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Inspection visit

Routine inspection

DOVE TREE MANORLicense 3664262241 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) LaVette Farlow and Paola Guerrero made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPAs met with Illuminada Silvino, Caregiver who granted entry into the facility. Licensed capacity is six (6) current census five (5) with one of the five at a doctors appointment. LPAs was accompanied by Licensee, Eva Fe Sosnovsky to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 73 degrees F. LPAs inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPAs observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors, carbon monoxide alarms and extinguishers. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. All sharps are locked in kitchen cabinet/drawer. Overall, the facility is clean, and in good repair, and operating in safe conditions for clients in care. LPAs tested the water temperature and the water measured at 107.8 degrees F. Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPAs reviewed two (2) client files for admission agreements, updated physician reports, and needs and services plans, which appears to be maintained and in order. LPAs reviewed and conducted an audit of two (2) residents medications/MAR which staff stated were dispensed but had not been initialed for the morning for 2 out of 2 residents in care. LPA can not verify for accuracy based on the MARs. A Deficiency cited. LPAs reviewed and audited three (3) staff files for Criminal Background Clearance, Health Screening Report, TB test results, Required Training's, CPR/First Aid Certification. LPA observed that 3 out of 3 staff files were accurately maintained and in order. LPAs also reviewed facility folder for Liability Insurance, Fire drills, Emergency Disaster Plan, Infection Control Plan, and Staff and Client Roster. All records were available for review and maintained. Based on the observations made during today’s visit, there were one (1) deficiency cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC809, LIC809C, LIC809D was appeal rights were discussed and provided to Licensee Eva Fe Sosnovsky at the conclusion of the visit.

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.

  • Document each PRN medication dose taken

    Based on observation and record review, the licensee did not comply with the section cited above in 2 out of 2 residents by not ensure the residents MARs was maintained and staff initialed was completed to indicated the medication has been dispensed which poses a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 12, 2026 inspection of DOVE TREE MANOR?

This was an inspection of DOVE TREE MANOR on May 12, 2026. 1 citation were issued: 1 Type B.

Were any citations issued to DOVE TREE MANOR on May 12, 2026?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on observation and record review, the licensee did not comply with the section cited above in 2 out of 2 residents..."

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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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.