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Inspection visit

Routine inspection

NS CARELicense 30600445413 citations on this visit
13 citations recorded

Inspector’s narrative

What the inspector wrote

On December 4, 2025, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley introduced self and was granted entry into the facility, after stating the purpose of the visit. Licensee (LI) Novac Sofroni arrived at the facility and remained to assist during the visit. Novac Sofroni has an administrator certificate that expires on June 26, 2027. The facility is licensed to operate for six (6) non-ambulatory residents of which six (6) may be bedridden, with a hospice waiver for two (2). The facility is a two-story house located in a residential neighborhood, with ten (10) bedrooms, nine (9) bathrooms, a living room, dining room, kitchen, three car garage, and outdoor covered seating area. The upper level consists of three (3) staff bedrooms and three (3) bathrooms, and the lower level includes seven (7) resident bedrooms and six (6) bathrooms. There are three (3) residents in care and present during today’s visit. During the inspection, LPA toured inside and outside of the physical plant with LI Sofroni. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be operational. The water temperature in six (6) resident bathrooms measured between 113.7 degrees F and 117.3 degrees F. A comfortable temperature of 74 degrees F was maintained throughout the facility. Medications were observed unlocked and accessible to residents in care and a deficiency was cited. CONTINUE TO LIC809-C.... LPA observed the facility to be unsanitary and in need of deep cleaning at the time of visit. Cleaning supplies/toxins, and sharps objects were not securely stored and found to be accessible to residents. The kitchen was inspected and LPA observed an insufficient amount of perishable and non-perishable food. Some items were not properly maintained and multiple food items were observed past their expiration date. A deficiency was cited. Evaluation Report Continues on LIC 809-C Evaluation Report Continues on LIC 809-C A working telephone (714)599-3531 remains available and the facility currently has a device that can be used for video teleconference purposes. Liability Insurance was observed effective October 8, 2025 and expires October 8, 2026. The smoke detectors were operable. LPA did not observe an operable carbon monoxide detector. The facility has two (2) fire extinguishers that were charged with a last serviced date of November 1, 2024. LPA observed receipt that LI purchased new extinguishers during the visit. LPA observed the facility does not have a sufficient amount of emergency food, emergency water, and emergency supplies. Emergency safety drills were last conducted on June 1, 2024. Deficiencies were cited. LPA conducted an audit of five (5) resident files (R1-R5), four (4) staff files (S1-S4), and medication and medication administration review. Staff files for S1, S3, S4 were not available for review at the time of the visit. Resident and staff interviews were conducted. Deficiencies were cited during this visit, as per Title 22 Division 6 Chapter 1 of the California Code of Regulations. CIVIL PENALTIES ASSESSED. An exit interview was conducted, and a copy of this report, LIC809-D, LIC811, LIC421BG, and appeal rights were provided to Licensee Novac Sofroni at exit.

Citations

13 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.

  • 1569.618(c)(3)Type A

    Based on observation and record review, the licensee did not comply with the section cited above, which poses an immediate health and safety risk to persons in care. LPA did not observe any record of First Aid and CPR training for staff.

  • 87303(a)Type B

    Based on observation, the licensee did not comply with the section cited above in one out of five stove burners that were non operational, which poses a potential health and safety risk to persons in care.

  • 87309(a)Type A

    Based on observation, the licensee did not comply with the section cited above, which poses an immediate health and safety risk to persons in care. LPA observed toxins and sharps unsecured throughout the facility.

  • 87412(a)(13)Type A

    Based on observation, interview, and record review, the licensee did not comply with the section cited above. LPA reviewed Guardian roster and did not observe a background clearance or association for S3 and S4. The two indiviuals are not associated with the facility. This poses an immediate health, safety, and personal rights risk to persons in care.CIVIL PENALTIES ASSESSED.

  • 87412(f)Type A

    Based on observation and record review, the licensee did not comply with the section cited above, which poses an immediate health and safety risk to persons in care. The licensee provided 1 out of 4 staff files during inspection. No additional records were available.

  • 87413(a)(1)Type A

    Based on observation and record review, the licensee did not comply with the section cited above, which poses an immediate health and safety risk to persons in care. Licensee stated S2 works M-F and S1 covers all other shifts. There are currently three non-ambulatory residents in care.

  • 87463(a)Type B

    Based on observation and record review, the licensee did not comply with the section cited above, which poses an potential health and safety risk to persons in care. LPA observed incomplete records for three out of three residents in care. LPA observed missing Needs and Service Plans, Consent Forms, ID & Emergency Contacts Forms, and Personal Rights.

  • 1569.311Type A

    Based on observation, the licensee did not comply with the section cited above, which poses an immediate risk to the health and safety of persons in care. LPA did not observe any carbon monoxide detectors installed/operational during the visit.

  • 87465(a)(6)Type A

    Based on observation and record review, the licensee did not comply with the section cited above, which poses an immediate health and safety risk to persons in care. LPA observed the facility does not keep a record of centrally stored medication for three out of three residents in care.

  • 87465(h)(2)Type A

    Based on observation and record review, the licensee did not comply with the section cited above, which poses an immediate health and safety risk to persons in care. LPA observed medications for current and former residents, unsecured throughout the facility.

  • 87465(h)(4)Type A

    Based on observation and record review, the licensee did not comply with the section cited above, which poses an immediate health and safety risk to persons in care. LPA observed three or more medication bottle and pills without label and out of compliance with state and federal laws.

  • 87555(b)(27)Type B

    Based on observation, the licensee did not comply with the section cited above, which poses a potential health and safety risk to persons in care. LPA observed a large amount of clutter in garage with no available walkways. LPA observed 4 or more areas of dog feces in backyard, dog hair in several areas throughout the facility, and unsanitary conditions in the kitchen used for residents in care. LPA also observed several knats in kitchen.

  • 87555(b)(28)Type A

    Based on observation, the licensee did not comply with the section cited above, which poses an immediate health and safety risk to persons in care. LPA observed expired perishable and non-perishable items.

FAQ · About this visit

Common questions about this visit

What happened during the December 4, 2025 inspection of NS CARE?

This was a inspection inspection of NS CARE on December 4, 2025. 13 citations were issued: 10 Type A (serious) and 3 Type B.

Were any citations issued to NS CARE on December 4, 2025?

Yes, 13 citations were issued (10 Type A, 3 Type B). The first citation was for: "Based on observation and record review, the licensee did not comply with the section cited above, which poses an immedia..."

What type of inspection was this?

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

SourceView on CCLDView original report

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