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Inspection visit

Routine inspection

PILGRIMS GUEST HOMELicense 3060039541 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On today's date Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of conducting an annual inspection. Upon arrival LPA was greeted and granted entry to the facility by care giving staff. LPA explained the purpose for the visit, and Administrator (AD) Nomita Vibar was notified via phone call. AD arrived shortly after to assist LPA with annual inspection. LPA began a tour of the facility and observe the following. AD has an active Administrator certificate valid from The facility is a single storied home with five bedrooms, one of which is a staff room and four of which are resident rooms. The facility is equipped with two bathrooms, and a detached two car garage. LPA observed kitchen area to be clean and free of any mildew and debris. LPA observed a refrigerator, gas stove, dishwasher and microwave located in the kitchen area. All appliances tested operational and appeared in good repair. LPA observed all hazards, sharps and medications to be locked away and inaccessible to residents in care. LPA observed a two day supply of perishable food and a seven day supply of non-perishable food along with a sufficient amount of emergency water on hand. LPA observed all resident rooms to be clean and free of any mildew and debris. LPA observed all reooms to be free of any obstructions and hazards. LPA observed all rooms to be large enough to walk about freely and consist of all required furnishings including a chair, a bed, clean linens in good repair; meaning no strains or tares, a reading lamp, a chest of drawers, and enough storage space to store all personal belongings. LPA observed resident restrooms to be clean and free of any mildew and debris. LPA observed water faucets and toilets to be operational. LPA observed restrooms to have all required furnishings such as a shower chair, slip resistant matts, and grab bars. Hot water temperature tested between 104.3 and 106.5 degrees Fahrenheit. CONTINUED ON LIC809-C LPA observed all smoke detectors and carbon monoxide detectors to be in good repair and tested operational. LPA observed the fire extinguisher in the kitchen area to be fully charged but not have an updated service tag attached to it. A deficiency was issued on today's date. LPA observed first aid kit to have all required items in it including bandages, scissors, tweezers, adhesive tape, a thermometer, and a first aid manual. LPA toured the outside of the facility and observed for the backyard to be large enough to participate in outdoor activities upon resident request. LPA observed an outdoor shaded sitting area, and for the backyard to be free of any obstructions along the side exit routes. Side doors are unlocked and self latching. LPA reviewed four resident files and three staff files. All files (staff and resident) had all required documents and staff annual training was documented and completed. LPA reviewed P&I with AD and observed all balances to be documented correctly and matched the cash on hand. LPA reviewed medications accompanied by AD and per LPA review all medications are being documented correctly and medications are being administered per physicians orders. No discrepancies were observed. Based on observations made during today's inspection deficiencies will be issued per title 22 chapter 6 division 8 of the California Code of Regulations. An exit interview was conducted and a copy of this report was provided to the facility.

Citations

1 citation 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.

  • 87202(a)Type B

    Maintain fire clearance before retaining specified persons

    Based on observationthe licensee did not comply with the section cited above as the fire extinguisher located in the kitchen did not have an updated service tag attached to it. Which poses a potential safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 11, 2026 inspection of PILGRIMS GUEST HOME?

This was an inspection of PILGRIMS GUEST HOME on May 11, 2026. 1 citation were issued: 1 Type B.

Were any citations issued to PILGRIMS GUEST HOME on May 11, 2026?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on observationthe licensee did not comply with the section cited above as the fire extinguisher located in the kit..."

What type of inspection was this?

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

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