Follow-up·August 29, 2025

On 08/29/2025, the California Department of Social Services (CDSS) – Community Care Licensing Division (CCLD) Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced case management visit. The purpose of the visit was explained, and the LPA was allowed entry to the facility. This facility is licensed to serve 6 non-ambulatory adults ages 60 and above, of which 2 may be bedridden. The facility has a hospice waiver for 6 residents. Bedroom #3 is cleared for 1 bedridden client There are currently 4 residents in the facility. Today’s unannounced case management visit focused on physical facility plant. Facility Layout: The facility is a two-story house located on a main street. The first floor consists of - 3 resident bedrooms; 2 full bathrooms; 1 great room which consists of a kitchen area, dining room area, office space, and living room area; 1 attached garage with a laundry area. The second floor consists of - 3 staff bedrooms and 1 full bathroom. Outside - There is a front yard and back yard patio area with shaded seating. Outside Grounds: were toured no bodies of water were observed, there are no security bars or weapons on the premises. Kitchen Area/Facility Food: The facility has supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. Knives and toxins were kept inaccessible to residents in care. There is a fire extinguisher in the kitchen area, and it was last serviced on 02/13/2025. At 1:42 PM the dining room area measured 96.44 degrees Fahrenheit; Resident 1 was sitting at the dining room table. There is a wall thermometer near the dining table, and it measured around 94 degrees Fahrenheit from 1:34 PM to 1:45 PM. There was a fan pointing to Resident 1. There was a portable cooler in the dining room area. Community Indoor Space: There is a landline telephone and videoconferencing device in the office area. There are games/activity work (i.e. board games, books, magazines) for residents in the living room area. Resident Bedrooms: 3 out of 3 resident bedrooms were toured. There is adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. At 1:40 PM resident bedroom # 3 measured 94.28 degrees Fahrenheit; Resident 2 was sleeping in the room; there was a fan on in the room. At 1:43 PM resident bedroom # 1 measured 93.74 degrees Fahrenheit; Resident 3 was sleeping in the room; there was a fan on in the room. Bathrooms: Toilets and sink faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries accessible to residents. Bathroom 2 shower head was in disrepair. The hot water temperature in the downstairs bathroom between resident bedroom #1 and resident bedroom #2 measured 135.5 degrees Fahrenheit. Medications: were inaccessible to residents in care. Garage: is used as a storage area for live-in staff, residents, and extra facility supplies such as bed linens, toiletries, cleaning supplies, food, and etc. Miscellaneous: Smoke and carbon monoxide detectors were in compliance and operational. Technical advisories are being provided regarding: keeping outside walkways free of obstruction; keeping upstairs walkways free of obstruction; keeping garage free of obstructions and clutter. Deficiencies are being provided based on observations in accordance with the California Code of Regulations, Title 22, see LIC809D. Violations regarding hot water temperatures and indoor facility temperatures. An exit interview was conducted, Plans of Corrections were reviewed and developed. A copy of this report and appeal rights were discussed and left with the House Manager, Nelson Ortega.