Morning Star II R.C.F.E.

Type of visit: Required - 1 Year

On 11/20/2024, Licensing Program Analysts (LPAs), Andrei Castillo and Seo Jeon arrived at the facility unannounced to conduct the required annual inspection. Upon entry, LPAs were greeted by Caregiver, Emelita Aragon and informed her of the purpose of the visit. Administrator, Marilyn Ponteres arrived a few minutes later. At the time of the visit, there were two staff members and four residents present. LPA conducted a tour of the facility with the Caregiver, reviewed facility documents and conducted interviews. The following is a summary of the visit: Facility Overview: The facility is a one-story home with six bedrooms and five bathrooms, including an attached garage. Resident bedrooms had the required bedding, furniture, and lighting. Facility sketch, exit routes, personal rights, “If you See Something, Say Something,” LTC Ombudsman, complaint information and emergency phone numbers were observed posted in the facility. There was a designated storage space for the residents and staff files, and it was locked and inaccessible to residents in care. Infection Control: There were hand hygiene and hand washing stations, and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements. Physical Plant: Floors, windows, and doors were clean and well-maintained. Furniture and fixtures were in good condition. The outdoor area which is a gated backyard was free of hazards and has a shaded area with outdoor furniture. Laundry equipment was in good working condition. LPA observed fully charged fire extinguishers. Disinfectants, cleaning solutions, and sharp and dangerous objects were securely locked and Cont. LIC 809-C inaccessible to residents. The smoke and carbon monoxide detectors were tested and operational, and the hot water temperature was measured at 120 °F which is within the required limits. Safety night lights were observed throughout the facility. There were no bodies of water located on the property. According to the Administrator, there are no firearms or ammunition on the premises. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. Administrator’s certificate has been expired since 08/18/2023. A citation was issued. Record Review and Resident/Staff Files: LPA reviewed files for two staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Four resident files were reviewed and contained all required documentation. Health-Related Services/Incidental Medical Services: All resident medications were securely locked. LPA reviewed medications for four residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan. The required quarterly fire drill has not been conducted. A citation was issued. All facility indoor and outdoor passageways and exits were clear of obstructions and or debris. There was a first aid kit with a manual. Citations were issued during the visit. An exit interview was conducted, and a copy of this report, LIC 809-D and appeal rights were reviewed and given to Administrator, Marilyn Ponteres.the state’s words, verbatim · CDSS document, Nov 20, 2024

Type of visit: Required - 1 Year

On 11/162023, Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit. LPA was granted entry and met with staff, Emelita Aragon who was informed of the purpose of the visit. At the time of the visit there was (1) staff and (3) residents present. The facility is a one story home with attached garage. No firearms or pools are present at the facility. The home has (6) bedrooms and (5) bathrooms. The resident served 60 years of age and above. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted a staff and resident interviews. LPA observed the following: Infection Control: The LPA observed hand washing stations with hand hygiene supplies. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. The facility has a plan to train staff on infection control guidelines. Technical advisory note was documented for staff to have infection control plan at the facility for licensing review. Physical Plant: Physical plant was observed. The indoor and outdoor areas were observed to be free of hazards. The sharp and dangerous objects were observed to be locked and inaccessible to residents. The smoke detector and carbon monoxide were operational, and the hot water temperature was recorded at 106.1F. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Record Review and Resident/Staff Files: LPA reviewed staff files and resident records all of which were complete Health Related Services/ Incidental Medical Services: All client medication was locked in kitchen pantry. LPA reviewed resident medications, all of which were accounted for. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan.LPA observed emergency exits and emergency supplies. No deficiencies were cited at the time of the visit. An exit interview was conducted where a copy of this report was reviewed and provided to staff Emileta Aragon.the state’s words, verbatim · CDSS document, Nov 16, 2023