Summerfield Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Administrator Kennedy Wainaina arrived later as did licensee Victoria Wainaina. Facility currently has five (5) residents in care one (1) of which are currently on hospice. Administrator Certificate for Kennedy Wainaina - # 7025718740 expires 6/29/27. All fees current at this time. At approximately 9:30am LPA and caregiver toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered and labeled with opened dates present. LPA observed kitchen drawer containing sharps to be locked and secure. Disinfectants and cleaning supplies are stored in locked cabinets in the garage. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathrooms had required bath mats and grab bars. Water temperature in sinks measured at 111.3 degrees F in room #1, 112.2 degrees F in room #2, and 111.7 in room #5 all of which are within the allowable range of 105 to 120 degrees F. Fire extinguishers were last inspected 4/9/25. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drill was conducted on 05/21/25. LPA discussed with Administrator conducting disaster drills quarterly. Facility has a backup generator for use during a power outage. Outdoor area free from debris and has shaded patio table for outdoor activities. Fire exits all free from obstruction. Continued on 809C... Continued from 809... At approximately 10:30am LPA conducted a review of five (5) out of five (5) resident files and five (5) staff records. Files complete. At approximately 12:30pm LPA and Licensee conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies cited during this inspection. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibilitythe state’s words, verbatim · CDSS document, Oct 7, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Kennedy Wainaina. At approximately 1:00pm LPA toured the building and grounds. The facility was found to be exceptionally clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Kitchen cabinet containing cleaning supplies was locked. Kitchen drawer with sharp knives locked. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were remarkably clean and in good repair. Extra hygiene products and linens were available. Resident bathroom had required bath mat and grab bar. Water temperature in sink accessible to residents in care measured at 107.2 degrees F which is within the allowable range of 105 to 120 degrees F. Fire extinguishers were last inspected 3/20/2024. Smoke/Carbon Monoxide detectors located throughout the facility are operational. Facility’s last quarterly disaster drills were conducted on 9/1/2024. Facility has a backup generator for use during a power outage. At approximately 1:30pm LPA conducted review of 4 staff records. All required documentation present. At approximately 1:45pm LPA conducted a review of 4 resident records. All required documentation present. At approximately 2:15pm LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies Kennedy Wainaina Administrator Certificate 7025718740 expires 6/30/2025. All fees are current. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report and Liability Insurance No deficiencies cited.the state’s words, verbatim · CDSS document, Oct 23, 2024

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to continue the required Annual inspection and was greeted by Kennedy Wainaina, Administrator. Facility currently has five (5) residents in care none of which are currently on hospice. At approximately 12:50pm LPA and Administrator spoke about annual fee being past due. LPA gave Administrator copy of LIS pin # and print out of fee chart with late fee assessed as of 11/23/2023. LPA advised Administrator non-payment could result in a citation. Administrator immediately paid online and LPA observed payment confirmation. LPA reviewed Guardian employee roster with Administrator and verified all current employees are associated and have fingerprint clearance. At approximately 1:00pm LPA reviewed 5 of 5 resident files. At approximately 2:00pm LPA reviewed 5 of 5 staff files, excluding Administrator files. At approximately 3:00pm LPA and Administrator did a spot check of medication and medication records. Medication is centrally stored in a locked cabinet in the kitchen. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility Exit interview conducted with Administrator and a copy of this report was given. No deficiencies cited during this inspection.the state’s words, verbatim · CDSS document, Nov 28, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Victoria Wainaina, Licensee and Kennedy Wainaina, Administrator. Facility currently has five (5) residents in care none of which are currently on hospice. At approximately 2:40pm LPA and Licensee toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered and labeled. Kitchen cabinet containing cleaning supplies was locked. Sharp knives drawer locked and inaccessible to residents. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathrooms had required bath mats and grab bars. Water temperature in sinks accessible to residents in care measured at 109 in room #5, 109 in room #4, resident in room #3 was sleeping so temperature not taken, 106.5 in room #2, and 108.7 in room #1, degrees F respectively, which is within the allowable range of 105 to 120 degrees F. Fire extinguishers were last inspected 03/20/23. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Exit doors in private rooms as well as in dining room and on front door have an auditory alert system that were all functional at time of inspection. Facility’s last quarterly disaster drill was conducted on 10/10/23. Facility has a backup generator for use during a power outage. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility LPA unable to complete annual inspection today and so will return at a later date to complete.the state’s words, verbatim · CDSS document, Nov 21, 2023