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Inspection visit

Routine inspection

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On May 20, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Designees Gabriela Garcia and Julian Garcia were notified via telephone and later arrived to assist with the inspection. LPA observed that Denise Gilroy has a valid administrator certificate which expires on June 9, 2026. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents and has a hospice waiver for four. The facility is a single story home with four resident bedrooms, two of which are shared, two shared resident bathrooms, a living room, a dining room, a kitchen, a laundry room, and an attached one car garage. LPA, accompanied by the Designees, conducted a tour of the interior portion of the facility. On today's visit, LPA observed six residents in care and two care giving staff present. LPA observed residents relaxing in their respective bedrooms and in the living room. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall in the living room. LPA inspected the four resident bedrooms and they were observed to be free of hazards. LPA observed residents bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds had clean linens and blankets. LPA observed additional linens to be stored in a hallway closet. LPA inspected the two resident bathrooms. Resident bathrooms were clean. Resident bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured 112.2 degrees Fahrenheit. LPA observed the kitchen has a two day perishable and a seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. CONTINUED ON 809-C LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed the facility has a three day emergency food and water supply stored in the kitchen. LPA observed fire extinguishers to be mounted in the kitchen and in the resident hallway. Fire extinguishers were observed to be charged and up to date on service. LPA tested the wired smoke detectors/carbon monoxide detectors which tested operational. LPA observed the facility conducted their last emergency disaster drill on January 5, 2025. LPA observed the centrally stored medication to be kept in a locked cabinet in the laundry room. LPA observed the facility has a First Aid Kit stored in the laundry room and it had all the required components. LPA observed chemicals and toxins to be stored in a separate locked cabinet in the laundry room. LPA observed the garage door to be kept locked and inaccessible to residents in care. LPA observed the garage to be used for storage. LPA, accompanied by the Designees, conducted a tour of the exterior portion of the facility. The exterior portion was observed to be free of hazards and obstructions. LPA observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gates on the north side and south side of the facility to be self latching and can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all six resident files. All the required documentation were present and current in the resident files reviewed. LPA reviewed residents' medication and medication records. LPA reviewed five staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, no deficiencies are being cited per the Title 22 of the California Code of Regulations. An exit interview was conducted with Designees Gabriela Garcia and Julian Garcia. A copy of the report was provided.

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 May 20, 2025 inspection of MOM'S RETREAT BOARD AND CARE HOME?

This was a inspection inspection of MOM'S RETREAT BOARD AND CARE HOME on May 20, 2025. The inspection found no deficiencies and no citations were issued.

Were any citations issued to MOM'S RETREAT BOARD AND CARE HOME on May 20, 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 inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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