Vibrant Living II

Type of visit: Required - 1 Year

Licensing Program Analyst’s (LPA) Janet Ngallo conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with caregiver Natalia Lazcano. Administrator Julie Norris later arrived to meet with LPA. According to the facility’s license, the facility has a maximum capacity of six (6) residents, all of whom can be non-ambulatory. During today’s inspection, there were a total of residents in care. LPA, accompanied by caregiver Natalia, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. Hot water temperature was compliant at 110 F, 109 F, and 109 F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] No pools or bodies of water were observed on the premises. Per administrator no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and reviewed staff and client records/files. LPA interviews did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in locked areas. During the facility tour, LPA observed medications being stored in small paper cups outside of the resident's medication containers. An interview with Staff #1 (S1) revealed that S1 transfers medications into the paper containers for when they leave their shift so that the other caregiver can easily administer medications to residents. S1 stated the facility is using a new Medication Administration Record (MAR) system called Alcomy. These medications were not stored in the original medication packages. LPA explained to the administrator and caregivers that medications must not be transferred into different containers in this way and in accordance with licensing guidelines must stay in their original packaging. A deficiency was cited per California Code of Regulations, Title 22 (refer to the attached LIC 809-D page). A Plan of Correction was jointly developed with the Licensee. An exit interview was conducted with caregiver Natalia Lazcano to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Nov 5, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Caregiver Natalia Valdes. Administrator Julie Norris arrived later during the visit. The facility's license shows a maximum capacity of 6 non-ambulatory residents. During today’s inspection there were 6 residents in care. LPA with Administrator Norris toured the interior and exterior of the facility, and inspected each room. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Hot water temperature at taps accessible to residents were not compliant, sink in restroom #1 delivered hot water at 137.1 degrees F; sink in restroom #2 delivered hot water at 136.2 degrees F; sink in restroom #3 delivered hot water at 136.6 degrees F; sink in restroom #4 delivered hot water at 135.3 degrees F. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and residents activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to residents. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Administrator Norris, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher was serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. [CONTINUED ON LIC809-C) [CONTINUED FROM LIC809] LPA interviewed staff and residents, and reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. One deficiency was cited in accordance with CCR Title 22. An exit interview was conducted with Administrator Norris to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Nov 19, 2024

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced Case Management Visit. LPA was greeted by and met with Natalia Lazcano, Caregiver to discuss the purpose of the visit. Administrator, Julie Norris later arrived and met with LPA. Today's visit is in response to a self reported incident. According to a submitted LIC624 Unusual Incident/Injury Report, on 07/08/2024, staff heard a noise and observed Resident 1 (R1) on their bedroom floor complaining of pain to their wrist. Staff noted R1's left wrist was swollen. On 7/9/24, an outside agency requested a x-ray be taken of R1's wrist. On 7/12/2024, staff again observed R1 on the floor of their bedroom. According to the report, R1 had an unwitnessed fall. R1 reportedly told staff that they hit their head. An outside agency performed a mobile x-ray of R1's wrist. The results of the examination determined R1's left wrist was fractured. During the visit, LPA contacted an outside agency source, requested copies of facility and outside agency records and interviewed facility staff. No health or safety issues were identified. No deficiencies were observed or cited during the visit. *Facility staff advised LPA that R1 passed away on July 17, 2024. Staff stated they will ensure the appropriate reporting is submitted to CCLD. An exit interview was conducted with Administrator, Norris, who was provided with a copy of this report and Appeal Rights (LIC9056 03/22). Their signature confirms receipt of these documents.the state’s words, verbatim · CDSS document, Jul 22, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst’s (LPA) Alyssa Ramirez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with caregiver Natalia Lazcano. Administrator Julie Norris later arrived to meet with LPA. According to the facility’s license, the facility has a maximum capacity of six (6) residents, all of whom can be non-ambulatory. During today’s inspection, there were a total of six (6) residents in care. LPA, accompanied by administrator, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. Hot water temperature was compliant. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] No pools or bodies of water were observed on the premises. Per administrator no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and reviewed staff and client records/files. LPA interviews did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with administrator to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Nov 29, 2023