Serenity Assisted Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced annual required visit on 06/17/2023 at 12:15 p.m. LPA was granted entry and met with Administrator, Yenny Aviles, who was informed of the purpose of the visit. At the time of the visit there was (2) staff and (4) clients present. The facility is a one-story home with (6) bedrooms and (2) bathrooms. The property is currently adding a back house/ADU and the construction area is gated, locked, and inaccessible to the residents. The facility serves elderly adults with ages 60 years old and up. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following: Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that all staff had infection control training. Physical Plant: LPA observed the client bedrooms and staff office. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. LPA observed outdoor furniture and shaded area for clients. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to clients. The smoke detector and carbon monoxide was operational, and the hot water temperature 112 F. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Care & Supervision/Administration: Adequate staff are present for the supervision of clients during the visit. LPA also reviewed the staff scheduled showing adequate staff coverage. Facility sketch, exit routes, personal rights, complaint information and emergency phone numbers were found posted in the facility. The listed administrator, possesses a current administrator's certificate. Record Review and Resident/Staff Files: LPA reviewed (1) staff files and training. All staff have criminal clearance and updated training along with CPR/First Aid Certification. Two (2) client files were reviewed, and possessed all required paperwork. Health Related Services/ Incidental Medical Services: All client medication was locked in the staff office in a cabinet. LPA reviewed client medications for (2) clients and found all medication listed on the centrally stored medication record and all required labeling was found to be in place. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. LPA reviewed documentation showing the facility's last fire and earthquake drills, which met the department requirements. LPA observed all facility exits were clear from obstructions. LPA observed multiple first aid kit with all required items. No deficiencies were cited at the time of the visit. An exit interview was conducted where a copy of this report was provided to Administrator, Yenny Aviles.the state’s words, verbatim · CDSS document, Jun 17, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Chinwe Nwogene made an unannounced visit to the facility to conduct an annual inspection focused on infection control. LPA was greeted and granted entry by caregiver, Alejandra Aviles who was informed of the purpose of the visit. Alejandra called Licensee Yenny Vieyra Aviles who arrived at the facility shortly after. At the time of visit there was 1 staff and 5 residents present. The facility currently has zero positive or suspected Covid-19 cases. During today's visit, LPA toured the facility inside and out with caregiver, Alejandra and made observations regarding the infection control measures that the facility has implemented. LPA observed Covid-19 postings posted throughout the facility. The facility has an adequate amount of hand hygiene supplies (soap, hand sanitizer and paper towels) in all restrooms. LPA did not observe any pools or bodies of water within the premises. LPA was informed that no weapons or ammunition is maintained at the home. LPA informed Licensee, Yenny about the annual fees due and gave Licensee CDSS PIN number. Yenny stated, will pay annual fees online before the end of the day. The facility has a plan in place to monitor residents regularly for any changes in condition, which includes daily temperature checks. The Facility will contact the resident's physician should there be any event of COVID-19 related illnesses. The facility has a designated infection control lead. The facility also cleans and disinfects the highly touched surfaces during each shift, and as needed. LPA observed PPE supplies. No deficiencies noted at the time of visit. An exit interview was conducted, and a copy of this report was reviewed and provided to Yenny Vieyra Aviles.the state’s words, verbatim · CDSS document, Jun 30, 2022

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christine Le conducted an unannounced visit to the facility for an annual inspection. LPA initially met with caregiver Alejandra Aviles. The licensee Yenny Vieyra Aviles arrived during the visit. LPA toured the facility inside and out. The facility has no bodies of water. The facility has charged fire extinguishers, operating smoke alarms, and carbon monoxide detectors. Outdoor and indoor passageways were kept free of obstruction. Cleaning supplies, medications, and sharps were kept in a safe and locked place. Cleaning supplies were stored in the laundry room and garage. Medications were stored in the office. Sharps were stored in a secured area. The facility had a complete first aid kit. LPA observed a two (2) day supply of perishable food items and seven (7) day supply of nonperishable food items. The facility menu was available for review. The resident bedrooms had the required furniture and functional lighting. The facility had a supply of additional linen and extra hygiene items for the residents. LPA toured the resident bathrooms. LPA observed grab bars and non-skid mats. LPA measured the hot water temperature in the bathrooms. The hot water temperature measured at 117 degrees F. LPA observed that the facility has a mitigation plan to mitigate the spread of COVID-19 in the facility. One central entry point and sign-in policy has been designated for universal entry screening. Routine symptom screening has been initiated at entry for all staff, residents, and visitors. Facility also documents daily temperature and COVID-19 symptom checks, and any change in condition for staff and residents. LPA observed hand sanitizer throughout the facility and a 30 day supply of PPE. All residents have at least a 30 day supply of medications. LPA observed that all emergency contact information for the residents have been updated. No deficiencies were cited during this visit. An exit interview was conducted where this report was discussed and provided to the licensee.the state’s words, verbatim · CDSS document, Jul 21, 2021