Napa-Sonoma Quality Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alviso, conduct a Required- 1 Year inspection and met with Lead caregiver Joy Montes. LPA observed another caregiver working, Paul Montes. Administrator Ryanne Tapnio was not available to meet with the LPA. Facility has a required infection control plan. Facility has a required emergency disaster plan. Facility has an approved hospice waiver for two (2) residents. There is an approved plan of dementia care. Fire clearance is approved for six (6) non-ambulatory. The LPA reviewed five (5) client files. The LPA reviewed six (6) staff files. All staff had criminal record clearance as required. LPA toured the facility with caregiver Joy. Hot water was checked at 108.5 Fahrenheit. Fire extinguishers (two) were serviced and tagged as required-expires 10/30/23. The facility was clean and orderly. Carbon monoxide detector was working properly. Exit alarms were working properly. Food supply was sufficient. Sufficient supply of cleaners, paper products, and hygiene products. Sufficient supply of personal protective equipment (PPE). Bathrooms were clean and orderly: Bathrooms had grab bars and non-slip mats/flooring for resident use. Licensee/Administrator to submit the following documents by 11/17/23: LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report LIC 9020 Register of Residents LIC 610 E Emergency Disaster Plan for RCFE -reviewed & updated as needed Copy of current Liability Insurance Infection Control Plan-reviewed & updated as needed LIC400 Handling of Client Cash Resources, include copy of surety bond. LPA observed the following deficiencies: LPA observed vegetables in the refrigerator that were no longer fresh, and of good quality, some were old and rotting. LPA obtained pictures. Continued on LIC809C... This deficiency will be cited, General Food Service Requirements 87555(b)(8)- All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained, see LIC809D. LPA observed the large cabinet with all resident medications to not be locked, and a metal box in the refrigerator with medications that was unlocked, making all medications accessible to residents, and to staff/individuals that should not have access to the medications. This deficiency will be cited, Incidental Medical and Dental 87465(h)(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication, see LIC809D. Based on LPA's record review, staff #3 lacks first aid certification. This deficiency will be cited,Personnel Requirements-General 87411(c)(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross, see LIC809D. LPA observed a resident room and bathroom with garbage cans without tight fitting lids, one of the garbage cans had a dirty diaper and other items used in cleaning and changing the resident. This deficiency will be cited, Maintenance and Operation 87303(a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors, see LIC809D. Per LPA's record review, staff #2 and #3 lack initial training hours, This deficiency will be cited, as required by H&S Code 1569.625(b)(1)This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training, see LIC809D. Continued on LIC809C... Based on review of records, Staff #2 & #3 lack a health screening report, including TB test and results87411(f)Personnel Requirements – General All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. Per file review and observations, the facility has retained a bedridden resident, R1, but does not have the proper fire clearance as required. This deficiency will be cited, (c) To accept or retain a bedridden person, other than for a temporary illness or recovery from surgery, a facility shall obtain and maintain an appropriate fire clearance as specified in Section 87202(a), see LIC809D. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Appeal rights provided to lead caregiver Joy Montes. Exit interview conducted with caregiver Joy Montes All documents left with Caregiver JM for Administrator Ryanne Tapnio.the state’s words, verbatim · CDSS document, Oct 17, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alviso, conduct a Required- 1 Year inspection and met with Lead staff Joyce; LPA observed another caregiver working, Grazelle.. The inspection is focused on the Infection Control procedures and practices of the facility. The LPA was screened as required by staff, including LPA's temperature, all information was logged as required. Administrator has submitted the Infection Control Plan as required. There is an approved hospice waiver for two (2) residents. There is an approved plan of dementia care. Fire clearance is approved for six (6) non-ambulatory. Per Administrator, fire extinguishers, two(2) of them, were purchased within the last few months from Costco; The Administrator will attach copy of receipt to extinguishers and ensure they are both serviced and tagged as required.-annually. There were three(3) residents in care at the facility during the inspection. LPA observed the facility to be clean and orderly. The facility was at a comfortable temperature for the residents in care. There was a sufficient supply of food for residents in care. All exits were unobstructed. There was a sufficient supply of hygiene products, paper products, and cleaners. Sufficient supply of PPE. Medications are locked and inaccessible to residents in care. Toxins and cleaners are locked and inaccessible to residents in care. LPA observed the following deficiencies: LPA observed that the garage has been renovated/conversion to have staff room and 2nd bed set-up and used by staff. Continued on LIC809C The garage conversion was completed without permits and Licensee had not notified the licensing agency of any changes to the facility grounds. This can jeopardize the facility's fire clearance. LPA contacted the Rohnert Park Fire Inspector who arrived to inspect the garage conversion. The Fire Inspector Jim Thompson left an inspection record to the Licensee for follow-up on the conversion that was not permitted. Deficiency will be cited, Fire Safety 87203-see LIC809D. LPA observed staff (S1) to greet the LPA in the facility front entryway without a mask on. This will be cited, Personal Rights 87468.1(a)(2)- see LIC809D. LPA observed staff change a resident, provide incontinent care services, in the open sitting area of the facility, this is by the front door entry. The resident was not given personal privacy when being provided personal care needs. This will be cited, Additional Personal Rights of Residents in Privately Operated Facilities 87468.2(a)(1)-see LIC809D. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Licensee/Administrator to submit the following documents by 10/31/22: LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report LIC 9020 Register of Residents LIC 610 E Emergency Disaster Plan for Residential Care Facilities for the Elderly Copy of Liability Insurancethe state’s words, verbatim · CDSS document, Oct 20, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Dina Alviso, arrived unannounced to conduct an 1 YR Required inspection and met with Licensee/Administrator Ryanne Tapnio. The inspection is focused on the Infection Control procedures and practices of this facility. Mitigation plan was sent back for revisions; Administrator will resubmit the revised mitigation plan no later than 9/17/21. There is an approved hospice waiver for two (2) residents. There is an approved plan of dementia care. Fire clearance is approved for six (6) non-ambulatory. Fire extinguishers were tagged and inspected as required- expires 7/21/2022 There were five(5) residents in care at the facility during this inspection. All visitors, essential visitors, and staff are screened upon entry; Temperatures are taken, and screening questions are to be answered before being allowed to remain in the facility, all information is logged. Residents are screened daily, and observed for any changes, all information is logged. Facility was found to be clean, orderly, and at a comfortable temperature with all exits free from obstruction. Toxins are stored in locked cabinets. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored locked making them inaccessible to residents and staff that do not handle medications. All exit alarms were on exit doors and working properly. All bathrooms had grab bars, and non-slip mat/flooring for bathing as needed. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment(PPE). Administrator stated that staff wear masks in the facility, and also when providing care services to the residents in and out of the facility. Administrator and two staff on duty were observed to be wearing mask during the LPA's inspection. No deficiencies found in the areas inspected. No citations issued. Exit interview conducted with the Administrator.the state’s words, verbatim · CDSS document, Sep 16, 2021