Opalec Board and Care

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Liliana Silveira conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Caregiver Noel Firmeanes. Administrator Arnold Arenas arrived shortly after. According to the facility’s license, the facility has a maximum capacity of 6 non-ambulatory residents age 60 and over. There is a hospice waiver for 3. During today’s inspection, there were a total of 5 residents in care, and per medical records, four were non-ambulatory and 1 was ambulatory. This facility does not feature a secured perimeter or delayed egress doors. LPA, accompanied by Caregiver Noel, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was a comfortable temperature. Hot water temperature at taps accessible to clients were all compliant. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. (CONTINUED ON NEXT PAGE, LIC 809-C) (CONTINUED FROM PAGE 1, LIC 809) No pools or bodies of water were observed on the premises. Per Arnold Arenas, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and residents. LPA reviewed multiple staff and client records/files. The interviews did not raise any significant licensing concerns. The reviewed files contained required documents. Confidential records were stored in locked areas. Licensee also presented proof of current/active business liability insurance. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Arnold, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Jan 26, 2026

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Liliana Silveira conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Licensee Lilia Opalec. According to the facility’s license, the facility has a maximum capacity of 6 non-ambulatory residents age 60 and over. There is a hospice waiver for 3. During today’s inspection, there were a total of 5 residents in care, and per medical records, four were non-ambulatory and 1 was ambulatory. This facility does not feature a secured perimeter or delayed egress doors. LPA, accompanied by Licensee, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was a comfortable temperature. Hot water temperature at taps accessible to clients were all compliant: Bathroom #1 sink was 116.4 F, and Bathroom #2 sink was 114.9 F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. (CONTINUED ON NEXT PAGE, LIC 809-C) (CONTINUED FROM PAGE 1, LIC 809) No pools or bodies of water were observed on the premises. Per Lilia Opalec, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and clients. LPA reviewed multiple staff and client records/files. The interviews did not raise any significant licensing concerns. The reviewed files contained required documents. Confidential records were stored in locked areas. Licensee also presented proof of current/active business liability insurance. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Lilia Opalec, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during to Lilia.the state’s words, verbatim · CDSS document, Jan 24, 2025

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced Case Management Visit to correct/amend a report. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Noel Firmanas, Caregiver and Lilia Oplaec, Administrator arrived during the visit. During today's visit, LPA formally amended a prior facility evaluation report from August 15, 2024 and discussed the changes made with the Licensee. Licensee agreed to remove any copies of the prior report they have, substituting/replacing with the amended report. LPA amended the citation from a B deficiency to an A deficiency. No deficiencies were observed or cited during today’s visit. An exit interview was conducted with Lilia Oplaec, Administrator, to whom a copy of the amended report, this report, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Sep 10, 2024

Allegation investigated: Staff locked resident in a room

Licensing Program Analyst (LPA)Tiffany Holmes conducted an unannounced complaint visit to the facility to deliver findings on the above-mentioned allegation. LPA gained access to the facility, identified herself, and met with Lilia Oplaec, Licensee to discuss the purpose of the visit. LPA conducted the initial investigation visit on April 2, 2021, and was able to interview clients, facility staff, and outside sources. LPA also reviewed records and conducted a physical inspection of the facility. It was alleged that staff locked resident in a room. Interviews revealed that there were two outside witnesses that observed the lock on the door where the lock was on the outside leading into the hallway. Interviews revealed that both witnesses asked the staff to remove and or reverse the lock. Interviews with staff stated that there was never a lock on the door although two credible witnesses stated there was. The investigation produced supporting witness statements to substantiate the staff locked the resident in a room. Based on the evidence obtained from interviews, the complaint allegation is substantiated. A deficiency is cited per Title 22 California Code of Regulation An exit interview was conducted with Lilia Oplaec, Licensee and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit. Substantiated It was also alleged that staff are not dispensing resident's medications as prescribed. Interviews revealed the residents medications are given as prescribed. Interviews revealed the resident took medications and needed assistance with them. Interviews revealed they follow what the doctor says and then gives it to the residents. They make sure that all the residents have a prescription. It was also alleged that staff are financially abusing resident. Interviews revealed that the staff are not financially abusing the resident. Interviews revealed the resident handled their own financial obligations. Interviews revealed that R1 stayed one week and then their family moved them out and put a stop payment on the rent for that month. The investigation did not produce supporting evidence or supporting witness statements to substantiate staff gave resident a bucket to use as a toilet, staff are not dispensing resident's medications as prescribed, and staff are financially abusing resident. Based on the evidence obtained from interviews, and record review, the complaint allegation is unsubstantiated. An exit interview was conducted with Lilia Oplaec, Licensee and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Aug 15, 2024 · control 08-AS-20210324111143

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(6) · Plan of correction due date: Aug 30, 2024

Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. This requirement was not met as evidenced by: Interviews with outside source confirmed R1 had a lock on their bedroom door leading to the hallway. This posed a potential health and safety risk to 1 of 5 (R1) residents in care.the state’s words, verbatim · CDSS document, Aug 15, 2024

Plan of correction: Lincesee removed the lock on the door while LPA was at facility. Licensee will also have training for all staff by an outside vendor regarding persoanl rights of residents. Training/ documents/ and sign in sheet is due to CCl by 08/30/2024.

Type of visit: POC

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to discuss the delivery of the plan of correction. LPA identified herself, was granted entry, and stated the purpose of the visit to confirm a plan of correction issued on 6/4/2024, with Care giver Carlido Miranda LPA conducted a welfare check as well as a phone call to the licensee and an email to the administrator. Plan of Correction that was issued on 6/4/2024 was extended to 7/18/2024. An exit interview was conducted with Care giver Carlido Miranda. A copy of this report and Licensee Appeal Rights (9058 03/22) were provided to Administrator after the conclusion of the visit,the state’s words, verbatim · CDSS document, Jul 8, 2024

Allegation investigated: Staff inappropriately restrained resident.

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced complaint visit to investigate a complaint regarding the above mentioned allegation. LPA was greeted and granted entry by Lilia Opalec, Licensee, and the purpose of today's visit was disclosed. During today’s visit, LPA toured the facility, observed residents in care, reviewed and obtained copies of facility records, and interviewed residents and the Licensee. The facility is licensed to serve six (6) elderly residents, all of whom may be non-ambulatory. A hospice waiver is approved for three (3) residents and the facility is in compliance with the hospice waiver requirements. On May 30, 2024, Community Care Licensing (CCL) received a complaint alleging inappropriatly restraint to Resident #1.(R1) resulted in R1 barricaded in their beds by full bed rails. [Continued on 9099-C] Substantiated [Continued on LIC9099-C]. During the investigation, LPA Rodgers collected pertinent resident records as well as facility documentation, conducted interviews as well as contacting two hospice care facilities to acquire documents. Observation by LPA Rodgers visit revealed full bed rails were on R1 bed. Interviews with staff confirmed full bed rails (2 half rails to make a whole bed rail) have been used since move in date of R1. A records review with Hospice organization (dated March 22, 2024) and Physican's report (dated March 2024) revealed there are no orders in place for full bed rails. The Department has investigated the above-mentioned allegation and based on interviews, record review, and observations, the preponderance of the evidence has been met, therefore, this allegation is deemed substantiated. The following deficiency is cited per CA Code of Regulations Title 22 and noted on the attached LIC9099-D page. An exit interview was conducted with Licensee Lilia Opalec, to whom a copy of this report and the Licensee Appeal Rights (LIC9058 01/16) were provided via hard copy [Continued from 9099] According to S1’s LIC602 Physician’s Report (dated 05//2024): C1 has a Diagnosis of Dementia. Their doctor determined that C1 is only oriented to self only, able to follow instructions, able to communicate her needs. C1 demonstrated to LPA that they were not oriented to place, and time. However, is aware of likes and dislikes and makes the needs known to staff. LPA observations and interviews revealed staff conducts themselves in a professional manner and treats residents with dignity and thoughtfulness. LPA did not encounter allegations or evidence of S1 or other staff treating residents without respect. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted with Licensee Lilia Opalec. Appeal Rights (LIC 9098 01/16) along with a copy of this report was provided to Licensee Lilia Opalec and their signature on this form confirms receipt of these rights.the state’s words, verbatim · CDSS document, Jun 4, 2024 · control 08-AS-20240531101047

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87608(a)(5)(B) · Plan of correction due date: Jun 4, 2024

B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in 1 out of 3 residents did not have a hospice care plan that specified a full bed rail was needed or an approval from the Department which posed a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 4, 2024

Plan of correction: Licensee removed the the lower half bed rail (which made a full rail) and will attend Postural Support training. Proof of training due by POC due date. 7/3/2024.

Allegation investigated: Staff hit resident Staff not meeting resident's needs

Licensing Program Analyst (LPA)Tiffany Holmes conducted an unannounced complaint visit to start an investigation on the above-mentioned allegations. LPA gained access to the facility, identified herself, and met with Lilia Opalec to discuss the purpose of the visit. LPA conducted interviews, made observations, and obtained and reviewed pertinent records. It was alleged that staff hit resident. Interviews revealed that the facility has two staff that are live in and assists the residents. Interviews with staff revealed they have not hit any of the residents. Interviews with residents revealed they have not seen staff hit any of the residents and that they personally have not been hit by a caregiver while at the facility. Interviews with residents did not produce any evidence to show that staff hit resident. It was alleged that staff are not meeting resident's needs. Interviews revealed that they are able to get snacks, food and drinks at any time. Interviews revealed they have not been denied any drinks or food. Staff interviews revealed they offer the residents drinks through out the day and they also offer food and snacks as well outside of times the residents have breakfast, lunch and dinner. Interviews revealed if a resident asks for food or drink they are given the items. Interviews revealed the residents with Dementia are closely monitored regarding their food and drink intake but they are never denied any food or drinks. Interviews with residents did not produce any evidence to show the facilty is not meeting their needs. Based on the evidence obtained from interviews and records review, the complaint allegations are unsubstantiated. An exit interview was conducted with Lilia Opalec and a copy of this report along with\ Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 22, 2024 · control 08-AS-20240215102408

Type of visit: POC

Licensing Program Analyst (LPA) Dawn Segura made an unannounced visit to the facility to conduct a Plan of Correction (POC) visit to confirm that a citation issued on January 24, 2024 has been corrected. LPA was greeted and granted entry by Lilia Opalec, Licensee, and the purpose of today's visit was disclosed. The following citation has been reviewed: 87303(e)(2) Maintenance and Operation. (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). During today’s visit, LPA tested the water temperature in a bathroom used by residents and observed the water temperature to measure 109.3 degrees Fahrenheit. The citation will be cleared as of today’s visit. This report was discussed with Lilia Opalec, and copies of the report and Licensee Rights (01/2016) were provided to her at the conclusion of the visit. The licensee’s signature on this form acknowledges receipt of copies of the rights and this report.the state’s words, verbatim · CDSS document, Feb 8, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced required annual inspection. LPA identified herself and was granted entry into the facility. Licensee, Lilia Opalec, to whom LPA disclosed the purpose of the visit, arrived a short time later. According to the facility’s license, the facility is licensed for six (6) residents, all of whom may be non-ambulatory. During today’s inspection, there were six (6) residents in care. The facility also has an approved waiver for 3 hospice residents. LPA, accompanied by licensee, toured the interior and exterior of the facility. Pathways were free of obstruction and slip hazards. Doors, windows and screens were present and sinks and toilets were in working order. Hygiene supplies and Personal Protective Equipment were present. The facility had sufficient space and equipment to facilitate visitation, meetings, and activities. Hot water temperature in bathroom sinks in bathrooms that are used by residents initially measured at 152.3 and 153.1 degrees Fahrenheit. The hot water heater was adjusted during the visit and signs advising of the high hot water temperatures were posted in each bathroom. Hot water temperature measured at 141.2 degrees Fahrenheit at the end of the visit. There were no sharp objects or open-faced heaters accessible to residents; however, LPA observed Comet cleanser with bleach stored in a kitchen cabinet that was accessible to residents with a diagnosis of dementia. A fireplace with appropriate screening was observed in the living area of the home. No pools or bodies of water were observed on the premises. Per the licensee, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detector, and facility telephone were all working. Refrigerator and freezer were operational. There was at least 2 days of perishable food and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. Medications were labeled, as required, and stored in locked cabinets. First aid kit was complete and readily accessible. LPA interviewed staff and clients. LPA also reviewed staff and client records/files. Resident 1’s (R1) file contained a Physician’s Report; however, the last two pages of the report were missing. Staff file contained proof of current first aid and negative TB test result. Confidential records were stored in locked area. Deficiencies were cited during today's visit, and plans of correction were jointly developed with the licensee. An exit interview was conducted with Lilia Opalec, to whom a copy of this report, the LIC 809-D, LIC 9102TAs, LIC 9102TV, the LIC 811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided at the end of the visit.the state’s words, verbatim · CDSS document, Jan 24, 2024