Morning Mist Homecare

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Brooke Sanasinh and was granted entry to the facility. Licensed capacity is (6) current census (5). LPA was accompanied by Administrator Brooke Sanasinh to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated space for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (3) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA observed no Reappraisal documentation completed for all (3) residents. Deficiency will be issued. **Continuation on LIC809C** Additionally, LPA observed no updated needs and services plan for all (3) residents. Deficiency will be issued. LPA also observed no admission agreement for Resident #2 (R2) and Resident #3 (R3). Deficiency will be issued. LPA also reviewed (3) resident medications. LPA observed for Resident #3 (R3) PRN medication was not documented properly as date and time, reason for administration was not written. Deficiency will be issued. LPA also reviewed (3) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. LPA observed no updated CPR First Aid Certificate for Staff #1 (S1) and Staff #2 (S2). Deficiency will be issued. Based on the observations made during today’s visit, a deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Brooke Sanasinh.the state’s words, verbatim · CDSS document, Dec 5, 2025

Allegation investigated: Facility staff allowed resident to develop multiple pressure injuries while in care. Facility staff did not seek timely medical attention for residents pressure injuries. Facility staff are not repositioning resident.

On 6/13/2025 at 12:45 PM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegations. LPA Serrano met with caregiver Letty Magno to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staffs and residents as well as facility observation. Allegation #1: Facility staff allowed resident to develop multiple pressure injuries while in care – Based on interview with outside parties, they stated that they do not have any evidence to provide to corroborate the allegation. Based on information received during interviews with staff, they denied the allegation that resident #1 (R1) developed multiple pressure injuries while in care. Based on interviews with residents, they do not think that facility staff allowed pressure injury to develop. LPA was unable to corroborate the allegation. Allegation #2: Facility staff did not seek timely medical attention for residents pressure injuries - Based on interviews with staff and residents, they all stated that the facility staff seek medical attention right away from medical professional to avoid developing pressure injury. Based on the information received during the investigation LPA was unable to corroborate the allegation *** Continuation in LIC9099C *** Unsubstantiated Allegation #3 Facility staff are not repositioning resident - Based on interviews with staff, the residents were being turned every two (2) hours to prevent pressure injuries especially the bedridden residents. One staff stated that the residents are their number one priority. Information received during investigation did not corroborate with the allegation. During the investigation, LPA did not find evidence to corroborate the allegations. Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to caregiver Letty Magno.the state’s words, verbatim · CDSS document, Jun 13, 2025 · control 56-AS-20221107115901

Allegation investigated: Resident developed multiple pressure injuries while in care. Staff are not allowing a resident to leave his bed while in care. Resident is not being fed while in care. Staff are mishandling a resident's medications. Resident is not attending medical appointments as required. Staff are talking inappropriately towards a resident while in care.

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with staff Leticia Magno and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews, and record review. For the allegation, Resident developed multiple pressure injuries while in care. During staff interviews, 5 out of the 5 staff stated that R1 did not developed pressure injuries while in care. During resident interviews R1 admitted they did not develop pressure injuries while in care. For the allegation, Staff are not allowing a resident to leave his bed while in care. Unsubstantiated During staff interviews, 5 out of the 5 staff stated residents are allowed leave their bed. 5 out of the 5 staff also stated resident will have their meals in the dining room and will participate in facility activities. During resident interviews, 3 out of the 3 residents stated they are allowed to leave their bedroom and receive assistance to leave their bedroom. For the allegation, Resident is not being fed while in care. During staff interviews, 5 out of the 5 staff stated residents are receiving their meals. During resident interviews, 3 out of the 3 residents stated staff will serve breakfast, lunch, dinner, and snacks in between. During facility tour, LPA observed the facility has sufficient non-perishable and perishable food supply for the number of residents in care. For the allegation, Staff are mishandling a resident's medications. During staff interviews 5 out of the 5 staff stated they are not mishandling resident medications. During residents’ interviews, 3 out of the 3 residents stated they receive their medications. During medication audit, LPA observed resident’s medications dispense properly and documented accordingly. For the allegation, Resident is not attending medical appointments as required. During staff interviews 5 out of the 5 staff stated the Administrator will take the residents to their medical appointments if the resident’s responsible party is unable to. During resident interviews, 3 out of the 3 residents stated staff and their family members will assist with their medical appointments. For the allegation, Staff are talking inappropriately towards a resident while in care. During staff interviews 5 out of the 5 staff stated they do not speak inappropriately to their residents. During resident interviews, 3 out of the 3 residents stated staff do not speak inappropriately to them. In addition, R1 admitted to being intoxicated and yelling at staff. Based on the evidence found during the investigation, the six (6) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.An exit interview was conducted, and this report (LIC9099) was discussed and provided to staff Leticia Magno.the state’s words, verbatim · CDSS document, Feb 14, 2025 · control 56-AS-20220707144410

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Bene Molinand was granted entry to the facility. Licensed capacity is (6) current census (6). LPA was accompanied by Administrator Brooke Sanasinh to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated office for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (6) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPa reviewed three hospice care plans. LPA also reviewed (6) resident medications **Continuation on LIC809C** LPA observed for all six (6) residents daily medications are not being documented and dated. Deficiency will be issued. LPA also reviewed (4) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. No issues were observed. Based on the observations made during today’s visit, a deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Brooke Sanasinh.the state’s words, verbatim · CDSS document, Nov 13, 2024

Type of visit: Required - 1 Year

1118: Licensing Program Analyst (LPA) Amy Goldenberg arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction, visit purpose and provided the facility caregiver with LPA identification and business card. 1130: Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. LPAs observe the facility to be clean and in good repair. The home is maintained at a comfortable temperature for the residents. Lighting is sufficient for safety and comfort. Water temperature measured 105.8 degrees F. Grab bars, non-slip surfaces are present in the restrooms. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals. Fire extinguishers are charged, mounted and dated. All outdoor and indoor passageways are free of obstruction. Night lights and emergency lighting is present. A locked area is provided for medications and sharp objects. There is a telephone working at this location. The LIC 610E, emergency disaster plan is maintained. The facility has a current written definitive plan of operation. The facility does not handle resident money. Food Service- Food prep areas are clean and organized. Food supply meets the requirement of one week supply of nonperishable and 2 day supply of perishables food on hand. 1130: Resident Records/Incident Reports/Personal Rights/Residents with Special Needs/Incidental Medial and Dental- LPA began review of resident records. Five (5) records were reviewed. LPA reviewed for admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. The facility is meeting documentation requirements. 1200: Personnel Records/Training/and Staffing-. LPA reviewed employee record for first aid certification, finger print clearance, personnel/job application, health screening and TB test results, criminal record statement, employee rights, training verification, and current administrator certification. Based on the information received during this visit today, the following deficiency is being cited per Title 22, Division 6 of The California Code of Regulations.the state’s words, verbatim · CDSS document, Nov 15, 2023