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Inspection visit

Routine inspection

COBBLE STONE RESIDENTIAL HOME CARE LLCLicense 1572088324 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 04/09/2026 Licensing Program Analyst arrived at the facility to complete an unannounced annual visit. LPA met with Care Giver, Zenaida Ganas explained reason for visit and was permitted entry into the facility. Administrator, Catherine Clark was contacted and arrived a short time later. LPA completed a tour of the facility inside and out. A health and safety check was completed on residents in care. 5 of 6 resident was present during visit. 4 of 6 residents currently receiving hospice services. Pathways and doors were clear and free from obstruction. Facility was without odor. Common areas were adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors operate on a system and last serviced on 08/27/2024. Resident rooms observed to have the required furnishings and with adequate lighting. LPA observed sufficient seating under covered patio areas. The following issues were observed during today’s visit: chemicals observed under the bathroom #2 sink, on the night stand in bedroom #2, in laundry room cabinet and in garage cabinet unlocked and accessible to residents in care. 2 of 2 resident files reviewed did not have the required documentation, 2 of 2 staff files did not have the required documentation. Disaster preparedness did not have a meeting location on facility sketch, 1 location outside the surrounding area and disaster drills are not being completed. Deficiencies cited per California Code of Regulations, Title 22, deficiencies are being cited on the attached 809D. If not corrected, the violation with have a direct risk to the health, safety and/or personal rights of residents in care. LPA requested the following documents to be submitted to CCL by 04/17/2026: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-E), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file. Exit interview was conducted with Administrator, Catherine. A plan of correction was developed by Administrator and reviewed by LPA. A copy of this report, deficiencies, and appeal rights were discussed and provided.

Citations

4 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 1569.695(a)Type B

    Based on records reviewed, the licensee did not comply with the section cited above in that 1 location shelter is not outside the immediate area. Facility sketch does not have an assembly point identified. Facility is not completing quarterly drills. Last fire disaster drill was last completed on 08/27/24. This poses a potential health, safety or personal rights risk to persons in care.

  • Store disinfectants separately from food supplies

    Based on observation, the licensee did not comply with the section cited above in that LPA observed chemicals in bathroom #2 under sink unlocked and accessible. Chemical in laundry room cabinet observed unlocked and accessible. Chemicals in garage cupboard observed unlocked and accessible. This poses a potential health, safety or personal rights risk to persons in care.

  • 87412(a)Type B

    Maintain required personnel records for staff

    Based on records reviewed, the licensee did not comply with the section cited above in that 2 of 2 personnel records reviewed did not have the required documents. S1 was missing health screening, job application, employee rights. S2 was missing documentation of fingerprint clearance, health screening, TB testing and employee rights.This poses a potential health, safety or personal rights risk to persons in care.

  • 87506(b)Type B

    Resident record must include minimum required items

    Based on records reviewed, the licensee did not comply with the section cited above in that 2 of 2 resident records did not have the required documentation. 2 of 2 medical assessments reviewed were over 1 year old. 2 of 2 files reviewed did not have a pre-admission appraisal. 2 of 2 files reviewed did not have a reappraisal completed within the last year. 2 of 2 files reviewed did not have a functional capabilties. 2 of 2 files reviewed did not have safeguarding for property/valuables.This poses a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 9, 2026 inspection of COBBLE STONE RESIDENTIAL HOME CARE LLC?

This was an inspection of COBBLE STONE RESIDENTIAL HOME CARE LLC on April 9, 2026. 4 citations were issued: 4 Type B.

Were any citations issued to COBBLE STONE RESIDENTIAL HOME CARE LLC on April 9, 2026?

Yes, 4 citations were issued (0 Type A, 4 Type B). The first citation was for: "Based on records reviewed, the licensee did not comply with the section cited above in that 1 location shelter is not ou..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.