Sonia Garcia and Kelly Francia were contacted by phone and arrived at 9:46 a.m. During the inspection LPA and ADs conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a one-story home with six resident bedrooms, five bathrooms, and one staff bedroom, two living room areas, one dining area, one lounge room and attached three car garage. The lounge room is currently being used as a staff bedroom and contains a bunk bed; a deficiency was cited on this date. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. The back yard has a shaded sitting area. LPA observed two staff and five resident present. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 109.7-115.5 F degrees. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Food menu was also posted and visible. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged. Appliances were all inspected. Sharps were observed locked in a kitchen drawer. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents. Medication cabinet was observed to be locked. LPA reviewed five resident files and four staff files. LPA interviewed staff and residents present. Based on the observations made during today’s inspection, two deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Nov 6, 2023

Type of visit: Required - 1 Year

On 09/19/2022, Licensing Program Analyst (LPA) Jessica Cho conducted an unannounced visit to Guardian Angels Homes I. The purpose of today's visit was to conduct a Required 1 Year focusing primarily on the Infection Control. At 9:21am, LPA Cho was greeted and allowed entry by Staff Roy Bueno after completing the Coronavirus 2019 (COVID-19) screening procedure. Staff Stephanie Magana was present at the facility, and Licensee/Administrator (Admin) Sonia Garcia arrived at the facility at 9:35am. As of today, there are no active COVID-19 cases in the facility. Facility screens and documents temperatures for visitors on a sign in sheet. LPA observed the required COVID-19 precautionary signs posted on the front door and throughout the facility. The Complaint Poster (PUB475) was within the size regulation. The facility is licensed for six non-ambulatory residents and has a hospice waiver for four. There are currently five residents living in the facility of which one is receiving hospice care. The Administrator's Certificate for Sonia P. Garcia expires on 06/29/23 and 03/01/24 for Kelly S. Francia. At 9:24am, LPA Cho conducted a tour of the physical plant along with Admin Garcia. The single story home consists of six resident bedrooms and five resident bathrooms. There is one staff bedroom. The facility also has two living rooms, dining area, kitchen, and an attached two car garage with a laundry area. The resident bedrooms had the required furnishings, bed linens, and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, showers were free of mold/mildew, and non-skid mats were in place. Resident bath towels and personal hygiene supplies were adequately stocked including paper towels and hand soaps. LPA observed hand washing signs in all bathrooms. LPA Cho tested the hot water temperature in the resident bathrooms and the temperature measured at 118.2 degrees Fahrenheit in the Bathroom #1, 116.0 degrees Fahrenheit in Bathroom #2, 119.6 degrees Fahrenheit in Bathroom #3, 117.6 degrees Fahrenheit in Bathroom #4, and 117.5 degrees Fahrenheit in Bathroom #5. LPA Cho inspected the kitchen along with Admin Garcia and Staffs Bueno and Magana. Perishable and non-perishable food supplies were checked and adequately stocked at the time of the visit. The fire extinguisher was fully charged and serviced on 03/04/22. The smoke/carbon monoxide detectors and auditory devices were tested and operational. Medications, toxins, and sharps were locked and inaccessible to the residents. LPA Cho toured the outside grounds with the Admin. There were no bodies of water present. There was shading and sufficient seating for residents. Walkways around the home were clear of hazards, and the exit gates were self-closing and self-latching. There were no security bars or weapons on the premises. LPA Cho reviewed the Emergency and Disaster Plan for Residential Care Facilities for the Elderly (LIC610E). Facility has a plan for COVID-19 testing residents and staff as well as a plan for isolation as needed. Facility has back-up emergency food and water supply. The First Aid Kit met all the required components except a first aid manual, and the facility had sufficient PPEs. Facility has the infection control plan in place, and LPA discussed the Assembly Bill (AB) 665. This bill would require residential facilities serving adults, residential care facilities for persons with chronic life-threatening illness, and residential care facilities for the elderly with existing internet service to provide at least one internet access device that can support real-time interactive applications, is equipped with video conferencing technology, and is dedicated for client or resident use. The facility has an existing internet service and provides an iPad upon request. LPA Cho reminded the importance of staying abreast with CCLD's COVID-19 guidance by reviewing and printing the Provider Information Notices (PINs) as well as by attending the CCLD Informational Calls. The PINs can be accessed at: www.ccld.ca.gov. Based on the observations made during today's visit, no deficiency is cited in this review as per Title 22 Division 6 of the California Code of Regulations. An Advisory Note (LIC9102) was issued during the visit. An exit interview was conducted with Licensee/Administrator Sonia Garcia, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 19, 2022

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.

Type of visit: Case Management - Other

Licensing Program Analyst Michelle Reed arrived at the facility to conduct a case management visit. The purpose of the visit was to check on the communication between Resident #1 and her family. Upon arrival, LPA met with Staff Arnell Lopez and Stephanie Magana. Administrator Sonia Garcia was contacted and she arrived a short time later. R1 was interviewed and she stated that does speak with all of her family and she can make phone calls when she wants. R1 has a landline in her room that was working at the time of this visit. The phone also has an answering machine. Ms. Garcia stated to LPA that she does understand that all residents have a personal right to facetime their family and friends and that she has an ipad residents can use. Staff stated that they know how to use the ipad. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Dec 15, 2021

Allegation investigated: Staff denied resident from receiving mail Staff denied resident from receiving phone calls

Licensing Program Analysts Michelle Reed and Beverly Thompson Gracia arrived at the facility to discuss the complaint allegations. Upon arrival, LPAs met with Staff Arnell Lopez and Stephanie Magana. Administrators Sonia Garcia and Kelly Francia arrived a shortly after LPAs. Resident #1(R1) was admitted into the facility on 10/14/21. Records were reviewed and interviews with staff, R1 and witnesses. R1 has a cell phone available for use as well as a landline at the facility. R1 disclosed that she talks to all her family and friends as she so chooses. She also has a phone list with all family members names, phone numbers, relationship and their location. Sometimes the cell phone reception is not reliable and calls may be dropped. R1 does not have a landline in her room however on today's date the Licensee was having ethernet installed in R1's room. R1 will have her own phone number and the phone number will be shared with all family members. When asked about mail service R1 stated that she is allowed to receive mail but at this time her Daughter(POA) handles all her mail. Based upon interviews and a review of records the allegations are unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Sonia Garcia and a copy of this report was provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 27, 2021 · control 22-AS-20211019091710

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michelle Reed made an unannounced visit to the facility to conduct an Annual visit. Upon arrival LPA met with Administrators Sonia Garcia and Kelly Francia. Staff Arnel Lopez and Stephanie Magana were also present. All staff were wearing a mask. The focus of the visit was Infection Control. During the visit LPA toured the facility and the following was observed: Covid signage was posted at the front entrance of the facility. A sanitization station was set up at the front door. LPA's temperature was taken upon arrival and a sign in sheet was made available. Facility has required Department postings. Administrator Certificate for Sonia Garcia expired on 6/29/21. She is awaiting her new certificate. Rooms were clean and sanitary. All restrooms observed contained paper towels and toilet paper. Hand sanitizer, soap, wipes and gloves were present. The Licensee has at least a 30 day supply of PPE. LPA observed an outside visitation area with shade. Licensee has a Mitigation Plan and Emergency Disaster Plan. LPA observed emergency food and water supply. Facility has a secured location for resident medication and files. During the visit, LPA consulted with staff regarding the importance of maintaining a 30 day supply of PPE on site. Additionally, LPA advised the importance of mask wearing and handwashing for staff. Administrator is reminded to review Department PINS in regards to Visitation, Dining, Group Activities, Non-essential services, Outings, New Admissions Entertainment. PIN 21-32 -ASC provides Masking Guidelines. No citations issued at this time. An exit interview was conducted and copy of this report was provided to Kelly Francia.the state’s words, verbatim · CDSS document, Sep 24, 2021