347001594-3-7-2025-27-AS-PLEE-CUTR66-20230818124413

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 347001594
Report Date: 08/18/2023
Date Signed: 03/07/2025 11:16:21 AM

Document Has Been Signed on 03/07/2025 11:16 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO AC/SC, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

FACILITY NAME:	CHRIS BEST CARE FOR ELDERLY		FACILITY NUMBER:	347001594
ADMINISTRATOR:	VINLUAN, LITA		FACILITY TYPE:	740
ADDRESS:	8208 SUMMER FALLS CIRCLE		TELEPHONE:	(916) 682-3942
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95828
CAPACITY: 5	TOTAL ENROLLED CHILDREN: 0	CENSUS: 3	DATE:	08/18/2023
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Lita Vinluan		TIME COMPLETED:	01:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	LPA Lee conducted a health and safety case management visit. No citation was issued during today's visit. An exit interview was conducted, and a copy of these LIC 809 reports were provided to the facility. On 08/18/2023 at 12:00 PM, Licensing Program Analyst (LPA) Pang Lee met with, licensee Lita Vinluan, of Chris Best Care Home For Elderly for a case management visit to follow up on a substantiated allegations which resulted in resident being hospitalized. On March 1, 2023, the Department concluded a complaint investigation which alleged the following allegations: due to staff neglect, a resident was hospitalized; and Client not treated with dignity and respect. The allegations were substantiated, the licensee was cited for violating California Code of Regulations (CCR) Title 22, § 87465(a)(1) Incidental Medical and Dental Care for failure to arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of resident resulting in the resident being hospitalized and requiring surgery. Resident #1 (R1) obtained a wound on R1's leg that became infected and required hospitalization and surgery. Responding paramedics and treating physician concurred that leg wound was likely infected for approximately 1 week prior to admission to hospital The investigation revealed that Staff #1 (S1) reported Resident #1 (R1) had a wound to R1's leg for about 2-3 weeks. S1 stated that R1 had a blister on R1's leg for about four days. The blister popped then the wound started getting worse. S1 told R1's family, but S1 was not sure if they saw the wound. S1 told R1's sister, (A1) that R1 had a sore on R1's leg. A1 brought bandages and medicated ointment. S1 was not sure if A1 saw the wound. S1 thought the wound would get better. On 9/8/2022, R1's niece, A2 visited R1. At this time S1 told A2 that R1 had a scratch to R1's leg. A2 reported that S1 made it sound like it was not a big deal and did not think any of it. On 9/12/2022, S1 sent A2 a picture of the leg. A2 was “shocked.” A2 contacted R1's doctor who said to send R1 to the emergency. room. R1 went to the emergency room on 9/12/2022, by ambulance. Continued LIC 809-C

Czarrina A Camilon-Lee	TELEPHONE: (916) 263-4700
Pang Lee	TELEPHONE: (916) 263-4700
	DATE: 08/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO AC/SC, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

FACILITY NAME: CHRIS BEST CARE FOR ELDERLY	FACILITY NUMBER: 347001594
	VISIT DATE: 08/18/2023

NARRATIVE

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THIS REPORT WAS CREATED IN ERROR.

The paramedic report notes that the caregiver said the wound had been infected for about one week. The paramedic, Blake Rivera (P1), was interviewed and reported R1 had a “very infected” wound on R1's foot/shin area. It did not appear wound care was being done. The wound did not appear to be in healing stages, and the wound had a smell. P1 reported that the bandages were dirty, and it looked like they hadn’t been changed. P1 also reported R1 had a fever of 103 degrees Fahrenheit.

R1 was seen by (D1) who was not sure how long R1 had the wound. R1’s wound which appeared to be old, it got worse and had become infected. (D2). performed a surgical procedure to the wound. D2 reported that
R1 had a blood clot that had become infected, the wounds were incised and drained. Per the operating room report, there was minimal pus, and it was more dead tissue that was removed. D2 had no idea if R1 had had the infection for some time. D2 felt the paramedic report of the wound being infected for about one week was reasonable based on his assessment, and it would usually take about one week to develop an infection S1 reported that R1's leg had been like it was depicted on 9/12/22 for about two weeks.
Based on observation, interview, and record review, the licensee failed to obtain timely medical attention when the resident had a change condition and worsening wound. The licensee failed to obtain timely emergent care for the resident which caused the resident to suffer serious bodily injury to include a leg infection that required surgery. The licensee’s failure to seek timely emergent care caused the resident to suffer serious bodily injury. At the time of the complaint visit, the issuance of a Civil Penalty was still being determined and the licensee was informed that a civil penalty might be assessed based on Health and Safety Code §1548(e)(1)(A). The Department has concluded an analysis and has determined that an Enhanced Civil Penalty is warranted for serious bodily injury. The Penal Code § 243 defines serious bodily injury as “a serious impairment of physical condition, including, but not limited to, the following: loss of consciousness; concussion; bone fracture; protracted loss or impairment of function of any bodily member or organ; a wound requiring extensive suturing; and serious disfigurement.” Today, 08/18/2023, the Department will be issuing a Civil Penalty per Health and Safety Code §1548(e)(1)(A) for $10,000.

Exit interview was conducted with Licensee, Lita Vinluan. Appeal Rights provided and a copy of the report LIC 809, LIC 809-C and LIC 4211E was given to the licensee.

SUPERVISOR'S NAME: Czarrina A Camilon-Lee	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Pang Lee	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2023

LIC809 (FAS) - (06/04)

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