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Inspection visit

Routine inspection

COMFORTS OF HOME GAVIRATELicense 3427011307 citations on this visit
7 citations recorded

Inspector’s narrative

What the inspector wrote

On 2/10/2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced to conduct the annual inspection visit. LPA initially met with staff on duty (S1) and stated the purpose of the visit. The Administrator, Faith Paras (AD), arrived shortly after. Overview : Facility is a one-story home located in a residential neighborhood. Facility is licensed to serve up to 6 elderly residents, up to 6 may be non-ambulatory. Initial Observation: Present were 4 residents with 2 staff on duty. One resident is currently out. LPA observed required posters and facility license. Room temperature was at 74 degrees Fahrenheit upon arrival. 2 of the residents were in the family room watching TV. Physical Inspection : Areas inspected include, but not limited to, the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas. LPA inspected 6 of 6 resident bedrooms and 2 bathrooms. The hot water temperature was measured at 118 degrees Fahrenheit. The bathroom by the dining table houses a closet where they store cleaning solutions. The closet door can be unlocked without a key which makes it accessible to residents in care. The laundry detergent was observed in a cabinet above the washer. This cabinet can be unlocked without a key by anyone. Fire extinguisher was observed and was last inspected on 1/23/25. Smoke detectors were observed throughout. LPA observed at least one carbon monoxide monitor. LPA observed at least seven-day non-perishable and two-day perishable food supplies. Kitchen refrigerator and freezer were maintained at regulatory temperature. LPA observed medication box in the kitchen refrigerator to be unlocked and accessible to residents in care. LPA also observed other medication next of the box. Per administrator, that medication belong to a former resident LPA also observed sharp objects to be accessible to residents including knife and scissors in the dishwasher, meat thermometer in one of the kitchen drawer, and scissors in Room #3. The garage is locked and cannot be access without a key. Outdoor area was inspected. The storage shed at the backyard was observed to be unlocked and accessible to resident. This shed stores sharp objects - gardening tools. The shut off valves - electric, water and gas - were located. Per AD, she does not know how to shut off the gas and no tools were available to be used to shut the gas off during this visit. Record Reviews: Review of 4 of 5 resident files was conducted, including but not limited to, review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. Residents did not have PRN Authorization Letter on file. Per AD, she will obtain one for each residents. LPA did not find hospice care plan for those resident(s) receiving hospice services. Per AD, she will obtain one from the hospice agency. LPA conducted medication review for 2 residents. Per review, one resident has an order for Famotadine 20mg but the medication on hand is 40mg. Further review, a resident was given PRN but no proper recording of the PRNs including record of resident's reaction to the medication after being administered. Review of 4 staff files included but not limited to review of background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training. Administrator has a current Administrator Certificates. LPA also reviewed fire drill/disaster drill records; facility conducts every quarter Documents Requested: LPA obtained a copy of updated Liability Insurance Certificate, LIC500, LIC610 and LIC308. Per the California Code of Regulations, Title 22, Division 6, Chapter1 & 6, deficiencies were cited. Exit interview was conducted. A copy of the report and appeal rights were provided upon exit.

Citations

7 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.

  • 87465(a)(4)Type A

    Based on observation the licensee did not comply with the section cited above. During medication reviews, the dosage of one resident's medication did not match with the physician's order which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(b)Type B

    Based on interview and record review, the licensee did not comply with the section cited above. Residents did not have PRN Authorization on file which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(d)(3)Type B

    Based on record review, the licensee did not comply with the section cited above. During one resident's medication review, there was no proper documentation of PRNs that were administered, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87633(b)Type B

    Based on record review, the licensee did not comply with the section cited above. One resident who is receiving hospice did not have their hospice care plan avaialbe for review, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87307(d)(6)Type B

    Based on observation, the licensee did not comply with the section cited above. LPA observed furniture bllocking the exit door for Room #5, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(h)(2)Type A

    Based on observation the licensee did not comply with the section cited above. Resident medications were observed in the kitchen refrigerator, unlocked and accessible to residents, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87309(a)Type A

    Based on observation the licensee did not comply with the section cited. The closet that stores cleaning supplies and the cabinet that stores laundry detergents can be unlocked without a key and accessible to residents, which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 11, 2026 inspection of COMFORTS OF HOME GAVIRATE?

This was a inspection inspection of COMFORTS OF HOME GAVIRATE on February 11, 2026. 7 citations were issued: 3 Type A (serious) and 4 Type B.

Were any citations issued to COMFORTS OF HOME GAVIRATE on February 11, 2026?

Yes, 7 citations were issued (3 Type A, 4 Type B). The first citation was for: "Based on observation the licensee did not comply with the section cited above. During medication reviews, the dosage of ..."

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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