Messinger Care Home

Type of visit: Required - 1 Year

On 3/30/2023 at 1:37 p.m. Licensing Program Analyst (LPA) B. Miranda arrived at the facility to conduct a required unannounced annual inspection. LPA was greeted by staff S1. Administrator (AD) was contacted, and AD’s wife S2 was informed S1 would be conducting the annual inspection since AD was not able to make it at this time. LPA observed two caregivers at the facility. S3 is not associated with the facility which will result in a citation Per California Code of Regulations, Title 22, Division 6, Chapter 8, 87355 Criminal Record Clearance. LPA toured the facility inside and out. Entry way was clear and free from obstructions. Temperature in the facility was comfortable. Facility currently has 6 residents. Facility has 5 bedrooms and 2 bathrooms. Two residents share a room and the other 4 have their own rooms. All rooms were observed to have proper lighting, furniture, and storage for residents. LPA observed kitchen to be clean and free from clutter. Knives were observed to be locked away and inaccessible to residents. LPA observed sufficient seven day non-perishable food items and two days’ worth of perishable food items at the facility. Medication was observed to be locked and inaccessible to residents. Two resident files and medication logs were reviewed. LPA observe medication log not being signed off as medication is taken, S1 stated the log is signed off at the end of shift. LPA observed bathrooms to be clean, free from clutter, and odor free. Bathrooms were observed to have pull bars and non-slip mats. Water temperature was check in the common bathroom and read at 112.2 degrees Fahrenheit. See LIC809C Facility has 1 fire extinguisher which is current, in good standing, and last serviced 6/6/2022. Smoke detectors were checked and observed to be in working condition. LPA observed fire clearance exits from inside the house to be clear and free from obstruction. LPA observed the fire exits from the back yard to be obstructed. One exit is obstructed with part of a pellet and the others with a screen door (pictures taken).Citation will be issued Per California Code of Regulations, Title 22, Division 6 Chapter 8 87202 Fire Clearance. Exit interview was conducted and copies of this report, LIC809C, LIC809D, and LIC421BG were provided to S1. At about 4:45 S4 arrived to the facility who is also not associated. S2 was contacted and stated S4 previously quit and returned working at the facility 3/5/23. The following documents were requested and are due 4/13/2023 by end of the day. Residential Care Facility for the Elderly (RCFE): LIC 308 Designation of Facility Responsibility -as applicable: LIC 309 Administrative Organization -as applicable: LIC 400 Affidavit Regarding Client/Resident Cash Resources -as applicable: LIC 402 Surety Bond LIC 500 Personnel Report Staff Schedule for March LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly LIC 9020 Register of Facility Clients/Residents Copy of current Liability Insurance Copy of current Administrator Certificate Alternate contact information including name, telephone number, & email address.the state’s words, verbatim · CDSS document, Mar 30, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Albert Johnson conducted an unannounced annual/random visit on this date. LPA met with Cristy B. and Elisa Cruz (Staff). Administrator joined the inspection via telephone. LPA inspected physical plant including but not limited to kitchen, bedrooms, bathrooms, living and dining room area. LPA observed sufficient furniture and lighting throughout the facility. There are no bodies of water present in/or around the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 123.5 degrees Fahrenheit in resident bathroom sink, which is not within the required range of 105 to 120 degrees. Fire extinguishers was last serviced on 2/10/2020. Smoke detectors are current and in compliance with fire safety. Carbon dioxide monitor presents. LPA was unable to determine when the last fire or disaster drill was conducted. LPA observed centrally stored medications unlocked in a cabinet inside the office area (photo taken). LPA reviewed and compared resident medication vs. resident medication logs. During the medication review LPA observed medications for R1 and R2 empty with not replacements in the facility for prescribed medications. The last entry into the medication administration record was 6/2/2022. LPA reviewed 6 resident and 2 staff files, including criminal record clearances. All staff today are not associated to the facility. S1 is not associated to this facility. First aid kit was checked and is complete. Per California Code of Regulations, Title 22 Division 6, Chapter 8 and Health and Safety Code, deficiencies were observed and cited during this visit. Exit interview held and a report given at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jun 4, 2022

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87203 · Plan of correction due date: Jun 5, 2022

87203 Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not met as evidenced by: Based LPA observation LPA observed the fire extingushier not serviced and no record of a fire drill. This poses an immediate health and safety risk to resident in care.the state’s words, verbatim · CDSS document, Jun 4, 2022

Plan of correction: The Licensee/Administrator will send a plan of how and when the fire drill when be conducted as well as and having the fire extingushier serviced by the POC date

From the deficiency page — Deficiency type: Type A · Section cited: CCR80088(e)(1) · Plan of correction due date: Jun 5, 2022

Furniture, Fixtures, Equipment, and Supplies 1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).... LPA tested hot water at 123.5 degrees F. Licensee failed to assure hot water meeting Title 22 regulation of 105-120 degree F. This poses a potential health and safety risk to resident in care.the state’s words, verbatim · CDSS document, Jun 4, 2022

Plan of correction: Administrator shal lowered the thermostat and test the hot water for 3 days. Test hot water in the bathroom to meet Title 22 regulations. Send 3 day hot water temperature to LPA.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(1) · Plan of correction due date: Jun 5, 2022

87355(e)(1)Criminal Record Clearance. Prior to working, residing or volunteering in a licensed facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. This requirement is not met as evidenced by: interviews and records reviewed, S1 is not associated to this facility. This poses and immediate health and safety risk to residents.the state’s words, verbatim · CDSS document, Jun 4, 2022

Plan of correction: Licensee will immediately ensure (S1) is finger print cleared and associated to facility prior to reporting to work. Proof of clearance and association shall be submitted to CCL prior to resuming duties. Administrator shall submit a Statement of Understanding regarding the requirements by POC date via email to CCL.IMMEDIATE CIVIL PENALTY ASSESSED

From the deficiency page — Deficiency type: Type B · Section cited: CCR87465(c)(2) · Plan of correction due date: Jun 17, 2022

87465(c)(2) Incidental Medical and Dental Care Services. Once ordered by the physician, nonprescription PRN medications shall be given in accordance with the physician’s directions. LPA observed that Resident 1 (see LIC 811) was out of Hydroxyzine and R2 was out of Citracal (needs daily). This is a potential risk to resident in care.the state’s words, verbatim · CDSS document, Jun 4, 2022

Plan of correction: Admin. will provide in-service training to staff in regards to 87465 Incidental Medical and Dental Care/medication recordkeeping and send copy via email to LPA Johnson by POC date 6/17/2022