Routine inspection·March 18, 2025

At approximately 9:35 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year visit and was greeted by Administrator Thelma Sy and Licensee Danilo Sy. Primtime Care, LLC is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a single story ranch house. The facility has an approved fire clearance for four (4) non-ambulatory Residents. Upon arrival, LPA was informed that there were four (4) residents in care. During the inspection all residents were away at day programs. At approximately 9:50 AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 10:00 AM, LPA toured the facility with Administrator Sy. All exits were clear and unobstructed. The facility's fire extinguisher was last serviced and tagged on 6/12/2024. The Vallejo Fire Department's last inspection was on 7/26/2024. Food supply was sufficient. The facility was sufficiently lighted. LPA inspected three (3) resident bedrooms and found all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Toxins were observed to be stored inaccessible to residents. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility is conducting fire and emergency drills quarterly. The last disaster drill was conducted on 1/22/2025. The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Hot water temperatures for all sinks in facility were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility smoke detectors and carbon monoxide detectors were tested and observed to be operational. Continued on 809-C... ...Continued from 809 At approximately 10:35 AM, LPA reviewed four (4) resident files. Four (4) of four (4) resident files were found to be well organized and thorough with all required documentation. LPA reviewed three (3) staff files. All staff files were found to be well organized with all required documentation including First Aid and CPR certification. One (1) staff member had incomplete training documentation. A Technical Advisory is being issued for the incomplete training documentation. LPA spot checked Medication for two (2) residents. LPA observed all medications to be centrally stored, secure and with proper documentation. Resident’s monies for personal and incidental (P&I) items were audited and found to exceed the values listed on the LIC 400 Affidavit Regarding Resident Cash Resources. This deficiency will be cited. Thelma Sy’s Administrator Certification 7006452740 is current with an expiration date of 10/25/2026. LPA requested the following documents be submitted to Community Care Licensing by 4/18/2025: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Proof of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-809D, Plan of Corrections, LIC 9102 Technical Advisory and Appeal Rights discussed and provided to Director Licensee Danilo Sy. Signature on form confirms receipt of documents.