MD Premier 2 Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mia Lankford conducted an unannounced visit for a required annual inspection. The LPA was greeted by Caregiver Lucia Tareroh, notified them of the purpose for the visit and was allowed to enter the facility to conduct the inspection. The Licensee/Administrator Mircea Dolha joined the visit at a later time Facility Overview: The facility is a single-story building with 6 residents' bedrooms, 2 staff bedrooms, 5 bathrooms, a dinning room, a receiving area, a kitchen, an outdoor area, and a garage. There is a gated pool meeting the departments' requirements and there are no firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department's requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in the kitchen and inaccessible to clients. The smoke detector and carbon monoxide detector were operable. LPA observed fire extinguishers to be in compliance with the department's requirements and with an expiration date of 06-3-2027. The water temperature was tested within regulations measuring 111.0 F Continued 809-C...... Cont... Care & Supervision/Administration: Adequate staff were present to supervise residents during the visit. The Administrator holds a current administrator’s certificate with the expiration date of 06/22/2028 and a CPR certification with the expiration date of 5/5/2028. Record Review and Resident/Staff Files: LPA reviewed files for 2 staff members, confirming criminal clearance, updated training, and health screening. 5 residents' files were reviewed and contained all required documentation. LPA observed first aid kit to be locked and inaccessible to the residents in care. The residents and staff files were kept locked and inaccessible to unauthorized individuals. Health-Related Services/Incidental Medical Services: All residents' medications were securely locked in cabinet located in the kitchen area. LPA reviewed medications for 3 residents confirming that all medication were listed and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted on 4/7/2026, which met the department's requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed, and a copy was provided to Licensee/Administrator Mircea Dolha .the state’s words, verbatim · CDSS document, Jun 4, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit for a required annual inspection. The LPA was greeted by Caregiver Parengkuan Carter, notified them of the purpose for the visit and was allowed to enter the facility to conduct the inspection. The Licensee/Administrator Mircea Dolha joined the visit at a later time Facility Overview: The facility is a single-story building with 6 residents' bedrooms, 2 staff bedrooms, 5 bathrooms, a dinning room, a receiving area, a kitchen, an outdoor area, and a garage. There is a gated pool meeting the departments' requirements and there are no firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department's requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in the kitchen and inaccessible to clients. The smoke detector and carbon monoxide detector were operable. LPA observed fire extinguishers to be in compliance with the department's requirements and with an expiration date of 05-29-2026. The water temperature was tested within regulations measuring 111.0 F Continued 809-C...... Care & Supervision/Administration: Adequate staff were present to supervise residents during the visit. The Administrator holds a current administrator’s certificate with the expiration date of 06/22/2026 and a CPR certification with the expiration date of 04-10-2026. Record Review and Resident/Staff Files: LPA reviewed files for 3 staff members, confirming criminal clearance, updated training, and health screening. 3 residents' files were reviewed and contained all required documentation. LPA observed first kit to be locked and inaccessible to the residents in care. The residents and staff files were kept locked and inaccessible to unauthorized individuals. Health-Related Services/Incidental Medical Services: All residents' medications were securely locked in cabinet located in the kitchen area. LPA reviewed medications for 3 residents confirming that all medication were listed and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted on 04-10-2025, which met the department's requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed, and a copy was provided to Licensee/Administrator Mircea Dolha .the state’s words, verbatim · CDSS document, Jul 3, 2025

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 six (6) clients live at this facility. There was two (2) staff members present. The Administrator, Mircea Dolha came and conducted and completed the facility tour. The Caregiver, Raisa Ema Tibil signed for the report. Client Records/Incident Reports/Clients Rights Information: LPA reviewed client records. Six (6) 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/ Staffing/ Administration: LPA reviewed 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 administrative organization. Mircea Dolha’s certificate expiration date is 06/22/2024. 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 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 facility is maintained at 75 degrees for the client’s comfort. Lighting is sufficient for safety. Water temperature measured 107.0 degrees F. Laundry is done in the laundry room. There is a locked closet for storing laundry soap, cleaning supplies and chemicals in the closet located in laundry room. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. LPA dialed the facility’s landline number, which rang and was operable. The LIC 610, emergency disaster plan is maintained. There are no firearms at this facility. There is one (1) secured fireplace at this facility. There is one (1) secured locked and gated pool at the facility. There is two (2) secured gates that have a self-latching lock on the northwest and southeast sides of the house. LPA observed emergency supplies and one (1) first aid kit. The last emergency fire drill was conducted on 04/02/2024. Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that all staff had infection control training. Medications/Health Related Services/Incidental Medical Services: The medications are centrally stored. There is a locked cabinet allocated for medication storage. Centrally stored medication and destruction logs are maintained separately. LPA reviewed medication logs and observed that they were dispensed accurately. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. LPA observed eleven dual (11) smoke detectors and carbon monoxide detectors throughout the facility. There were two (2) fire extinguishers on site, date bought was 05/31/2024. Pursuant to Title 22 of The California Code of Regulations Division 6, there are zero (0) deficiencies observed. An exit interview was conducted, this LIC 809 was reviewed with, and a copy of this report was provided to the Administrator, Mircea Dolha and signed by the Caregiver, Raisa Ema Tibil.the state’s words, verbatim · CDSS document, May 31, 2024