Routine inspection·August 23, 2024

On 08/23/2024 at 11:00 AM, Licensing Program Analyst LPA) Jose Calderon conducted an unannounced annual inspection visit at the Sunshine Home Care II Facility. LPA Calderon was allowed entry into the facility by Staff Rodante Cruz. Staff Rodante Cruz asked infection control questions and took LPA Calderon temperature prior to entrance into the facility. The facility is licensed to operate for six (6) elderly residents ages 60 and above, the facility is approved for four (4) non-ambulatory residents, one (1) bedridden and one (1) hospice. Currently there is six (6) residents living at the facility. LPA Calderon explained to Staff Rodante Cruz, the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Six (6) client service records, six (6) client medication records (MAR), three (3) staff records, and inspected the inside facility and outside grounds. LPA Calderon interviewed six (6) clients and three (3) staff members for visit. The facilities’ last fire drill was conducted on 07/10/2024 . The one-story residential home consists of five (5) client bedrooms, four (4) client bathrooms, living room, dining room, kitchen, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage and kitchen area. During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff, and clients, sanitizing stations (Located in common areas and restrooms). LPA observed staff and clients were NOT wearing face coverings. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA Calderon advised the Staff Rodante Cruz to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA Calderon did not observe a deficiency therefore no citations were issued at this time. Annual Licensing Fee is CURRENT. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Staff Rodante Cruz. LPA Calderon observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA Calderon observed the following during inspection of client’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA Calderon observed fully stocked closet with bedding, towels, and toiletries supplies . Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA Calderon observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature properly measured at 112 degrees Fahrenheit, and bathroom #2 hot water temperature properly measured at 112 degrees Fahrenheit. Bathroom #3 hot water temperature properly measured at 112 degrees Fahrenheit and Bathroom #4 hot water temperature properly measured at 112 degrees Fahrenheit, Kitchen hot water temperature properly measured at 115 degrees Fahrenheit. Facility (2) Carbon Monoxide and (8) Smoke Detectors hard wired and connected were tested and are working properly. The facility two (2) Fire Extinguishers was checked and found to be fully charged and accessible . All exit doors in the facility have alarm systems. The facility has a working landline telephone. All toxins and knifes are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked storage cabinet. Facility 2 first aid kit is fully stocked with manuals was checked and in order. Outside grounds were toured and no bodies of water were observed. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to clients. Six (6) client files were reviewed and found to be complete. LPA Calderon reviewed six (6) resident medications (MAR) and they were all found to be administered according to doctor's orders. Three (3) staff files were checked and have the required documents. LPA Calderon noted the Administrator Erika Toth Certification # 6002403740 expiration date of 06/08/2025 was valid at time of inspection. The facility does not handle client's money/cash resources and no Surety bond is needed. Commercial General Liability Policy #PCI5520327904 policy period from 08/20/2024 to 08/20/2025 underwritten by Primary Care Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. Administrator Erika Toth to email LPA Calderon a full copy of the commercial insurance policy including all endorsements no later than 09/10/2024 . All the required documents are posted in the facility in a clearly visible area.