Inspection visit

Routine inspection (multi-day)April 28, 2023

SEDONA GUEST HOMELicense 19820462112 citations on this visit

12 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Mario Leon conducted an unannounced Annual required inspection to the above facility. LPA was met by Jennifer Mape, Caregiver and was later met by Nicanor Santos, Senior Care Giver and the purpose of today’s visit was explained. The facility is currently licensed to serve six (6) non-ambulatory residents, aged 60 years and above. There are currently four (4) residents in the facility . All (4) residents are non-ambulatory. The facility is a single story structure located in a residential neighborhood which consists of (6) bedrooms, (4) full bathrooms, shaded back yard, front yard and an attached 2-car garage which has a laundry room and staff sleeping room located inside. LPA and Nicanor Santos toured the entire facility inside and out. Most documents are posted as mandated, missing PUB475. Bedrooms 1, 4 - 6 are occupied by residents and contain the mandated furniture. Rooms 2 and 3 are currently vacant. Resident in bedroom 1 is on oxygen and appropriate sign is present. The four (4) bathrooms are clean and operational. First aid kit is fully stocked with manual, smoke detectors and carbon monoxide detector were in compliance and operational. No firearms are stored at facility and no bodies of water are present. Medications are stored, locked and inaccessible to residents. Residents Medications are current, resident paperwork needs upkeep. Staff file is current. Ample supply of perishable and nonperishable food, hot water temperature was measured at 134.2 degrees F, outside of Title 22 regulations. LPA observed linens and personal hygiene supplies are adequate, hazardous toxins and/or sharp items were accessible to residents, 1 fire extinguisher is fully charged, fire drill conducted on 04/2023 at 8:00AM. Exits, walkways and/or passageways, front and back yard are free of debris and/or hazards. The facility's walls and floors are in good working repair. During the visit, LPA observed the facility infection control practices. LPA observed a sanitizing station at the facility entry, visitors are logged with each visitors' temperature checked. Sanitizer/soaps are located in the all bathrooms and additional sanitation supplies are locked in the garage. SEE LIC809-C LPA observed staff wearing masks, resident private rooms will be converted to isolation rooms (if needed) and required postings throughout the facility. The resident’s temperatures are checked and logged when necessary. PPE's are enough for 30 days. According to the California Code of Regulations, LPA observed 12 citations. See LIC809-D. LPA observed two technical assistance notes, See LIC9102-AN. An exit interview was conducted with Nicanor Santos, Senior Caregiver and copy of appeal rights, deficiencies, TA notes and report were provided to Nicanor Santos.

Citations

12 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.

1569.319(a)Type B
Based on LPA's observation, the licensee did not comply with the section cited above in not having a public device available for tele-health visits for residents which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.605Type B
Based on LPA's record review, the licensee did not comply with the section cited above in not providing liability insurance which poses/posed a potential health, safety or personal rights risk to persons in care.
87303(a)Type B
Maintain facility in clean, safe, sanitary condition
Based on LPA observation, the licensee did not comply with the section cited above in having a broken cabinet below the kitchen sink which poses/posed a potential health, safety or personal rights risk to persons in care.
87303(e)(2)Type B
Provide resident hot water for personal care
Based on LPA's measurement, the licensee did not comply with the section cited above in having the hot water at 134.2 degrees F which poses/posed a potential health, safety or personal rights risk to persons in care.
87309(a)Type B
Ensure hazardous items are locked and not unattended
Based on LPA's observations, the licensee did not comply with the section cited above in displaying cleaning solutions and knives available to residents in care which poses/posed a potential health, safety or personal rights risk to persons in care.
87506(a)Type B
Maintain separate complete record for each resident
Based on LPA's record review, the licensee did not comply with the section cited above in having missing resident documents: admission agreements with client signature, updated medical assessments, appraisal/needs & services plans as well as medical consent forms present which poses/posed a potential health, safety or personal rights risk to persons in care.
87506(b)(16)Type B
Track resident cash safeguard records
Based on LPA's record review, the licensee did not comply with the section cited above in missing two (2) out of four (4) residents safeguards for property values which poses/posed a potential health, safety or personal rights risk to persons in care.
87608(a)(3)Type B
Maintain physician order documentation in resident record
Based on LPA's observation, the licensee did not comply with the section cited above in having residents lacking physician orders for bed rails which poses/posed a potential health, safety or personal rights risk to persons in care.
87608(a)(5)(B)Type B
Based on LPA's observation and record review the licensee did not comply with the section cited above in having two residents without having physician orders for postural supports which poses/posed a potential health, safety or personal rights risk to persons in care.
87463(c)Type B
Document behavioral expression and related causes
Based on LPA's record review, the licensee did not comply with the section cited above in missing three (3) out of four (4) residents updated medical assessment paperwork which poses/posed a potential health, safety or personal rights risk to persons in care.
87468(c)(2)(A)Type B
RCFE complaint poster posting requirements
Based on LPA's observation, the licensee did not comply with the section cited above in lacking the above mentioned poster availability which poses/posed a potential health, safety or personal rights risk to persons in care.
87506(b)(10)Type B
Include medical assessment and special precautions
Based on LPA's record review, the licensee did not comply with the section cited above in missing three (3) out of four (4) residents medical assessments which poses/posed 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 28, 2023 inspection of SEDONA GUEST HOME?

This was an other inspection of SEDONA GUEST HOME on April 28, 2023. 12 citations were issued: 12 Type B.

Were any citations issued to SEDONA GUEST HOME on April 28, 2023?

Yes, 12 citations were issued (0 Type A, 12 Type B). The first citation was for: "Based on LPA's observation, the licensee did not comply with the section cited above in not having a public device avail..."

What type of inspection was this?

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

SourceView on CCLD View original report

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Data from CCLD public records. Last updated June 1, 2026. If you believe any information is inaccurate, report it here.

Routine inspection (multi-day)·April 28, 2023