Correction check·November 13, 2024

LPA arrived unannounced to conduct a plan of correction visit and met with caregiver. LPA reached Licensee Luningning Alicdan via phone and discussed items including but not limited to: plans of corrections that have not been fulfilled, plans of corrections due for citations issued today, and civil penalties assessed today. On 10/30/24 citations were issued for the following deficiencies with respective plans of correction: 87405(a) - Licensee to submit LIC500 showing what hours she is allocating for caregiving and what hours she is allocating to Admin duties. Hours reflected must be sufficient as indicated in the regulation. On 10/31/24 Admin submitted to CCL LIC500 showing Admin working 2 hours per day, Monday through Friday. Today 11/13/24, LPA discussed licensee being present at facility a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified and free from other responsibilities such that they can attend to the administration duties required as necessitated by the care needs of residents and requirements of staff (i.e. arranging doctor visits, updating care plans, and conducting staff training) Licensee agrees to submit updated LIC500 showing more than 10 hours per week dedicated to Administrating duties. Licensee will submit updated LIC500 by 11/18/24. HSC1569.625(b)(2) - Facility to submit proof of online training for all staff Training to include the following information: Date, Training Topic, Name/Job Role, and Signatures by POC due date of 10/31/2024. On 10/31/24 licensee submitted training log with title of “on-line training” but did not specify the training topics covered. Licensee hand wrote “I have to enroll them again at CCO to the next training. I will call CCO and enroll them on Monday.” Today 11/13/24, LPA discussed with licensee the annual training of staff for this facility. LPA and licensee discussed that three [3] employees have 18,14, and 13 hours of the 20 required per regulation. LPA asked licensee if any more training hours had been completed since the last citation issued on 10/30/24. Licensee advised no additional training has been completed because licensee unable to log in on CCO website. Licensee explained that she has trouble navigating online services and keeping track of passwords. So, LPA could not verify with licensee that all staff have completed at least 20 hours of annual training ( deficiency cited, see 809D. **civil penalty assess e d **) Continued on 809C... Continued from 809... 87303(e)(2) - Licensee to submit a water temperature log for the next 10 days. Temperature to be checked twice a day for all sinks starting on 06/20/2024. Log to include location of sink and time documented. Log to be submitted to CCL for review and approval by POC due date 10/31/2024. On 10/31/24 licensee submitted water temperature log but did not include location of sink and time documented. Today 11/13/24, LPA tested water temperature in the sink in the kitchen, in the main bath on side B, and rooms #1,#4, and #7. Licensee requested LPA use facility thermometer to get temperature readings in addition to LPA's state issued thermometer. LPA took water temperature readings using both LPA's thermometer and facility's thermometer. Water temperature readings were captured on video. Water temperatures measured at 111.5 degrees in kitchen, 128 degrees F in the main bath on side B, 109.4 degrees F in room #1, 109.1 degrees F in room #4, and 130 degrees F in room #7. The water temperature readings in the main bath on side B and in room #7 are not within the allowable range of 105 to 120 degrees F ( deficiency cited, see 809D. **civil penalty assessed**) Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Licensee. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with caregiver and a copy of this report was given .