Health check·May 16, 2025

On 05/16/25, Licensing Program Analyst (LPA) Pang Lee arrived at Abundant Peace for the purpose of conducting a Case Management Inspection to address deficiencies observed on 11/26/24 during an annual inspection to ensure compliance prior to accepting any residents in care. LPA Lee met with care staff Barbara Williams who assisted with today’s visit. LPA conducted a case management inspection to ensure there are no health and safety concerns. The facility is a single-story building licensed to serve six (6) non-ambulatory residents and approved for 2 hospices wavier. LPA Lee conducted an inspection of the physical plant, including but not limited to the common areas, kitchen, dining area, resident bedrooms and bathrooms, laundry room, garage and outdoor courtyards, to ensure compliance with Title 22 regulations. The facility was observed to be clean and odor-free. The facility was not in good repair. LPA Lee observed exposure wires in the common area on both side of the television. Resident bedrooms were properly furnished with appropriate bedding and adequate lighting. No bodies of water were observed on the premises. During the kitchen tour, LPA Lee observed a sufficient supply of food, including a seven-day supply of non-perishable and a two-day supply of perishable items. The hot water temperature in the resident bathroom sink measured 111.2°F, which falls within the regulatory range of 105°F to 120°F. Grab bars and non-slip mats in the bathrooms were secure and in good condition. Smoke and carbon monoxide detectors were found to be operational and in compliance with fire safety requirements. The facility's fire extinguisher, located in the common area and was last serviced on 05/02/25. Two public telephone was observed in the common area and in the kitchen; however, there are no services. Required documents and posting were visibly displayed; however, PUB 475 needs to be in the size of 20” x 26". Continued LIC 809-C The facility thermostat was set to 69°F at the time of the inspection. Toxic cleaning agents were stored underneath the kitchen cabinet inaccessible to residents. Sharp knives were observed secured in a locked kitchen cabinet. The first aid kit was inspected and contained all required supplies. The facility has a designated lock area for residents Medications, residents and facility staff files. One staff file was reviewed and complete. Based on LPA’s walk through of the facility it was observed that one of the resident’s bedroom was switched with the staff room and did not aligned with the submitted facility sketch to the department. A review of staff records confirmed that all individuals requiring background checks were fingerprint cleared and associated with the facility. LPA Lee inspected the courtyard and observed the health and safety concerns. Ramps that were put in placed in the patio were observed not sturdy and a tripping hazard. The following dependencies that were observed on 11/26/24 has not been corrected: • The facility shall be in good repair. Exposed wires made accessible to residents. • The Licensee shall remove the dried vegetation, branches and weeds. • The following shall be posted and visible to residents in care: The Administrator's Certificate, facility sketch, the Local Ombudsman poster, CCLD complaint poster. • Ramps in patio deck needs to be extended to prevent tripping hazards. Side rails need to be sturdy. • Residents needs to have access to telephone • The licenses will ensure that there are various activities made accessible to residents in care. • Ensure all sheds are locked at all times. • Garage will be de-cluttered and ensure all potential hazard are locked. As a result of this case management, the facility is not in compliance with Title 22 Regulation, and the deficiencies can be found on the LIC 809-D page. An exit interview was conducted with caregiver Barbara and a copy of these LIC 809 reports, LIC 809-D page, and Appeals rights were provided to the facility.