Santa Monica Home & Care 3

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the annual inspection. LPA Allen, met with Svetlana Dagala- Caregiver and she was informed of the purpose of the visit. Facility is licensed to serve six (6) ambulatory residents and an approved hospice waiver for three (3) residents. Two (2) of the residents may be non-ambulatory. Currently there is no one on hospice and One (1) resident is receiving home health services. The facility does not handle any of the residents’ money. This home is a single story home consisting of: four (4) bedrooms, three (3) bathrooms, sofa and kitchenette. There is an adjacent enclosed patio/activity room area, laundry room (located in the attached garage) and an outdoor shaded patio area. At 1:00 PM, LPA Allen, toured the resident bedrooms which had the required furniture, bed linens and closet/drawer space to accommodate each resident. The bathrooms appeared to be in good condition and operational. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, water temperature measured between 105- 119.F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. At 2:00 PM, LPA Allen, reviewed two (2) clients’ files for admission agreements, updated physician reports, and needs and services plan which appeared to be up to date. LPA reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings which appeared to be up to date. LPA toured the outside grounds and there was no bodies of water observed. Indoors and outdoors were free of obstructions. The kitchen was inspected, and there was a 5-day supply of perishable and a 7-day supply of non-perishable food items available, which was adequately maintained and stored. The fire extinguishers, carbon monoxide detectors and smoke detectors were fully charged and operable. Based on the observations made during today’s visit, no deficiencies were cited. An exit interview was conducted, and this report was discussed and provided to Svetlana Dagala- Caregiver at the conclusion of the visit.the state’s words, verbatim · CDSS document, Sep 18, 2025

Type of visit: Required - 1 Year

On 08/08/2024 at 8:12 am Licensing Program Analyst (LPA), David España conducted an unannounced annual visit using the full CAREs tool. Upon arrival at the facility, LPA España conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection. LPA verified that the facility has an approved mitigation plan report. LPA was granted access and allowed to enter the facility to conduct the inspection. LPA was met by Gary Strathearn Administrator and the purpose of today’s visit was explained. Facility is a four-bedroom, three-bathroom, apartment unit in a shared building. There is a kitchen, dining room, and a common area with a couch and TV. Outdoor area contains a patio, garden, and a detached storage garage for supplies. All indoor and outdoor passageways were free of obstruction, and perimeter gates were unlocked. No accessible hazards were observed. There are four client bedrooms, each currently set up for single occupancy. Bedrooms are adequately furnished and clean. There are no staff rooms in this facility. All bathrooms have clean and working toilets, wash basins, and showers. LIC 809-C (cont) Beds have the required linens and extra supplies of linens and hygiene items are available. Facility has a facility land line (310) 576-0044 and family and resident land line (310) 310-3931, disaster plan is posted and available for review in hallway, fire extinguisher located in common area is charged. Licensee has a waiver to utilize this kitchen for a total of four facilities. Dishes, cups and flat were are stored in kitchen cupboards, inspected and in good repair. Knives and other sharps are kept in a locked drawer. An adequate supply of perishable and emergency foods was observed to be properly stored on site. Dishwasher and all other appliances are functioning properly. During the facility tour focusing on the Physical Plant and Environmental Safety, Gary Strathearn Administrator, and a Licensing Program Analyst (LPA) David España conducted a thorough inspection of the premises. The primary objective was to assess the facility's compliance with safety standards and ensure that all equipment was functioning properly. Key Observations: 1. Refrigeration and Freezer Units: - A total of three refrigerators and three freezers were inspected during the tour. - Two of these refrigerators were located in the garage and facility area. - The remaining refrigerators and freezer were situated in the basement, Purpose of the Inspection: - Safety Compliance: The tour aimed to verify that all refrigeration units were operating within safe temperature ranges to prevent spoilage and ensure food safety. LIC 809-C (cont) - Equipment Condition: The condition of the refrigerators was assessed to ensure they were well-maintained and free from any potential hazards. - Environmental Safety: The placement and operation of these appliances were reviewed to ensure they adhered to environmental safety standards, minimizing risks such as electrical hazards or improper ventilation. LPA tested 6 battery-operated smoke/carbon monoxide detectors; all were functioning properly. Stove burners, dish washer, microwave and refrigerator were all working properly. Facility has working central air. LPA did not observe any accessible hazards during inspection. Chemicals are to be locked in a secure designated cabinet in the common area. Water temperature tested at 115 degrees Fahrenheit throughout the facility. A first aid kit was inspected which had a thermometer, tweezers, scissors, antiseptic, bandages, gauze and current first aid manual. Medications are stored in locked cabinets in the common area. All staff and client records are secured in filing cabinets, facility does not handle client funds. facility has board games, books, and other recreational materials for the clients use. No bodies of water are present. Fire clearance for 4 ambulatory and 2 non-ambulatory residents was approved on 4/25/17. Facility was observed to be operating within the limits of this license during visit. Perimeter gates and exits are locked and do not contain delayed egress devices. Alert signals are located on all exits. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Administrator Gary Strathearn.the state’s words, verbatim · CDSS document, Aug 8, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.