Christina's Care Home II

Type of visit: Required - 1 Year

On 11/14/25 Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Staff (S1) Manolito Mercado LPA was granted entry. 6 clients were present during inspection. Administrator Shannon Steele (A1) arrived shortly after LPA’s arrival. LPA toured facility with A1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at -2 degrees F and refrigerator temperature was maintained at 32 degrees F. Cleaning chemicals was observed stored and locked under kitchen sink. Fire extinguisher was observed with a service date of: 5/13/25. Fire drill last completed on 10/1/25. Clients' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at at a range of 111.7 to 117.5 in 3 bathrooms. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Medications were checked and observed kept locked in medication cart. Clients’ MARS was reviewed. Carbon monoxide and smoke detectors were tested and observed to be operational. All clients’ files reviewed to have been reviewed. Samples of staff files were reviewed and observed. All required documents were reviewed and complete. No deficiencies issued during today's inspection. Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 11/28/25: Lic 308, Lic 500, Lic 610D, Lic 9020 and a copy of current Administrator certificate. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Nov 14, 2025

Type of visit: Case Management - Other

On 2/21/25 Licensing Program Analyst (LPA) J. Leffall arrived unannounced for a case management visit regarding a Default Decision and Order for Staff 1 (S1). LPA met with Staff (S1) Marcos Garcia. Administrator Shannon Steele was called and arrived shortly and verified Rommel Cortez is not employed. LPA conducted visit to verify an individual that no longer has a criminal record clearance is working at the facility. LPA was informed by Administrator that Staff member is not employed at the facility and no longer associated with the facility. Exit interview was conducted. A copy of this report was provided to A1, whose signature confirms receipt of this report.the state’s words, verbatim · CDSS document, Feb 21, 2025

Type of visit: Required - 1 Year

On 11/21/24 Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Staff (S1) Jonard Sta Ana. LPA was granted entry. 5 clients were present during inspection. Administrator Shannon Steele (A1) arrived shortly after LPA’s arrival. LPA toured facility with A1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at 0 degrees F and refrigerator temperature was maintained at 40 degrees F. Cleaning chemicals was observed stored and locked under kitchen sink. Fire extinguisher was observed with a service date of: 3/8/24. Fire drill last completed on 9/19/24. Clients' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at 106.5 degrees in bathroom 1, 111.6 degrees in bathroom 2, and 112.4 degrees in bathroom 3. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Medications were checked and observed kept locked in medication cart. Clients’ MARS was reviewed. Carbon monoxide and smoke detectors were tested and observed to be operational. All clients’ files reviewed to have been reviewed. Resident (R1) does not have a complete LIC-602 and TB clearance. Samples of staff files were reviewed and observed. All required documents were reviewed and complete. Deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22,Division 6. Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 12/5/24: Lic 308, Lic 500, Lic 610D, Lic 9020 and a copy of current Administrator certificate. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Nov 21, 2024

Type of visit: Required - 1 Year

On 1/29/2024, Licensing Program Analyst (LPA) K. Kaur arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by staff Gilbert Goyal. Licensee /Administrator was contacted and arrived a short time later. LPA toured the facility with the staff. Tour started at the facility kitchen. Knives were locked in the kitchen cabinet. Cleaning supplies observed locked in the cabinet under the kitchen sink. Medications observed locked in the upper kitchen cabinets. LPA observed 7-day supply of non-perishable foods and 2-day supply of perishable foods. The fire extinguisher in kitchen was serviced 4/21/2023. The dining room is equipped with a table and chairs, the living room is equipped with adequate sofas and recliners for seating. Residents' bedrooms were observed to be adequately furnished with bed, dresser, and adequate lighting. Mattresses and linen were in good condition. Extra linen and towels are available in hallway closet. Hot water temperature measured at 105 degrees F. At 10:45 AM LPA observed in a resident bedroom; a window screen that was torn. LPA observed grab bars installed by toilet and non-skid mats in place. Smoke alarm detectors and Carbon monoxide detectors installed and operational. Adequate outside space for rest and recreational. Sufficient seating observed under covered patio. At 12:20 PM LPA observed outside exit gate was locked with a padlock from the outside. Backyard gate is self-closing and self-latching. Resident's records contained signed Admission Agreement, Personal Rights, and current Physician's Report and ID Documentation. Staff files were reviewed for good health. It was verified that current staff on duty is CPR certified. Last Fire Drill conducted on 1/20/2024. Continued to 809C… Deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6. LPA is requesting the following documents be submitted to the Fresno CCL office by 2/5/2023: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan, Personnel Report (LIC500), Register of Facility Clients/Residents LIC9020. An exit interview was conducted with staff. Immediate Civil penalty assessed. Report signed on-site; a copy of this report, 809D with appeal rights was provided.the state’s words, verbatim · CDSS document, Jan 29, 2024