502701239-4-2-2024-27-AS-MJEN-D3XT86-20240402142945

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 502701239
Report Date: 04/02/2024
Date Signed: 04/02/2024 02:33:27 PM

Document Has Been Signed on 04/02/2024 02:33 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 SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	BRIGHTER LIVING		FACILITY NUMBER:	502701239
ADMINISTRATOR:	TURPO, PAULA ALICIA		FACILITY TYPE:	740
ADDRESS:	3932 FELTON WAY		TELEPHONE:	(510) 735-4057
CITY:	MODESTO	STATE: CA	ZIP CODE:	95356
CAPACITY:	6	CENSUS: 5	DATE:	04/02/2024
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Paula Turpo		TIME COMPLETED:	02:45 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	On 4/2/24 at approximately 10:20am Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual inspection. LPA Jensen met with Administrator Paula Turpo and explained the purpose of today's visit. There are currently 5 residents. The facility is licensed for 6 non-ambulatory residents and has a hospice waiver for 5. The facility serves clients that require dementia care. LPA Jensen toured the interior and observed the facility to be sanitary and free of odor. There was adequate furnishings and lighting throughout. The bathrooms were equipped with grab bars and non-slip flooring in the bath or shower. There is a paper towel dispenser in the bathrooms to avoid the sharing of towels. The facility maintains an adequate supply of linen. The water temperature was measured at 105.1 degrees and is in compliance. The thermostat was set at 71 degrees which is within the required range of 68-85 degrees Fahrenheit. LPA Jensen toured the kitchen and observed a 2 day supply of perishable food and a 7 day supply of non-perishable food. LPA Jensen observed the facility sketch to accurately reflect the facility layout and room usage. Knives, medications and cleaning supplies are locked and inaccessible to residents in care. LPA Jensen observed the first aid kit to be complete. There is emergency lighting available. The emergency disaster plan is posted and in compliance. LPA Jensen observed all required postings to be prominently displayed. The fire extinguishers were newly purchased and in compliance. The smoke detector and carbon monoxide detector were tested and found to be in good working order. LPA Jensen toured the grounds and observed the grounds to be well maintained with all paths free of obstruction. There is outdoor furniture and and a shaded area available for resident outdoor activities. All window screens were observed to be in good repair. The facility was observed to have a back gate that is not self latching.

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (916) 969-9685
LICENSING EVALUATOR NAME: Maja Jensen	TELEPHONE: (916) 639-5584
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2024

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: BRIGHTER LIVING	FACILITY NUMBER: 502701239
	VISIT DATE: 04/02/2024

NARRATIVE

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LPA Jensen reviewed the liability insurance and determined it to be in compliance. A copy of the staff schedule was provided in lieu of the LIC 500. LPA Jensen interviewed 1 staff member and determined that that additional training on personal rights would be beneficial. Technical assistance was provided. LPA Jensen interviewed 2 residents who both stated they are satisfied with all aspects of their care. LPA Jensen reviewed 5 of 5 resident files and determined them to be compliant. LPA Jensen reviewed 5 of 5 staff files and observed 2 of 5 staff files to lack a health screening. Technical assistance was provided. Technical assistance was also provided with a recommendation to treat dietary supplements as a PRN and obtain physician's approval for use. LPA Jensen conducted a random audit of 1 medication and determined the pill count to be off by 1 with no record to account for the discrepancy.

Deficiencies were cited pursuant to the California Code of Regulations (CCR) Title 22, Division 6. Failure to correct deficiencies may result in the assessment of civil penalties.

An exit interview was conducted and a copy of this report was given to the Administrator.

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (916) 969-9685
LICENSING EVALUATOR NAME: Maja Jensen	TELEPHONE: (916) 639-5584
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/02/2024 02:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: BRIGHTER LIVING	FACILITY NUMBER: 502701239
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/02/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

87465(a)(6)

Incidental Medical and Dental Care Services

(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA Jensen's count of medication for Resident 1 and a review of the corresponding Medication Administration Record, the licensee did not comply with the section cited above in1 count which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/30/2024
	Plan of Correction
1 2 3 4	Administrator will conduct in-service training for medication administration and send proof of correction by POC due date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Lisa Rios	TELEPHONE: (916) 969-9685
LICENSING EVALUATOR NAME: Maja Jensen	TELEPHONE: (916) 639-5584
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2024

LIC809 (FAS) - (06/04)

Page: 2 of 6

Document Has Been Signed on 04/02/2024 02:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: BRIGHTER LIVING	FACILITY NUMBER: 502701239
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/02/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

87705(h)

Outdoor facility space used for resident recreation and leisure shall be completely enclosed by a fence with self-closing latches and gates, or walls, to protect the safety of residents. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA Jensen's observation and testing of the backyard gate, the licensee did not comply with the section cited above in1 count which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 04/03/2024
	Plan of Correction
1 2 3 4	Replace or repair gate to backyard and send email to LPA with proof of correction

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Lisa Rios	TELEPHONE: (916) 969-9685
LICENSING EVALUATOR NAME: Maja Jensen	TELEPHONE: (916) 639-5584
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2024

LIC809 (FAS) - (06/04)

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