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Inspection visit

Routine inspection

ST MARY'S HOMELicense 5027012559 citations on this visit
9 citations recorded

Inspector’s narrative

What the inspector wrote

Unannounced Annual visit made out to this facility on 03/11/2026 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility caregivers, Lema Arficho and Barry Francis, who were briefly interviewed at this time. This LPA requested that they go ahead and contact the facility designated Administrator, Maria Almendrala, to inform her that CCL was present at this time. The facility designated Administrator, Maria Almendrala, arrived shortly thereafter to this facility while this LPA was conducting this annual visit. Current census was 6 residents, of which (1) resident, was out of the facility at this time in the hospital. It was learned that there were (3) residents under the care of hospice at this time. This facility does have an approved waiver to be able to accept and retain up to (6) residents under the care of hospice at any given time. It was learned that this facility has a program to be able to accept and retain dementia residents at any given time. It was learned that there were (4) residents diagnosed with dementia at this time. It was learned that there weren't any residents receiving services through home health at this time. It was learned that this facility does not have a bedridden fire clearance to be able to accept or retain any residents deemed to be bedridden at any given time. Tour of this facility was conducted. Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Linen closet, located in facility hallway closet, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time. Kitchen area was toured. Kitchen drawers and cabinets were opened and reviewed. Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Pantry area was toured. Garage area was toured. Laundry area, located next to the garage area, was toured and observed to be locked at this time. A review of the bleach, detergent, and all other cleaning supplies was conducted to make sure that they were locked and made inaccessible to the residents at this time. Administrator certificate # 7012579740 for Maria Almendrala was observed to have an expiration date of 09/28/2026 and in compliance at this time. Medication cabinet, located in the facility office cart, was observed to be locked and made inaccessible to the residents at this time. First aid kit, located in the facility office, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguisher located hanging on the wall adjacent to the kitchen was observed to have been annually inspected by the local fire extinguisher company, Touch Down Fire, with the inspection date of 01/19/2026 and in compliance at this time. Facility resident bedrooms were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Facility resident restrooms were toured. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees at all times. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and all other exits was conducted. A review of (4) facility personnel records was conducted and noted on the following LIC 859. A review of (6) facility resident records was conducted and noted on the following LIC 858. The following forms and documents were requested to be updated and submitted into CCL for review by this LPA: LIC 308 LIC 400 LIC 500 LIC 610 The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal Rights were printed and a version was given to the facility designated Administrator at this time. Exit Interview

Citations

9 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.

  • 87303(a)Type A

    Maintain facility in clean, safe, sanitary condition

    Based on observation, the licensee did not comply with the section cited above in that the flooring in the common areas and some resident bedrooms were in need of being repaired/replaced since the planks were starting to slide and separate which poses an immediate health, safety or personal rights risk to persons in care.

  • 87303(c)Type B

    Keep window screens clean and in repair

    Based on observation, the licensee did not comply with the section cited above in that several window screens and sliding glass door screens were in need of repair/replacement containing holes, tears, and rips in them. Some sliding glass door screens were offline and needed to be realigned which poses/posed a potential health, safety or personal rights risk to persons in care.

  • Provide resident hot water for personal care

    Based on observation, the licensee did not comply with the section cited above in that the hot water measured in a resident restroom faucet was found to be at 124.2 degrees which was above the allowed range which poses an immediate health, safety or personal rights risk to persons in care.

  • First aid training requirements

    Based on record review, the licensee did not comply with the section cited above in [1] out of [4] facility staff did not have updated first aid training certification which poses an immediate health, safety or personal rights risk to persons in care.

  • 87411(d)Type B

    On-the-job training requirements

    Based on record review, the licensee did not comply with the section cited above in [1] out of [4] facility staff did not have updated training hours which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87411(f)Type A

    Health screening and fitness requirements

    Based on record review, the licensee did not comply with the section cited above in that [2] out of [4] facility staff files did not contain updated TB clearance on their health screenings which poses an immediate health, safety or personal rights risk to persons in care.

  • Record findings for communicable tuberculosis conditions

    Based on record review, the licensee did not comply with the section cited above in [2] out of [6] facility resident files did not have updated and proper TB clearance which poses an immediate health, safety or personal rights risk to persons in care.

  • Include medical assessment and special precautions

    Based on record review, the licensee did not comply with the section cited above in that [2] out of [6] facility resident files did not have a complete and updated medical assessment which poses an immediate health, safety or personal rights risk to persons in care.

  • Onsite food stock levels for nonperishables and perishables

    Based on observation, the licensee did not comply with the section cited above in that the pantry area was reviewed and there was not a sufficient supply of non perishable food items to satisfy the 7-day quantities on hand at all times 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 March 11, 2026 inspection of ST MARY'S HOME?

This was an inspection of ST MARY'S HOME on March 11, 2026. 9 citations were issued: 7 Type A (serious) and 2 Type B.

Were any citations issued to ST MARY'S HOME on March 11, 2026?

Yes, 9 citations were issued (7 Type A, 2 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above in that the flooring in the common areas ..."

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.