Palm Gardens Wellness Home

Type of visit: Required - 1 Year

On 10/17/23, Licensing Program Analyst (LPA) Mario Leon conducted an unannounced annual required visit using the CARE inspection tool. LPA was met by Anchie Reyes, Assistant Administrator, and explained the purpose of the visit. The facility is a single-story structure located in a residential neighborhood. It consists of the following: five (5) resident's rooms, two (2) common bathrooms, living area, dining area, kitchen, a staff room and outside covered patio area. LPA toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be clean and operational. The water temperature measured 114.4 degrees F in bathroom #1 and 114.2 degrees F in bathroom #2. A comfortable temperature of 72.2 degrees F was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained properly. Smoke detectors and two carbon monoxide detectors were working properly. The facility has two (2) fire extinguishers that were charged, last checked as of 07/17/2023. A working mobile telephone remains available, on-site, as 562-519-9091. Toxins and sharps were locked and inaccessible to clients. Medications were locked and inaccessible to clients and centrally stored, first aid kit was checked and needed new bandages. Outside grounds were toured and no bodies of water were observed. Shaded area in backyard was accessible. Exits/Walkways around the home were free of debris and hazards. Report Continues, see LIC809C During the visit, LPA Leon observed the facility infection control practices. LPA Leon observed screening protocols for visitors, hand sanitizer was available throughout the facility located on the walls and in the front entrance region. LPA advised the Assistant Administrator to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance. During today's visit, there were no deficiencies cited. An exit interview was held with Assistant Administrator, Anchie Reyes, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Oct 17, 2023

Type of visit: Case Management - Annual Continuation

On 08/08/22 Licensing Program Analyst (LPA) Ernand Dabuet conducted a case management - annual continuation visit at this facility. Upon arrival at the facility, LPA was greeted by assistant administrator Anchie Reyes and conducted a risk assessment. Based on the assessment, the facility is clear of COVID-19 infection. During the inspection, smoke detectors and carbon were tested and found in working condition. The facility has a working lineline phone. A review of Medication Administration Record (MARs) revealed to be maintained accurate and in order. DEFICIENCIES: LPA reviewed service records for resident #2 (R2) who was admitted on 07/05/22 under hospice care and failed to notify CCL within five days of admittance according to Hospice Care Waiver Regulation 87632. The administrator is being cited according to Administrator's Qualifications Regulations 87405 resulting in multiple deficiencies cited. California Code of Regulations (Title 22, Division 6, Chapter 8), deficiencies were observed, and citations were issued (ref. LIC 9099-D). An exit interview was conducted and a copy of the Evaluation Report and Appeal Rights were provided to Anchie Reyes.the state’s words, verbatim · CDSS document, Aug 8, 2022

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87405(b)(2) · Plan of correction due date: Aug 15, 2022

87405(b)(2) Administrator - Qualifications and Duties. (b)The administrator of a facility or facilities shall have the responsibility and authority to carry out the policies of the licensee. (2 )Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by: Based on interview and record reviews the Licensee/Administrator failed to adhere to Title 22 regulations, resulting to multiple deficiencies cited, which poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Aug 8, 2022

Plan of correction: The licensee will create a plan to ensure that the administrator performs knowledge of and conforms to applicable laws, rules and regulations. The licensee to review Title 22 87405. Plan of correction will be submitted by POC due date: 08/15/22

From the deficiency page — Deficiency type: Type B · Section cited: CCR87632(2) · Plan of correction due date: Aug 15, 2022

87632 Hospice Care Waiver (2) The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility or within five working days of admitting a resident already receiving hospice care services... This requirement is not met as evidence by: Based on interview with licensee, Licensee failed to report to CCL with resident R2 admitted at this facility as of 07/05/22. This violation possess a potential Health and Safety risk to residents in care.the state’s words, verbatim · CDSS document, Aug 8, 2022

Plan of correction: Licensee will adhere to Title 22 - 87632 regulations and will ensure to notify CCL of hospice residents in care. Licensee will ensure to review this regulation and present proof of correction sent by fax 323-981.1781 to El Segundo Regional office by 08/15/22.

Type of visit: Required - 1 Year

On 08/07/22, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA met with assistant administrator Anchie Reyes and explained the purpose of today’s visit. The facility is licensed to operate for six (6) non-ambulatory elderly residents ages 60 and above. The facility is approved for two (2) hospice residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: five (5) resident's rooms, two (2) common bathrooms, living area, dining area, kitchen, a staff room, and outside covered patio area. LPA toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be clean and operational. The water temperature measured 107.6 F. A comfortable temperature of 73 degrees was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained properly. The facility has two (2) fire extinguishers that were charged. A working landline telephone remains available. Evaluation Report Continues on LIC 809-C INFECTION CONTROL: During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed staff were wearing face coverings, LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. A review of staff tests and residents' vaccination along with daily temperature checks were conducted. The facility has an approved Mitigation Plan Report on file with CCLD. DEFICIENCIES: During a health and safety inspection, LPA observed at 3:01 pm a cleaning solution on top of the toilet in bathroom #1. LPA identified at 3:07 pm, shower floor in bathroom #1 unsanitary with black marks. During record review, LPA observed resident #2 admitted on 07/05/22 as a hospice resident. This exceeded beyond the conditions and limitations specified on the license. The facility is licensed for (2) hospice waivers and currently, the facility is operating with (3) hospice residents in care. Due to time constraints, an annual continuation is required to complete a health and safety inspection at a later date. Deficiencies are issued and an exit interview is conducted with Anchie Reyes. A copy of this report is provided along with the appeal rights.the state’s words, verbatim · CDSS document, Aug 7, 2022