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Inspection visit

Pre-licensing visit

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Blanca Gonzalez and Mary Flores conducted an announced Pre-Licensing Inspection visit and met with Applicant Terry McGee and Barbara Boiston, House Manager. The facility has an approved fire clearance to be licensed to serve six (6) non-ambulatory residents ages 60 and above. LPAs and applicant toured the physical plant interior and exterior. The Pre-Licensing Inspection CARE Tool was used. The following was observed/inspected: The facility is a single-story home located in a residential area of Glendora consisting of a living room, dining area, kitchen, three (3) bedrooms, two (2) bathrooms. The home is located behind a current licensed facility in the same property. They will not be sharing staff or food preparation as each will prepare their own meals. Laundry area observed in the hallway included a cabinet for extra towels and linens. Fire smoke alarms and carbon monoxide detectors observed, tested and are operable. The fire extinguishers observed and charged. Appliances such as a microwave, refrigerator and stove were observed to be clean and operating properly. Sharps were observed secured in a locked kitchen cabinet, inaccessible to residents. (CONTINUED ON LIC 809C) Medication will be centrally located in a locked kitchen cabinet, inaccessible to residents in care.Staff and client files will be maintained locked in a cabinet located in the kitchen. Dining area was clean with sufficient seating for six (6) residents. Living room was observed with sufficient seating for six (6) residents. Applicant will ensure that there is a comfortable moving/walking area in between the dining area and the living area. Grab bars and non-skid mats were observed in bathrooms. The water temperature was tested between 114.5 and 118.5 in both bathrooms and it is within the required 105-120 degrees F. Residents’ bedrooms have all require furniture which includes, for each resident, a chair, nightstand, a lamp, or lights sufficient for reading. Bed linens were clean and in good repair. There is a closet space for clothing and other belongings All cleaning solutions and disinfectants were observed locked under the kitchen sink and kitchen cabinet. Doors, exits, hallways, and passageways were clear and free of obstruction. The front and back yards were observed to be clean and free of debris. There is an outdoor seating area with an umbrella for shade and sufficient seating residents. No pools or bodies of water were observed in or around the home. There are no firearms present at the facility. The first-aid kit has required items, and a current manual was observed and is kept in the kitchen. The Pre-licensing is completed. Applicant will send pictures of required posters posted as they were available but not posted and an additional grab bar in bathroom #2 as there was one grab bar in the shower and there was not one on the side of the shower. Once that is completed the physical plant meets Title 22 Regulations. Comp III was not conducted as the Applicant being is a licensee and has other facilities. Exit interview was conducted with applicant Terry McGee and a copy of this report was provided to Applicant. Accordingly, LPA will submit a copy of this facility evaluation report to the Central Applications Bureau (CAB) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application.

Citations

No citations recorded on this visit

The inspector found no violations of California child care regulations during this visit.

FAQ · About this visit

Common questions about this visit

What happened during the August 28, 2025 inspection of ST MATTHEW'S HOME FOR THE ELDERLY V?

This was a other inspection of ST MATTHEW'S HOME FOR THE ELDERLY V on August 28, 2025. The inspection found no deficiencies and no citations were issued.

Were any citations issued to ST MATTHEW'S HOME FOR THE ELDERLY V on August 28, 2025?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

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

SourceView on CCLDView original report

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