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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603156
Report Date: 03/05/2021
Date Signed: 03/05/2021 02:39:28 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:SENIOR CARE & COMFORT LIVINGFACILITY NUMBER:
374603156
ADMINISTRATOR:LOGALLA, BRANDONFACILITY TYPE:
740
ADDRESS:1019 GREENFIELD DRIVETELEPHONE:
(619) 334-3775
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:6CENSUS: 4DATE:
03/05/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:01 AM
MET WITH:Brandon Logalla, LicenseeTIME COMPLETED:
01:42 PM
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Licensing Program Analyst (LPA) Adam Hamer conducted an unannounced Case Management visit via Viber due to COVID-19 restrictions. LPA identified himself, gained access to the facility and met with Licensee Brandon Logalla. LPA toured the facility with Mr. Logalla, including the common areas and kitchen.

When LPA walked into the kitchen with Mr. Logalla, there were no gates or locks preventing him from walking into the kitchen and there were no residents or staff present inside of the kitchen. During the tour of the kitchen, LPA asked Mr. Logalla to open a lower cabinet under the counter next to the refrigerator. The cabinet was not locked and accessible. LPA observed a knife block on the left side of the top shelf of the cabinet. LPA asked Mr. Logalla to take the knife block out of the cabinet and observed several knives of different sizes inside of the block. Mr. Logalla has four (4) residents in care with dementia.

LPA also observed the food supply in the kitchen, including the refrigerator and cabinets. The items in the freezer included a single packet of chicken, boxed Salisbury steak, boxed "Hot Pockets" and several frozen hamburger patties. The items in the refrigerator included a carton of eggs, boxed macaroni salad, oranges, grapes, apples, and a pot and a tray of leftover food items. In the cabinets, LPA observed 3 boxes of macaroni and cheese, a box of pancake mix, 3 trays of cooked ham, 1 can of corn, several other canned items, and cans of Pepsi soda. LPA explained the regulation to Mr. Logalla which requires licensees to have 2 days of perishable and one week of nonperishable items for residents in care. During the visit, Mr. Logalla expressed that he needed to go shopping for additional items.

LPA also asked Mr. Logalla what the residents ate for breakfast and what was being prepared for lunch. No food was being prepared for lunch for the residents at that time and licensee's wife, Winifreda Durango, entered the kitchen, pulled out frozen "Hot Pockets," frozen hamburger patties and boxed macaroni salad from the freezer and refrigerator, and stated that they would be served said items for lunch. LPA observed the facility's sample menu and asked Mr. Logalla why the sample menu stated different items for breakfast and lunch than what was told to LPA. Mr. Logalla stated that the residents eat different things and they don't follow what is on the menu.
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) 301-9770
LICENSING EVALUATOR NAME: Adam HamerTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: SENIOR CARE & COMFORT LIVING
FACILITY NUMBER: 374603156
VISIT DATE: 03/05/2021
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LPA observed deficiencies during today's visit and citations are being issued as detailed on the attached LIC 809D, per California Code of Regulations, Title 22, Division 6, Chapter 8.

An exit interview was conducted with Mr. Logalla via Viber. LPA reviewed with Mr. Logalla this report and the attached LIC 809D, including Licensee's plan of correction. This report, the attached LIC 809C and 809D, along with appeal rights (LIC 9098 01/16) were provided to Brandon Logalla via the email address he provided to LPA; an email confirmation confirms receipt of those rights.
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) 301-9770
LICENSING EVALUATOR NAME: Adam HamerTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: SENIOR CARE & COMFORT LIVING
FACILITY NUMBER: 374603156
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/05/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/12/2021
Section Cited

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87705(f)(1) Care of Persons with Dementia. The following shall be stored inaccessible to residents with dementia: Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).
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This requirement was not met as evidenced by LPA observation and interview with Licensee. Licensee did not ensure that knives stored were inaccessible to residents in care. This posed an immediate health and safety risk to 4 out of the 4 residents in care.
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Type B
03/19/2021
Section Cited

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87555(b)(26). General Food Service Requirements. Supplies of nonperishable foods for a minimum of one week and perishable foods for a
minimum of two days shall be maintained on the premises.
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This requirement was not met as evidenced by LPA observation and interview with Licensee. Licensee did not maintain supplies of nonperishible foods for a minimum of one week and perishible foods for a minimum of two days. This posed a potential health and safety risk to 4 out of the 4 residents 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: Denise PowellTELEPHONE: (619) 301-9770
LICENSING EVALUATOR NAME: Adam HamerTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:
DATE: 03/05/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/05/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3