Optimum Senior Care Home

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Kesha Lewis arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA was met by staff and administrator joined 20 minutes later. LPA explained the purpose of the visit to Administrator and staff. LPA and administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a 24 bed facility with a current census of 23. There is entry door is leading to the living room, kitchen with a hallway to the bedrooms and bathrooms. Chemicals and medications noted to be locked to residents in care. LPA also conducted the care tool. No bodies of water were observed at the facility. Hot water temperature was measured at 110 F degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees Fahrenheit. All necessary documents were in place. LPA observed the following posted on the facility wall: Facility license, sketch, See Something Say Something poster, Ombudsman poster, Theft and Loss Policy, Resident Bill of Rights, Rights of Resident/Family Councils. The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point. LPA observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place. Resident rooms were sanitary and had the required furniture and furnishings. LPA observed, fire extinguishers inspected on 02/05/2026 and current, smoke and carbon monoxide detectors, central heating and air in the facility. The first aid kit was found in compliance. LPA reviewed three (3) staff files. All staff is fingerprint cleared and associated to the facility and staff have current First Aid or CPR certifications on file. Facility is conducting initial and continuing training as required. LPA reviewed three (3) resident facility files, COVID-19 Plan, and survey binder. All necessary documents were in place. Exit interview held with staff and copies of reports left at conclusion of visit.the state’s words, verbatim · CDSS document, May 1, 2026

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Kesha Lewis arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA was met by administrator. LPA explained the purpose of the visit to Administrator. LPA and administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a 24 bed facility with a current census of 23. There is entry door is leading to the living room, kitchen with a hallway to the bedrooms and bathrooms. Chemicals and medications noted to be locked to residents in care. LPA also conducted the care tool. No bodies of water were observed at the facility. Hot water temperature was measured at 105 F degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees Fahrenheit. All necessary documents were in place. LPA observed the following posted on the facility wall: Facility license, sketch, See Something Say Something poster, Ombudsman poster, Theft and Loss Policy, Resident Bill of Rights, Rights of Resident/Family Councils. The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point. LPA observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place. Resident rooms were sanitary and had the required furniture and furnishings. LPA observed, fire extinguishers inspected on 02/05/2025 and current, smoke and carbon monoxide detectors, central heating and air in the facility. The first aid kit was found in compliance. LPA reviewed three (3) staff files. All staff is fingerprint cleared and associated to the facility and staff have current First Aid or CPR certifications on file. Facility is conducting initial and continuing training as required. LPA reviewed six (6) resident facility files, COVID-19 Plan, and survey binder. All necessary documents were in place. Exit interview held with staff and copies of reports left at conclusion of visit.the state’s words, verbatim · CDSS document, May 16, 2025

Allegation investigated: Facility has bed bugs

Unannounced complaint visit made out to this facility on 10/23/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator Priscilla Quitevis. A brief interview was conducted with the facility designated Administrator at this time. Current census was 22 residents. The purpose of this visit was to inform this facility, and its representative, in regards to the findings from this complaint investigation. Based on a review of the forms and documents, it was learned that a recent pest control visit was conducted on 09/26/2024 by the contracted pest control company Zap Termite and Pest Control. The service call was completed and a report was issued to this facility at that time. It was observed that from the pest control company's visit and assessment, it was concluded that further treatment would be needed to address the presence of bed bugs. It was learned that bed bugs were discovered in the resident bedrooms, particularly in resident bedrooms (# 1, 2, 6, and 10), which would require additional treatments. It was also learned from the report that bed bugs were also found in the facility TV room as well. Substantiated As a result of this investigation, this LPA found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met. The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes. Appeal rights were printed and a copy was given to the facility designated Administrator at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Oct 23, 2024 · control 27-AS-20240919102009

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87303(a) · Plan of correction due date: Oct 24, 2024

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. Based on records review, this facility was found to be deficient of this section as evidenced by the presence of bed bugs from a contracted pest control assessment and report conducted on 09/26/2024. This presented an immediate threat to the Health, Safety, and Personal Rights of the residents in care.the state’s words, verbatim · CDSS document, Oct 23, 2024

Plan of correction: The facility designated Administrator stated that a duly licensed pest control company will be contracted for services to remove and eradicate the presence of bed bugs from this facility. A statement of correction, along with a copy of the contract for services with a duly licensed pest control company, will be completed and submitted into CCL by the due date.

Type of visit: Required - 1 Year

On 05/02/2024 at 12:30 PM, Licensing Program Analyst (LPA) Avelina Martinez made an unannounced visit to this facility to conduct an annual required inspection. LPA Martinez met with Priscilla Quitevis and explained the purpose of the visit. LPA Martinez inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards of the facility to ensure compliance with Title 22 regulations. Administrator certificate expired 10/14/2023, and the Administrator submitted the renewal certification application in a timely manner. The facility is licensed for 24 ambulatory residents, and has a hospice waiver for 6 . There are currently 22 residents who reside at this facility. There are two resident on hospice. The LPA Martinez toured the facility with Priscilla Quitevis on 05/02/2024 at 2:00 PM. LPA Martinez reviewed six resident files and six staff files. All files were maintained and complete. LPA Martinez reviewed two medication administration records (MAR), and they were complete and maintained. The facility has a first aid kit, and all medications are stored in a locked medication cart. The facility fire extinguishers are in good repair and inspected in January of 2024. Facility staff will email last fire inspection report to LPA Martinez by 05/06/2024 by 5:00 PM . The facility has an adequate food supply, and the kitchen was sanitary. Resident bedrooms, bathrooms, laundry room, and common living areas were furnished and sanitary. The facility water temperature measured 105 degrees and facility temperature measured at 74 degrees. Based on this annual inspection, there were no citation. An exit interview was conducted, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, May 2, 2024