Routine inspection·March 27, 2026

Licensing Program Analyst, LPA Noel Wolf Petersen, arrived unannounced to the facility to conduct an annual inspection 7:15am on 3/27/26, LPA met with administrator Genaro Baisac Jr by phone to explain the purpuse of the visit. Valley Royale Home Care is a RCFE with a current census of 3, and a total capacity of 6. 2 nonambulatory (residents makes use of a wheelchair), 1 ambulatory (makes use of a walker) . 1 resident is on hospice, there is no home health contract but hospice plan outlines nursing visits twice a week. Physical inspection included but was not limited to the kitchen, bathrooms, bedrooms, common areas, storage areas, exteriors and evacuation route gate. there is some construction going on related to replacing a vynl laminate floor in a front common area and it is in a state of disrepair. The exterior has some trash related to the construction, its traffic areas leading to the emergency exit gate unramped, a tripping hazard in the form of a unwound hose, and laundry detergent stored unlocked. LPA gave guidance to clean up the trash, move the temporary ramp to be useable, and move the hazards. The construction was described to the LPA as not modifying the subfloor, and being completed in a short order(sunday). Kitchen has adequate storage for food for 2 days perishable and 7 days nonperishable, the kitchen has lockable storage for the medication, and sharps. Toxics(except laundry detergent) are locked outside. Resident Bedrooms are furnished and have adequate space for the resident belongings and required furniture. Bathrooms have functional hardware, water temperature is measured at 105-120*F. Exterior has a pool, which is locked while not in use. Evacuation route gate swings freely and latches closed. Continued on C page. 3 client files were reviewed, one has no needs and services plan, client prn documentation is an indication of yes/no dispersal, there are is 15+ day gap in the MAR administration record for Jan-Feb 2026(a mediction)) for a resident, Missing exceptions for 4 restricted conditions (oxygen administration, incontinence care, catheter, support with all ADL's). LPA gave guidance to make new 602 appointments for any clients who have changed in some aspect of thier health, then make updated needs and services plans based on those updated 602's. LPA gave guidance for the Licensee to either send granted exception letters from the department for the 4 restricted conditions, or send a Email to the LPA formally requesting exception review for those four restricted conditions. 2 clients interviewed, last client was not responsive with the interview. 5 staff Files were reviewed, two staff have expired first aid back taken back in 2019, remaining 3 do not have first aid training. Last dementia training in the staff binder is documented in 2019. Staff interviewed do not remember taking required continuing training for many years, for regular topics, dementia topics, or the restricted condition topics. Medication is being prepoured and prepared outside the presence of the resident. LPA gave guidance to not store medication outside its orginal container, and to make a plan to get the staff trained in the yearly required topics. 3 staff interviewed. Administrator files were not reviewed, Missing the facility sketch with evacuation route, personal rights poster, and employee rights poster. LPA is asking for a copy of the workers comp and liability insurance, the LIC 610e, to be sent by email to(noel.wolfpetersen@dss.ca.gov). Fire extinguishers are dated 13 March 2026, first aid kit has all the required items. Smoke/co alarm is functional. Citations, technical violations, and technical assistances were issued as part of this visit, LPA recommended to elect for participation of the licensee in the Technical Support Program with regard to required documentation, staff training, and administrator responsibilities. Appeal rights were provided. A copy of the report was read over the phone to the administrator and given to the staff physically. exit interview conducted.