Margie's Home for the Aged

Type of visit: Required - 1 Year

On 4/12/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA was greeted by staff Mary Prescott. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. Designated Representative (Designee) Debbie Flores was called and arrived shortly. All two residents were present during the inspection. LPA conduct interviews with staff and residents. The tour started in the common areas into resident's rooms, bathroom, and to the kitchen. LPA observed COVID-19 related signs. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards. Fire extinguisher was observed with a service date of: 04/14/23. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lightning. LPA observed one shared residents’ bed to be at least 6 feet apart. All bathrooms are observed with securely fastened grab bars. Bathroom observed with no non-skid mat. Bathrooms hot water temperature was tested at 115-degree F. in bathroom. LPA observed trash can with lid and hand washing signs. Medications are kept locked in cabinet in the laundry room. Residents’ MARs were reviewed. First aid kit was observed and contained all required items. An adequate supply of perishable and non-perishable food was observed to be properly stored. Knives were observed in kitchen drawer unlock. Cleaning chemicals observed in cabinet unlocked in staff area. The exterior tour was conducted. Gardening tools were observed unlocked stored against outside wall. Side gate was self-closing and self-latching. All of the residents’ file reviewed to have update emergency contacts, Admission agreement, and physician report. All of the staff files were also reviewed. Staff files were observed to have current First Aid/CPR. 3 out of 4 staff files observed to have Criminal Record Statement and TB results. Carbon monoxide and smoke detectors were tested and observed to be operational. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 4/24/23. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, Lic 9282, facility sketch, current liability insurance, and current Administrator certificate. A copy of this report was provided to the Designated Representative via email whose signature on this form confirms receipt of these report. Signed report on file.the state’s words, verbatim · CDSS document, Apr 12, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Apr 13, 2023

87309(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above when LPA and designee observed at 11:49 AM multiple knives stored in unlock kitchen drawer and cleaning cabinet unlock. Multiple gardening tools observed outside in the back stored against the facility wall. Two ambulatory residents where present during observation. Knives, chemicals, and gardening tools observed unlock and accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 12, 2023

Plan of correction: Staff immediately relocate the knives into a locked cabinet. Licensee shall lock and secure cleaning chemicals and gardening tools by POC due date.

Allegation investigated: Facility staff left multiple residents unsupervised

On 12/21/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit, and reqeusted to meet with the Administrator. LPA met with Administrator, Margaret Juarez. During today's investigation, LPA conducted resident interviews. Based on interviews conducted, the allegation: Facility staff left multiple residents unsupervised is UNSUBSTANTIATED. Although the allegation could have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficencies issued. A copy of this report was discussed and provided to Administrator, Margaret Juarez, whose signature on this form confirms receipt of this document. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 21, 2022 · control 24-AS-20221121165132

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 4/14/2022, Licensing Program Analyst (LPA) K. Kaur arrived unannounced at the above facility to conduct an Annual Inspection- Infection Control. LPA met with Administrator Margaret (Margie) and stated the purpose of the visit Visitor log-in/temperature check, and disinfection station were observed upon entry. Facility has one entrance/exit point. Hand sanitizer was readily available to residents and visitors. Hand washing and other various Covid-19 related signs were observed in the common areas. Facility staff observed not wearing facial coverings. LPA checked residents’ locked medications and observed a 30-day supply. Food supply was checked and there appeared to be an adequate supply. Cleaning and PPE supplies were checked. Staff records were reviewed for infection control training. Fire extinguisher was expired with a service date of 1/08/2019. Resident’s files have updated emergency contact information. Deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. LPA is requesting the following documents be submitted to the Fresno CCL office by 4/21/2022: Mitigation Plan Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan, Personnel Report (LIC500), Register of Facility Clients/Residents for LIC9020. An exit interview was conducted with Staff. As a COVID-19 precautionary measure, a copy of this report will be provided via email. Report signed on-site by Administrator.the state’s words, verbatim · CDSS document, Apr 14, 2022