Idaho Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christi Coppo and Licensing Program Manager (LPM) Bethany Moellers arrived unannounced to conduct a required Annual inspection and was greeted by Rhodener (Dennis) Panlican, co-administrator. Licensee Caroline Ramos arrived later at approximately 11:45am. Facility currently has 5 residents of which none are on hospice. Facility contact information was reviewed. At approximately 9:00am LPA, LPM, and Licensee toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA, LPM, and co-Administrator observed outside exit path to be partially obstructed by four shelving units, housing plants, and ceramics. LPA obtained photos and requested Licensee to remove all items so that pathway is fully accessible. Licensee agrees to have cement walkway from backyard area to emergency exit gate fully cleared and accessible. LPA and LPM advised path should be completely clear ensuring room for all residents to utilize path for emergency exit, as required by Title 22 regulation 87202(a). At approximately 8:55am LPA and LPM observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered and labeled. Kitchen cabinet containing cleaning supplies was locked. LPA observed staff working in the kitchen with the sharp knives drawer unlocked. Licensee agrees to keep kitchen drawer containing sharp knives to be locked at all times, with the key removed and stored out of reach of residents. LPA observed staff to be in kitchen area working with medication cabinet unlocked and with keys in the lock. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathrooms had required bath mats and grab bars. Water temperature in sink(s) accessible to residents in care measured at 108.2 F, 111.4 F and 111.2 F degrees F which is within the allowable range of 105 to 120 degrees F.. Report continued on LIC 809-C continued from 809... Fire extinguishers were last inspected April 28, 2023. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Exit doors have an auditory alert system that was functional at time of inspection. Facility’s last quarterly disaster drill was conducted on August 10,2023. Facility has a backup generator for use during a power outage At approximately 12:35pm LPA, LPM, and Licensee conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet in the kitchen. At approximately 12:30pm LPA and Licensee observed medication cabinet to be unlocked in the afternoon. Licensee agrees to keep cabinet locked at all times, with the key removed and stored out of reach of residents. At approximately 10:15am LPA and LPM conducted a review of 5 resident and 3 staff records. Current training courses and hours were not available for Arianna Panlican as required per Health and Safety Code 1569.625(b)(2). Caroline Ramos Administrator Certificate 6039775740 expired 5/17/2022; however, certificate is currently in Renewal-Pending status. All fees are current as of this time. LPA reviewed the facility's Infection Control Plan. Licensee provided the Infection Control Plan and will send copy of Infection Control Plan to CCL within 30 days. At approximately 12:45pm LPA and LPM and co-Administrator observed the door leading to the garage to be unlocked. Garage entry has 3 steps leading down to garage area that could potentially pose a fall risk for residents. Co-Administrator agrees to change garage door handle to include a handle with a lock. continued from 809C... LPA and Licensee discussed facility's Infection Control Plan. Licensee will send copy of Infection Control Plan to CCL within 30 days. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report Infection Control Plan Evidence of Liability Insurance Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator and a copy of this report was given.the state’s words, verbatim · CDSS document, Nov 2, 2023

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced to conduct a Required - 1 Year inspection on 10/14/2022. LPA met with administrator/licensee, Caroline Ramos. The inspection is focused on the infection control procedures and practices of this facility. Upon entry LPA was screened for COVID symptoms and asked to sign in. At primary entrance LPA observed temperature logs and visitor sign-in sheet. LPA conducted walk through of facility with administrator and observed COVID postings throughout. Infection control plan has been submitted to Community Care Licensing (CCL). Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is kept throughout the facility. Infection control guidelines and PINs are communicated to residents' families by administrator. Staff have completed Personal Protective Equipment (PPE) and infection control training. High touch surface areas are disinfected daily. Due to current facility census, residents could isolate in their own rooms if they became ill. LPA confirmed licensee has necessary PPE and supplies to support a resident in isolation. Residents' emergency contact information has been updated. Toxins are secured and inaccessible. Medications are centrally stored in a locked cabinet located in the kitchen making them inaccessible to residents. Exit alarms on exit doors were working properly. Facility is allowing residents to have meals in the dining room and furniture is set up for social distancing. All staff and residents have been vaccinated/boosted. Third booster shot clinic is scheduled for 10/17/2022. LPA requested the following documents be submitted to CCL within 30 days of today's inspections: LIC 308 Designation of Facility Responsibility Liability Insurance LIC 500 Personnel Report Emergency Disaster Plan LIC 9020 Client Roster Exit interview conducted with administrator. No deficiencies observed during this inspection.the state’s words, verbatim · CDSS document, Oct 14, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced to conduct a Required - 1 Year inspection at approximately 12:20 PM, and met with staff, Dennis Panlican. Before entering the facility LPA asked COVID risk assessment questions to staff who indicated no one has been sick or exhibited symptoms of COVID within the last two weeks. Administrator, Caroline Ramos was not present at the time of the visit. LPA spoke with administrator on the telephone. Administrator gave direction to perform inspection with staff. The inspection is focused on the infection control procedures and practices of this facility. Upon entry LPA was screened for COVID symptoms and asked to sign in. At primary entrance LPA observed temperature logs and visitor sign-in sheet. LPA conducted walk through of facility with staff and observed COVID postings throughout. Mitigation plan has been submitted and approved by Community Care Licensing (CCL). Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is kept throughout the facility. Per staff, infection contro guidelines and PINs are communicated to residents' families by administrator. Staff have completed Personal Protective Equipment (PPE) and infection control training through Kaiser. Staff have not been N95 fit tested. High touch surface areas are disinfected daily. Due to current facility census, residents could isolate in their own rooms if they became ill. LPA confirmed licensee has necessary PPE and supplies to support a resident in isolation. LPA requested to see temperature screening logs and determined they were current. Residents' emergency contact information has been updated. Toxins are secured and inaccessible in a locked garage cabinet. Medications are centrally stored in a locked cabinet located in the kitchen making them inaccessible to residents. Exit alarms on exit doors were working properly. (Continued on LIC 809-C) At approximately 12:50 PM while touring facility with staff, LPA observed resident bedroom being used for storage. LPA observed seven boxes with incontinence briefs and bottled beverages along the wall under the bedroom's window. Staff stated that the boxes arrived today and that he would move them today. LPA provided guidance to remove boxes and to ensure the upkeep of general storage space to avoid the use of bedrooms as storage space. Staff removed boxes before the end of the inspection. Facility is allowing residents to have meals in the dining room and furniture is set up for social distancing. Visitation is encouraged outside but is allowed inside. LPA requested the following documents be submitted to CCL by November 5, 2021. LIC 308 Designation of Facility Responsibility Liability Insurance LIC 500 Personnel Report Emergency Disaster Plan LIC 9020 Client Roster Exit interview conducted with staff and a copy of this report was printed for the administrator. No deficiencies cited during this inspectionthe state’s words, verbatim · CDSS document, Oct 28, 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.