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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075601062
Report Date: 12/23/2024
Date Signed: 12/23/2024 04:58:52 PM

Document Has Been Signed on 12/23/2024 04:58 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
E BAY DELTA AC/SC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:BETTER LIVING CARE HOMEFACILITY NUMBER:
075601062
ADMINISTRATOR/
DIRECTOR:
GALERA, ANABELLE & RUDOLPHFACILITY TYPE:
740
ADDRESS:106 VIVIAN DRIVETELEPHONE:
(925) 674-8820
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY: 8CENSUS: 7DATE:
12/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Leonilla Montealto, CaregiverTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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On 12/23/2024 at 2:30 PM Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a Case Management visit. LPA met with Caregiver, Leonilla "Leoni" Montealto, and explained the purpose of the visit. Leoni phoned Licensee/Administrator, Rudy & Anabelle Galera to inform. Anabelle Galera authorized, Caregiver Liza Sanchez, to sign document report.

While LPA L. Alexander was conducting a complaint investigation (15-AS-20230629095623) on 12/23/2024. During record review LPA observed R1's file did not include annual medical assessments and appraisals. The appraisals reviewed were from 07/26/2019 and 01/12/2022. LPA observed the facility's Internal Incident Report, dated 10/08/2020, that R1 developed blisters all over their body. In addition, LPA observed during record review that there were no home health records available for R1.

The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties.

Exit interview conducted. A copy of this report and appeal rights provided
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Lori Alexander-Washington
LICENSING EVALUATOR SIGNATURE: DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/23/2024 04:58 PM - It Cannot Be Edited


Created By: Lori Alexander-Washington On 12/23/2024 at 02:32 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: BETTER LIVING CARE HOME

FACILITY NUMBER: 075601062

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/07/2025
Section Cited
CCR
87705(c)(6)

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(c) Licensees who accept and retain residents with dementia...(6) Appraisals are conducted on an ongoing basis pursuant to Section 87463, Reappraisals.

This requirement is not met as evidenced by:
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Administrator will read the regulation and self-certify that they read and understand this regulation moving forward and will comply by submitting self-certification to CCLD by POC due date.
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Based on record review, the licensee did not comply with the section cited above in by not updating annual medical assessments and Appraisal Needs and Services Plans (ANS) for R1 who developed blisters and was noted by Administrator on 10/08/20 while in care which posed a health and safety risk to persons in care.
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Type B
01/07/2025
Section Cited
CCR87609(b)(4)

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87609 Allowable Health Conditions and the Use of Home Health Agencies
(b) Incidental medical care may be provided to residents through a licensed home health agency...(4) The licensee and home health agency agree in writing on the responsibilities...

This requirement is not met as evidenced by:
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Administrator will read the regulation and self-certify that they read and understand this regulation moving forward and will comply by submitting self-certification to CCLD by POC due date.
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Based on record review, the licensee did not comply with the section cited above in by not having home health records on file for R1 while in care which posed a health and safety risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Bennett Fong
LICENSING EVALUATOR NAME:Lori Alexander-Washington
LICENSING EVALUATOR SIGNATURE:
DATE: 12/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/23/2024


LIC809 (FAS) - (06/04)
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