Comfort Home Ii

HEALTH & SAFETY CODE...All RCFEs... shall maintain liability insurance covering injury to residents and guests...$1,000,000 per occurrence & $3,000,000 in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as proof of current liability insurance is not maintained.This deficiency was cited on 11/17/25 but not corrected.

Onsite food stock levels for nonperishables and perishables

Based on observation, the licensee did not comply with the section cited above, as there are no canned fruits maintained for 7-day supply and not enough fresh vegetables and protein for 2-day supply. This poses a potential health, safety or personal rights risk to persons in care.

Infection control plan required in operations plan

Based on absence of Infection Control Plan, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care.- Infection Control Plan is not maintained.

Record centrally stored prescriptions and refill data

Based on absence of Centrally Stored Medication Records, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care.This was cited previously on 11/5/24.

Store centrally held medications in locked secure place

Based on observation, the licensee did not comply with the section cited above as staff medications are stored in unlocked hall closet and clients' medications are stored in unlocked kitchen cabinet, accessible to clients. This poses an immediate health, safety or personal rights risk to persons in care.

Update reappraisal at required intervals

Based on records review, the licensee did not comply with the section cited above in 1 out of 5 client records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- Appraisal for client #5 is dated 4/2024

Health screening and fitness requirements

Based on review of staff records, the licensee did not comply with the section cited above in 2 out of 5 records reviewed, which poses a potential health, safety or personal rights risk to persons in care.There are no health screenings and TB test results maintained for staff #3 and #4.This was observed and cited previously on 3/11/25.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above, as cleaning products are stored in unlocked lower kitchen cabinet, which poses an immediate health, safety or personal rights risk to persons in care.This was observed and cited on 11/5/24.

Provide resident hot water for personal care

Based on observation, the licensee did not comply with the section cited above, as hot water temperature tested at 129 degrees in main client bathroom, which poses an immediate health, safety or personal rights risk to persons in care.This was cited during last annual inspection on 11/5/24.

A. All occupied resident units; B. All facility vehicles; C. All facility exit doors; D. All facility cabinets, cupboards or files that contain elements of the emergency and disaster plan, including, but not limited to, food supplies and protective shelter supplies.Based on absence of spare set of emergency keys, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care.- Facility does not maintain a spare emergency set of keys, including storage shed in backyard

Based on records review, the licensee did not comply with the section cited above, as quarterly Emergency Disaster drills are not documented adequately. This poses a potential health, safety or personal rights risk to persons in care.This deficiency was cited on 11/5/24 and 3/11/25 and not corrected.

Based on records review, the licensee did not comply with the section cited above in 2 out of 5 staff records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- There is no proof that staff #1 and staff #3 received annual 8 hours of medication training.

Based on records review, the licensee did not comply with the section cited above in 2 out of 5 staff records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- There is no proof of annual 8 hours of dementia training and 4 hours of restricted health conditions, hospice care and postural supports training for staff #1 and #3. This was cited on 3/11/25. Civil penalty of $250 is assessed today and will continue to accrue at $100/day until corrected and LPA is notified.

Based on absence of proof of liability insurance, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care.- Facility does not maintain proof of current liability insurance.

Based on observation, the licensee did not comply with the section cited above, as there is no dedicated internet capable device for resident use, which poses a potential health, safety or personal rights risk to persons in care.

HEALTH AND SAFETY CODEA facility shall have all of the following information readily available to facility staff during an emergency:A resident roster with the date of birth for each resident; An appraisal of resident needs and services plan for each resident; A resident medication list for residents with centrally stored medications; Contact information for the responsible party and physician for each resident. This requirement was not met, as there was no documentation available to staff for 3 residents in the event of an emergency.

HEALTH AND SAFETY CODE... training requirements shall also include an additional 20 hours annually, 8 hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and 4 hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This requirement was not met, as there is no proof that staff #6 received 8 hours of dementia training & 4 hours of postural supports, restricted health conditions & hospice care training, which poses a potential health, safety or personal rights risk to clients.

HEALTH AND SAFETY CODEA facility shall conduct a drill at least quarterly... type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill... Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill.This requirement is not met, as record of disaster drills is incomplete. This poses a potential health, safety or personal rights risk to clients in care.

Include required health screening documents

PERSONNEL RECORDSThe licensee shall ensure that personnel records are maintained on ... each employee. Each personnel record shall contain ...a health screening as specified in Section 87411, Personnel Requirements - General.This requirement was not met, as health screening and/or TB test results are not maintained for Staff #4, which poses a potential health, safety or personal rights risk to clients in care.

Keep administrator certification or recertification records

PERSONNEL RECORDSThe licensee shall maintain documentation that an administrator has met the certification requirements specified in Section 87406 or the recertification requirements in Section 87407. This requirement is not met, as proof of recertification of RCFE administrator was not received. Licensee failed to ensure that there is a certified RCFE administrator managing facility, which poses a potential health, safety or personal rights risk to clients in care. On 12/2/24, confirmatiion that Ms. Patalot registered for 40 hour RCFE administrator classes was submitted to CCLD

Maintain physician order documentation in resident record

POSTURAL SUPPORTSA written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met, as MD orders for half bed rails for clients #1 and #2 are not maintained. Licensee failed to ensure that MD orders are maintained for those who have half bed rails, which poses a potential health, safety or personal rights risk to clients in care.

Staff training in personal care activities

PERSONNEL REQUIREMENTSStaff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross.This requirement was not met, as proof of current first aid training for staff #6 was not received nor maintained. Licensee failed to ensure that all caregivers have current first aid training, which poses a potential health, safety or personal rights risk to clients in care.

Based on absence of documentation and confirmation by staff, the licensee did not comply with the section cited above, as there is no documentation of disaster drills available for review. This poses a potential health, safety or personal rights risk to persons in care.

Apply centrally stored medication safeguards

Based on absence of Centrally Stored Medications Records, the licensee did not comply with the section cited above , as record of centrally stored medications is not maintained. This poses an immediate health, safety or personal rights risk to persons in care.

Maintain physician order documentation in resident record

Based on clients records review, the licensee did not comply with the section cited above in 5 out of 5 records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- All residents have half bed rails on their beds, and there are no MD orders on file

Based on client records review, the licensee did not comply with the section cited above, as roster of current residents is not maintained. This poses a potential health, safety or personal rights risk to persons in care.

Must complete individual written admission agreements

Based on client records review, the licensee did not comply with the section cited above in 4 out of 5 records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- There are no admission agreements maintained for clients #3, #4, #5, and admission agreement for client #1 is not signed.

Maintain separate complete record for each resident

Based on client records review, the licensee did not comply with the section cited above in 3 out of 5 client records reviewed, which poses an immediate health, safety or personal rights risk to persons in care.- There are no client records maintained for clients #3, #4, #5.

Obtain baseline medical assessment before resident admission

Based on client records review, the licensee did not comply with the section cited above in 3 out of 5 records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- There are no MD assessments maintained for clients #3, #4, #5.

Complete admission suitability appraisal

Based on client records review, the licensee did not comply with the section cited above in 3 out of 5 records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- There are no appraisals on file for clients #3, #4, #5.

Keep administrator certification or recertification records

Based on absence of current administrator certificates and confirmation from staff, the licensee did not comply with the section cited above, as there is no one currently who maintains a current RCFE administrator certificate. RCFE administrator certificates for Staff #1 and #2 expired in 2018 This poses an immediate health, safety or personal rights risk to persons in care.

Include required health screening documents

Based on staff records review, the licensee did not comply with the section cited above in 2 out of 5 records reviewed, as health screening and/or TB test results are not maintained for Staff #3 and #4 which poses a potential health, safety or personal rights risk to persons in care.

First aid training requirements

Based on staff records review, the licensee did not comply with the section cited above in 2 out of 5 records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- There is no evidence that Staff #5 and #6 have current first aid training.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above, as Lysol, Zep liquid cleaner and Bona floor cleaner are stored in unlocked cabinet in common bathroom and two containers of Zerex anti-freeze auto coolant, paint can, and multiple containers of cleaning products are observed on backyard patio.This poses an immediate health, safety or personal rights risk to persons in care.

Passageways and stairways kept clear

Based on observation, the licensee did not comply with the section cited above, as side yard on east side is not easily accessible because barbecue grill, compressor tank, exercise bicycle and cabinet partially obstruct passageway to gate.This poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, as there are no oxygen in use signs posted at entrance doors or bedroom doors for 3 residents who have oxygen in their rooms. This poses a potential health, safety or personal rights risk to persons in care.

Facility must keep complete hospice care plan on file

Based on client records review, the licensee did not comply with the section cited above, as client #5 is receiving hospice care, but there is no hospice care plan maintained. This poses a potential health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on observation, the licensee did not comply with the section cited above, as hot water temperature tested at 133 degrees in client bathroom. This poses an immediate health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above, as backyard is strewn with items: metal shelving, suitcase, 7 large plastic storage boxes with lids, electric fireplace mantle, plastic sheeting, boxes of toys, 5-gallon water containers, bicycles, exercise equipment, plastic garbage containers. Backyard fence is missing several boards. This poses a potential health, safety or personal rights risk to persons in care.

Based on staff records review, the licensee did not comply with the section cited above in 2 out of 5 records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- There is no documentation that Staff #5 and #6 have received 4 hours of training on postural supports, restricted health conditions and hospice care, and 8 hours of dementia care training.

Based on client records review, the licensee did not comply with the section cited above, as there is no documentation available to staff for 3 residents, in the event of an emergency. This poses a potential health, safety or personal rights risk to persons in care.