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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347001594
Report Date: 05/17/2023
Date Signed: 05/23/2023 01:07:10 PM


Document Has Been Signed on 05/23/2023 01:07 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
SACRAMENTO AC/SC, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833



FACILITY NAME:CHRIS BEST CARE FOR ELDERLYFACILITY NUMBER:
347001594
ADMINISTRATOR:VINLUAN, LITAFACILITY TYPE:
740
ADDRESS:8208 SUMMER FALLS CIRCLETELEPHONE:
(916) 682-3942
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY:5CENSUS: 3DATE:
05/17/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Lita VinluanTIME COMPLETED:
11:45 AM
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A Non-Compliance Conference (NCC) was conducted today on May 17, 2023, via Microsoft Teams with the Sacramento South Regional Office. The purpose of this Non-Compliance Conference meeting was to follow up on a previous citation issued to the facility on 03/01/2023, following a resident who sustained a wound that became infected and was not provided medical attention until a week later.

Present in the meeting is Regional Manager (RM) Stephenie Doub, Licensing Program Manager (LPM) Czarrina Camilon-Lee, Licensing Program Analysts (LPA) Pang Lee, Licensee/Administrator, of Chris Best Care for Elderly, Lita Vinluan and administrator Christopher Vinluan. During this virtual meeting, the Non-Compliance Conference process was explained to the Licensee. A Non-Compliance Conference Summary (LIC 9111) was generated to document this office meeting. A copy of this report and the LIC 9111 was provided to the licensee.

On 03/01/23, Licensee was issued a citation under Title 22 section 87465(a)(1). The licensee did not provide care and supervision as necessary to meet the client’s needs due to licensee not ensuring necessary and timely medical care was provided which led to resident sustaining an infected wound that required surgery to repair the infection.

Issues discussed during the meeting were:


· The current citation regarding resident’s person rights due to neglect wound care
· Timely Medical Attention
· Reporting Requirements
· Licensee/Administrator accountability
· Required 20 hours of continue training for all staff
· (Following) the Plan of operations
Continued on LIC 809-C
SUPERVISOR'S NAME: Czarrina A Camilon-LeeTELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Pang LeeTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:
DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/17/2023
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: 05/17/2023
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·LIC 603 Preplacement Appraisal Information (provided to administrator)
· Annual Visit and Records to be Maintained at the facility (provided to administrator)
· Up dated LIC 500 that ensure administrator Christopher Vinluan will commit 20 hours per week
· 30 days eviction notice if facility can no longer meet resident’s need
· TSP Technical Support Program

The facility has stated they will agree to do the following
· Increase presence of administrator Christopher Vinluan to at least 20 hours a week
· Submit new and current LIC 500 Personnel Summary for facility to include the administrator Christopher Vinluan presence by 5/22.23
· Submit proof of current continuing educations trainings to all facility staff by 5/22/23

During today’s meeting it was discussed that TSP engagement is available and the Regional Office will make a referral to the Unit to provide services to the facility. The Regional Office (RO) will continue to monitor the facilities progress. The RO will continue increased monitoring to verify compliance with issues discussed during the meeting on 05/17/2023. The RO will revisit compliance in 9-12 months and begin the legal process if facility is not in compliance.
SUPERVISOR'S NAME: Czarrina A Camilon-LeeTELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Pang LeeTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023
LIC809 (FAS) - (06/04)
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