Sk Marathon Home Care

Type of visit: Required - 1 Year

At approximately 12:45 p.m. on 10/10/2025, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with Administrator and disclosed the reason for the visit. LPA and Administrator toured the facility inside and out. The facility was last visited on 09/05/24 for an annual inspection. It is a single story building with four (04) bedrooms, two (02) bathrooms, kitchen, common areas, and outdoor areas. It has an approved fire clearance for five nonambulatory (05) residents, of which one (01) may be bedridden in Bedroom #2. The facility serves residents with dementia. Approved hospice waivers for four (04). At the main entrance, LPA observed an unlocked gate, exercise equipment, a shaded seating area, and a ramp leading to the front with sturdy handrails. LPA observed postings for confidential complaint contacts, emergency contacts, ombudsman contacts, personal rights, rights of resident councils, emergency disaster plan, facility sketch with evacuation routes labeled, administrator certificate, and facility license. Walls, floors, windows, screens, and blinds were clean and in good repair. At 12:55 p.m. LPA measured the room temperature to be 79 degrees Fahrenheit. The living room contained furniture in good repair, an appropriately covered fireplace, games, puzzles, reading material, music, and television. The hallway closet contained additional hygiene supplies. A camera was used to monitor the living area. Four (04) out of four (04) residents were observed relaxing in the living room. LPA observed an adequate supply of perishable and non-perishable foods in the kitchen and dining area. The stove hood was clean. Appliances were in good condition. Sharps were locked above the countertop. Cleaning solutions were locked next to the sharps. Medications were locked in a separate cabinet in the dining area. A washing machine and dryer were located outside of the kitchen. Both were in working order. Detergents were locked above the appliances. The facility has four (04) bedrooms. One (01) bedroom is designated as a staff room. The staff room was locked and free of hazards. All bedrooms contained a chair, appropriate lighting, nightstand, storage, and a bed with adequate bedding. All furnishings were clean and in good condition. Two cracks were observed in the ceiling in the hallway and in Bedroom #3. Interview with Staff #1 (S1) at approximately 1:15 p.m. revealed a maintenance man caused the cracks when fixing the air conditioning. S1 noted they will consult with the property owner about repairs. At 1:20 p.m. S1 called the house telephone and verified that it is operating. The facility has two (02) bathrooms. All bathrooms contained liquid soap, paper towels, trash can with a tight fitting lid, grab bars near the toilet and shower, and a non-skid mat in the shower. At approximately 1:30 p.m. LPA measured the water temperature to be 105.4 degrees Fahrenheit. All emergency exit paths were free from obstructions. Exit gates were unlocked with self-closing latches. Four (04) out of four (04) auditory alarms were turned on and functioning. S1 noted that the facility recently installed a centralized auditory alarm system. At approximately 1:45 p.m., smoke and carbon monoxide detectors were tested and operational. At approximately 1:50 a.m. LPA observed a fully charged fire extinguisher in the kitchen. LPA observed a shaded patio area in the front of the facility. The patio contained furniture in good condition. Ramps leading out were free of tripping hazards and had secure hand rails. The back yard contained fruit-bearing trees and exercise equipment. At 2:00 p.m., LPA conducted a file review of resident and personnel records. All files were available for audit. During today's inspection, the facility was in compliance with Title 22 regulations. No immediate health and safety risks were observed. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Oct 10, 2025

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.

Type of visit: Required - 1 Year

At 9:00 a.m. on 09/05/24, Licensing Program Analysts (LPAs) Nicholas Reed and Angelica Segovia conducted an unannounced annual inspection. LPA met with Administrator and disclosed the reason for the visit. LPA and Administrator toured the facility inside and out. The facility was last visited on 06/10/24 for a complaint visit. It is a single story building with four (04) bedrooms, two (02) bathrooms, kitchen, common areas, and outdoor areas. It has an approved fire clearance for five nonambulatory (05) residents, of which one (01) may be bedridden in Bedroom #2. The facility serves residents with dementia. Approved hospice waivers for two (02). At the main entrance, LPAs observed a maintained front yard with a shaded seating area. LPAs observed postings for confidential complaint contacts, emergency contacts, ombudsman contacts, personal rights, rights of resident councils, emergency disaster plan, facility sketch with evacuation routes labeled, administrator certificate, and facility license. Walls, floors, windows, screens, and blinds were clean and in good repair. At 9:20 a.m. LPAs measured the room temperature to be 80 degrees Fahrenheit. The living room contained furniture in good repair, an appropriately covered fireplace, games, puzzles, reading material, music, and television. The hallway closet contained additional hygiene supplies. A camera was used to monitor the living area. The facility has four (04) bedrooms. One (01) bedroom is designated as a staff room. The staff room was locked and free of hazards. All bedrooms contained a chair, appropriate lighting, nightstand, storage, and a bed with adequate bedding. All furnishings were clean and in good condition. Bedroom #1 and Bedroom #2 had one (01) bed with full bed rails. The residents’ files contained the appropriate prescriptions for full bed rails. Beds with wheels were in the locked position. All emergency exit paths were free from obstructions. Exit gates were unlocked with self-closing latches. Two (02) out of two (02) auditory alarms were turned on and functioning. At approximately 9:30 a.m., smoke and carbon monoxide detectors were tested and operational. At approximately 9:35 a.m. LPAs observed a fully charged fire extinguisher in the kitchen. It was last purchased on 09/07/23. The facility has two (02) bathrooms. All bathrooms contained liquid soap, paper towels, trash can with a tight fitting lid, grab bars near the toilet and shower, and a non-skid mat in the shower. At approximately 9:40 a.m. LPAs determined the water temperature to be within regulations. LPA observed an adequate supply of perishable and non-perishable foods. The stove hood was clean. Appliances were in good condition. Sharps were locked above the countertop. Cleaning solutions were locked next to the sharps. Medications were locked in a separate cabinet in the dining area. A washing machine and dryer were located outside of the kitchen. Both were in working order. Detergents were locked above the appliances. LPAs observed a shaded patio area in the front of the facility. The patio contained furniture in good condition. Ramps leading out were free of tripping hazards and had secure hand rails. The back yard contained fruit-bearing trees and exercise equipment. At 9:50 a.m., LPAs called the house telephone which was deemed operational. During today's inspection, the facility was in compliance with Title 22 regulations. No immediate health and safety risks were observed. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Sep 5, 2024

Allegation investigated: Staff did not prevent the residents from having access to cleaning supplies. Staff did not provide solid waste bins with tight fitting lids.

On 06/10/24 at 10:45 am Licensing Program Analyst (LPA), Lorena Casillas conducted an unannounced complaint visit to investigate the above stated allegation. LPA met with Administrator Sarah Kim and explained the reason for the visit. At 11:00 AM LPA Casillas conducted a physical plant tour. During the investigation, interviews and record reviews were conducted. LPA requested copies of resident roster, LIC 500, Liability Insurance and Administrator Certificate. LPA requested copies of pertinent information relevant to the investigation and any information pertaining to residents and care. Continued on LIC9099-C Substantiated Allegation: Staff did not prevent the residents from having access to cleaning supplies. It is alleged that staff did not prevent the residents from having access to cleaning supplies. On a visit by Ombudsman on 5/14/2024 Ombudsman observed that a dog collar was being used to secure the cleaning supply cabinet. During the facility tour LPA was not able to observe said collar, LPA did observe that an appropriate lock was securing the cleaning supplies. However, Ombudsman was able to provide a picture of this collar. LPA interviewed the Administrator, and it was revealed that this collar was in fact in place of an actual lock but that a new locking device has been implemented. Based on observations and interviews this allegation is deemed Substantiated at this time. Allegation: Staff did not provide solid waste bins with tight fitting lids. It is alleged that staff did not provide solid waste bins with tight fitting lids. On a visit by Ombudsman on 5/14/2024 Ombudsman observed that trash bins throughout the facility did not have tight fitting lids on them. Ombudsman was able to provide a picture of trash cans without lids. LPA interviewed Administrator and it was discovered that Administrator was not aware of this regulation. During facility tour LPA observed that trash cans do have lids, however Administrator admitted to not having trash cans with lids prior to LPA's visit. Based on interview and observation this allegation is deemed Substantiated at this time. Citations issued. Appeals rights discussed and provided. Exit Interview conducted. A copy of this report provided to Administrator. Allegation: Staff did not provide adequate food service to the residents. It is alleged that staff did not provide adequate food services to residents. On a visit conducted by Ombudsman on 5/14/2024 Ombudsman observed that food appeared to have mold on it and it was not labeled. During the investigation LPA was provided pictures by the Ombudsman. LPA interviewed Administrator and LPA was advised that the food is a Korean dish containing pickled garlic called “Maneul Jangajji” and that the white substance observed is actually bits of garlic floating. During interviews it was discovered that residents do not eat that particular dish as it is not offered to them. Furthermore, it was revealed that the container that was observed by Ombudsman is for personal staff use, and it is not fed to residents. Based on interviews and observations, this allegation is deemed Unsubstantiated at this time. Allegation: Staff did not properly maintain the resident’s bathroom. It is alleged that staff did not properly maintain the resident’s bathroom. On a visit by Ombudsman on 5/14/2024 Ombudsman observed that the resident bathrooms were not kept clean. Ombudsman was able to provide pictures. During facility tour LPA observed that restrooms were clean, however during interview with the Administrator, it was revealed that Ombudsman had arrived before cleaning had been completed. It was discovered that the substance that was observed was a cookie that a resident had spit up as this is part of their behavior and staff had not had the opportunity to clean it up yet. During interview with Administrator it was revealed that facility is cleaned early in the morning and late at night, or when there is something that is visibly soiled, it is immediately cleaned up. Based on interview and observations this allegation is deemed Unsubstantiated at this time. Allegation: Staff did not provide non-skid mats for the residents. It is alleged that Staff did not provide non-skid mats for the residents. On a visit by Ombudsman on 5/14/2024 Ombudsman observed that there was a resident restroom that did not have non-skid mats or strips in all bathtubs and showers. Ombudsman was able to provide pictures. During LPA facility tour it was observed that all bathtubs and showers have non-skid mats. LPA interviewed Administrator and it was revealed that the mats are removed for cleaning when not in use. Furthermore, Administrator states that she showed the Ombudsman the mats as they were in the restroom airing out. Based on observation and interview this allegation is deemed Unsubstantiated. Copy of this report provided to Administrator. Exit interview conducted.the state’s words, verbatim · CDSS document, Jun 10, 2024 · control 31-AS-20240603095102

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87705(f)(2) · Plan of correction due date: Jun 17, 2024

87705 Care of Persons with Dementia (f) the following shall be stored inaccessible to residents with dementia (2) Over-the-counter medication… and toxic substances such as … cleaning supplies and disinfectants. This requirement is not met as evidenced by: Based on an interview and observation, the Administrator did not comply with the section cited above being that Administrator admitted that cleaning supplies were accessible to residents in care. This poses an health and safety risk or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jun 10, 2024

Plan of correction: The Administrator will review regulation and submit a written letter certifying that, moving forward, they will ensure to follow and adhere to 87705 Care of Persons with Dementia; The written letter will be sent to the LPA via email by the POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(f)(3) · Plan of correction due date: Jun 17, 2024

87303 Maintenance and Operation (f) Solid waste shall be stored and disposed of as follows (3) All containers, except movable bins, used for storage of solid wastes shall have tight-fitting covers on the containers…This requirement is not met as evidence by: Based on interview and observation Administrator failed to have containers with tight fitting lids. This poses a potential health and safety risk or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jun 10, 2024

Plan of correction: Administrator purchased trash bins with lids prior to LPA visit. This POC is cleared.