Routine inspection·October 16, 2024

**This is an Amended Report** On October 16, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 9:20 AM, to conduct the unannounced 1-year required inspection. LPA Calandra was greeted by Sylvia Sinsay, Home Health Aid and explained the purpose of the visit. Stephanine Gaspar, Administrator, Leslie Hassan-Seidman, Chief Patient Care Services, and Tatiana Barsanti, Quality Manager joined the visit later. LPA toured the physical plant. This is a 1-story building with 6 bedrooms, 6 powder rooms/bathrooms, kitchen, living room, dining room, and back and front yards. All bedrooms had sufficient lighting and the required furniture. The bathroom had the required anti-skid floor mats and grab bars. Per interview with the Administrator, Stephanine Gaspar, the facility's fire alarms, smoke detectors, and Carbon Monoxide detectors are directly connected to the Redwood City Fire Department. Hot water temperature was measured within the required 105-120 degrees Fahrenheit. The facility's first aid kit had the required items. The facility had the required 7 days of non perishables and 2 days of perishables at the facility. No food was expired. All sharp objects, soap, detergent, poisons, and cleaning supplies were locked up and in-accessible to persons in care. LPA reviewed 2 resident files and 5 staff files. All were observed to be complete. The facility does not handle cash resources at this time. All resident medications were reflected in the Centrally Stored Medication Records kept at the facility. LPA Calandra requested the following documents be sent to Licensing/RO by 10/23/2024: Current Liability Insurance Current LIC 500 LPA Calandra received the following documents at the facility: Current Administrator Certificate for Stephanine Gaspar During the visit on October 16, 2024, LPA Calandra observed S1 providing medications to a resident in room #3. Per interview with Administrator, Stephanine Gaspar, S1 also provides wound care, helps with breathing treatments, and assists with activities of daily living such as incontinent care. Per a review of Guardian (finger print clearance system), LPA Calandra learned that S1 did not have finger print clearance. In the presence of the LPA, S1 was immediately dismissed from work on October 16, 2024 and will not return to work at the facility until a fingerprint clearance has been obtained per interview with Administrator, Stephanine Gaspar. The facility was assessed a Civil Penalty of $500 ($100 a day x 5 days) because LPA Calandra learned that S1 has been working at the facility from 3/14/2024 to 10/16/2024 without fingerprint clearance. The deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the due date may result in civil penalties. An exit interview was conducted. This report was reviewed with Stephanine Gaspar, Administrator and a copy of the report along with Appeal rights were sent via email on 10/31/2024.