Warm House

Allegation investigated: Resident sustained injury while in care

On 9/07/2022 at 10AM Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct initial 10-day complaint investigation for the above allegations. LPA met with Steve Chou, facility manager and explained the purpose of the visit. It was alleged that resident sustained injury while in care. LPA reviewed R1 file; past to present incident reports, hospice nursing progress note, and visitation log. LPA interviewed S1, S2, and RP. LPA spoke with RP on 9/11/23 at 9:47AM. RP stated that RP follow up with the hospital nurse regrading R1 left leg decoration. Hospital nurse confirmed that R1 did not sustained any bone fractures, nor any injury. The cause of the leg discoloration is cause by vein issue and led to circulator issue. S1, and S2 stated R1 did not have or had any injury while R1 resided at the facility.Therefore, the allegation is Unfounded. Report continue on LIC 9099C... Unfounded Per records review and interviews, the Department has investigated this complaint and has determined it to be Unfounded, meaning that the allegation was false, could not have happened and/or is without reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 11, 2023 · control 15-AS-20230906151037

Type of visit: Required - 1 Year

On 09/11/2023 at 12:10 PM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with facility manager, Steve Chou and explained the purpose of the visit. The facility’s fire clearance was approved for 2/26/2021. LPA toured facility with Steve including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 4 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 113 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 11/29/2022. Emergency Disaster Plan was last posted on 3/28/2023. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 09/03/2023. At 1:00pm, LPA reviewed 4 residents records. At 2:30pm, LPA reviewed 2 staff records and 2 of 2 have current first aid training and associated to the facility. At 1:25pm, LPA reviewed a sample of resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Sep 11, 2023

Allegation investigated: Facility increased resident's fees without notifying the resident of the reason for the increase.

On 5/11/2022, Licensing Program Analysts (LPAs) L. Ibo & K. Nguyen arrived unannounced to deliver complaint findings for the above allegation. LPAs met with Steve Chou, facility manager and explained the purpose of the visit. During the course of the investigation, LPAs obtained information, collected documents and interviewed staff. Based on information obtained, R1 was notified of a rent increase due to recent increase of labor and operating cost, notification was sent out on January 27, 2022 with effective date of April 1, 2022. Based on records review 2 residents and 1 former resident received the 60 days rate increase notification. Based on information gathered, the allegation is UNFOUNDED. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview with conducted and a copy of this report provided. Unfoundedthe state’s words, verbatim · CDSS document, May 11, 2022 · control 15-AS-20220503092849

Type of visit: Required - 1 Year

On 4/21/22 at 10:05am, Licensing Program Analysts (LPAs) K. Nguyen and L. Francisco arrived unannounced to conduct Infection Control Inspection. LPAs met with Administrator, Steve Chou and explained the purpose of the visit. Upon arrival, LPAs temperature were checked. During the Infection Control Inspection, LPAs toured facility including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen and backyard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Facility has a mitigation plan and maintains record of routine screening for residents. Administrator authorized Caregiver, Carl Tiempo to sign. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Apr 21, 2022

The state marks this report as 4 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.