Routine inspection·September 24, 2025

On 09/24/2025 at 09:00 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Twin Home Care A Facility. LPA Calderon was allowed entry into the facility by Staff Gina Macasieb. The facility is licensed to serve six (6) non-ambulatory residents, of which six (6) may be bedridden and may retain six (6) hospice residents, over the age of 59. Currently residing in the facility there are six (6) residents. LPA Calderon explained to Staff Gina Macasieb the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Six (6) client service records, six (6) client medication records, two (2) staff records, and inspected the inside facility and outside grounds. The facility’s last fire drill was conducted on 07/29/2025 . The one-story residential home consists of six (6) client bedrooms, three (3) client bathrooms, living room, family room, dining room, kitchen, staff room, office area, garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored on the premises. The kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is found in the garage and kitchen area.On 09/24/2025 at 09:00 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Twin Home Care A Facility. LPA Calderon was allowed entry into the facility by Staff Gina Macasieb. The facility is licensed to serve six (6) non-ambulatory residents, of which six (6) may be bedridden and may retain six (6) hospice residents, over the age of 59. Currently residing in the facility there are six (6) residents. LPA Calderon observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA Calderon observed the following during inspection of client’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA Calderon observed fully stocked closet with bedding, towels, and toiletries supplies . Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA Calderon observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature properly measured at 111 degrees Fahrenheit. Bathroom #2 hot water temperature properly measured at 110 degrees Fahrenheit. Bathroom #3 hot water temperature measured at 112 degrees Fahrenheit. Kitchen hot water temperature is properly measured at 121 degrees Fahrenheit. Facility two (2), Carbon Monoxide and ten (10) Smoke Detectors, hard-wired and connected, were tested and are working properly. The facility two (2) Fire Extinguishers were checked and found to be fully charged and accessible . All exit doors in the facility have alarm systems. All toxins and knives are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked storage cabinet. Facility one (1) first aid kit is fully stocked with manuals was checked and in order. Outside grounds were toured and no bodies of water were observed. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to clients. Six (6) client files were reviewed and found to be complete. LPA Calderon reviewed six (6) resident medications, and they were all found to be administered according to doctor's orders. Two (2) staff files were checked, and they have the required documents. LPA Calderon noted the Administrator Napoleon Garcia Certification # 7014612740 expiration date of 07/10/2026 was valid at time of inspection. Commercial General Liability Policy #0102655131 policy period from 10/28/2024 to 10/28/2025 underwritten by Kinsale Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. All the required documents are posted in the facility in a clearly visible area. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA Calderon did not observe deficiencies therefore no citations were issued at this time. The annual Licensing Fee, $495.00 PIN 454274 is due on 09/27/2025. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Staff Gina Macasieb.