Happy Living Facility

Type of visit: Required - 1 Year

On 3/4/26 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 Licensee (L1) Raquel Catacutan, LPA was granted entry. 2 residents were present during inspection. The other resident was attending day program. LPA toured facility with L1. 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. Samples of resident’s medications were checked and observed locked in kitchen drawer and cabinet. Clients’ MARS was reviewed. One medication was administered per L1 but was not labeled or signed off on the MAR. Samples of medications reviewed. Fire extinguisher reviewed with a service date of: 2/12/25. Fire drill completed on 11/29/25. Clients' bedrooms were toured and reviewed. Cleaning chemicals were observed stored and locked in closet. Residents bedrooms 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 114 degrees in 1 bathroom. Outside of facility toured. Outside observed free of debris. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Freezer temperature observed at 0 degrees F and refrigerator temperature maintained at 38 degrees F. Smoke detectors and carbon monoxide were tested and observed to be operational. Staff files reviewed to have all the required documents. All clients’ files reviewed but contained missing documents. The following deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6. Exit Interview conducted. LPA is requesting the following documents be submitted to the Fresno CCL office by 3/18/26: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance-RCFE, Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A) A copy of this report with Appeal Rights were provided to Licensee, whose signature on this form confirms receipt of these report.the state’s words, verbatim · CDSS document, Mar 4, 2026

Type of visit: Case Management - Annual Continuation

An unannounced Annual Continuation visit was conducted the date & times indicated above by Licensing Program Analyst (LPA) K. McClurg. The purpose of this visit was to continue Annual visit conducted on 4/29/25. LPA met with Licensee/Administrator (L/A) Raquel Catacutan. During previous visit on 4/29/25 a physical plant tour was conducted where it was observed that facility did not have an operational carbon monoxide detector. Access to side yard was denied @ time of that visit. Centrally Stored Medication & Destruction Records (CSMDR) were observed to not be maintained. Records did not reflect all medications on premises. LPA had been contacted 4/30/25 with photos of installed carbon monoxide detector. It was observed during today's visit (5/16/25) that 1 carbon monoxide detector observed in kitchen/dining/living area & 1 installed in hallway with client bedrooms. CSMDRs reviewed with current updates & corrections. Citations for carbon monoxide detector absence & CSMDR not being maintained issued & cleared during today's visit. Citation regarding denial of access to side yard to be reviewed at the Fresno Regional Office at a future date . Exit interview conducted with L/A. Report provided.the state’s words, verbatim · CDSS document, May 16, 2025

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1503.2 · Plan of correction due date: Apr 30, 2025

Every facility… pursuant to this chapter shall have one or more carbon monoxide detectors in the facility that meet…standards… §1503.2 Carbon monoxide detectors required… During 4/29/15 visit it was observed that this facility did not have an operational carbon monoxide detector.the state’s words, verbatim · CDSS document, May 16, 2025

Plan of correction: DEFICIENCY CLEARED Carbon monoxide detectors installed 4/30/25. LPA was notified of installation. Photos provided with notification. Correction verified as observed during 5/16/25 visit.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 80075(k)(7) · Plan of correction due date: Apr 30, 2025

80075(k)(7) Health Related Services The licensee shall ensure the maintenance, for each client, of a record of centrally stored prescription medications… CSMDR observed to be incomplete & not maintained as required.the state’s words, verbatim · CDSS document, May 16, 2025

Plan of correction: DEFICIENCY CLEARED CSMDRs reviewed reflecting updates & corrections to record.

From the deficiency page — Deficiency type: Type A · Section cited: CCR80044(a) · Plan of correction due date: Apr 29, 2025

80044(a) Inspection Authority of the Licensing Agency. The licensing agency shall have inspection authority… During 4/29/25 Annual LPA’s K. McClurg & J. Leffal were denied access to side yard with motorhome.the state’s words, verbatim · CDSS document, May 16, 2025

Plan of correction: This will be reviewed at the Fresno Regional Office at a later date.

Type of visit: Required - 1 Year

An unannounced joint Annual visit was conducted on the date above by Licensing Program Analyst (LPA) K. Mcclurg & LPA Jacques Leffal. LPA's met with Licensee/Administrator (L/A) Raquel Catacutan. LPA's introduced selves, provided business card, stated purpose of visit & was allowed entry. Physical plant tour began in dining & living room. Rooms sufficiently furnished with adequate lighting. Kitchen toured & observed to be in need of general cleaning specifically backsplash behind stove & cabinets adjacent to stove. Cabinets & drawers in need of cleaning. Cabinet interiors that have damaged or shelves that cannot be cleaned to have shelf liners replaced with new or liners in like-new condition. Kitchen appliances appeared sufficiently clean & at appropriate temperatures. Deep freezer in dining room observed to have packages of food without identification of contents & date frozen. Some food in freezer observed to contain significant frost with high likelihood of frost burn, thereby compromising quality & taste of food. Staff room at facility entry observed to be locked making contents inaccessible. Resident bedrooms & bathroom toured. Bedrooms sufficiently furnished with adequate lighting. Sufficient linens available. Remainder of facility toured & records reviewed during this visit - to be detailed in continuation report. Due to time limitations Annual visit & additional details to be conducted @ another time. Exit interview conducted with L/A. Report provided.the state’s words, verbatim · CDSS document, Apr 29, 2025

Type of visit: Office

An Informal Office Meeting was conducted on this date to discuss concerns at the facility. Present during the meeting were: Regional Manager, Brenda White Licensing Program Manager, See Moua Licensing Program Analyst, Kelly McClurg Licensee and Administrator, Raquel Catacutan The following issues were discussed: -Licensee Raquel’s intention regarding the continued operation of the facility. -The deficiencies and civil penalties issued during the Annual continuation visit conducted on 5/14/24 regarding: *Fire Safety – resident’s bed obstructed entry and exit way of the bedroom *Accessibility of unlocked storage spaces that contained hazardous items such as aerosol brake cleaner, motor oil, trimmer, gasoline, motor oil, and knives *Unlocked medications in the resident’s bedroom *Maintenance and Operations - Missing toilet seat in the resident’s bathroom, uncleaned living areas, and clutter *Food Service Requirements – refrigerator unable to maintain proper temperature and food improperly stored -The Health & Safety visit conducted on 10/19/2023 *Citations and civil penalties of $1000.00 were issued because residents were left with no supervision and the front door was locked with a chain lock that was at the highest point of the door, inaccessible to the residents -Staffing and care and supervision of the residents Exit interview was conducted at the conclusion of the meeting. Report provided.the state’s words, verbatim · CDSS document, Jul 12, 2024

Type of visit: Case Management - Annual Continuation

An unannounced Annual Continuation visit was conducted by Licensing Program Analyst (LPA) K. Mcclurg. LPA met with Licensee/Administrator (L/A) Raquel Catacutan. The purpose of this visit is to re-address concerns observed during previous visit as well as continued facility inspection. L/A lives on premises with spouse. Previous observations were reviewed & observed to be cleared &/or in process of being cleared. Interiors in need of wall/door surface general cleaning, &/or repair, replacement, painting, etc. Outside areas toured. Front porch/patio used & designated as a smoking area. Front porch/patio area in need of general clean-up & de-cluttering. Area being used to store cleaning items & other hazardous chemicals in cabinet that is now locked. Items not in use &/or non-operational such as motorized wheelchair, & refrigerator are in need of removal. Front driveway contains miscellaneous items that appear to be being stored there, including what looks to be metal fence panels. Backyard has access to side yard with fenced area & drive-port with trailer, power tools, hand tools, yard equipment, gasoline, motor oil, etc. Large gate to this area observed to have lock that was unlocked. Area also has 1/2 panel of chain link/gate that is not secured & due to height, cannot maintain accessibility of hazardous items. Multiple use of extension cords & some cording appears to be hung in a manner that does not protect the integrity of cording exterior & insulation. (Continued) (Continued from previous page.) Backyard towards back side area of property observed to be in need of general clean-up with storage of additional miscellaneous items in need of removal. Backyard behind shed in need of general clean-up & storage of items not in use to be removed from property. Area in backyard surrounded by short fencing in need of general clean-up & removal of items not in use, such as tall poles with concrete bases laying down. Outside areas have a general appearance of disarray & in need of general clean-up, & removal of items not in use &/or broken. Storage to be maintained in a manner that is safe @ all times & in a manner to prevent items falling upon person, tripping, & possible fire hazards. Copious use of extension cords through-out facility, interior & exterior. Deficiencies issued. Immediate Civil Penalty for repeat Zero-Tolerance violation in the amount of $1,000.00 issued. Exit interview conducted with L/A. Report provided.the state’s words, verbatim · CDSS document, May 14, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87203 · Plan of correction due date: May 14, 2024

Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. 1.) Bed/bed frame obstructing entry & egress point of resident bedroom; 2.) On front porch/patio a single nail was observed to be draped with multiple strands of string lights connected to electrical outlet through use of multiple extension cords including what appeared to be of the type rated for indoor use only.the state’s words, verbatim · CDSS document, May 14, 2024

Plan of correction: Licensee/Administrator removed obstruction to egress in resident bedroom & removed exterior string lights with interior extension cord(s). Correction made within same date oberved. DEFICIENCY CLEARED. Repeat Zero-Tolerance violation <10/19/2023>. CIVIL PENALTY ISSUED Immediate CP issued in the amount of $1,000.00.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87309(a) · Plan of correction due date: May 14, 2024

Storage Space. ...items which could pose a danger if readily available...shall be stored where inaccessible to clients. Observations: 1.)Front patio/porch: Unsecured string trimmer/edger & Unlocked cabinet containing hazardous items including aerosol Brake Cleaner, aerosol Starting fluid, motor oil, heavy duty cleanser, misc. power tools, etc; 2.) Unlocked Laundry room & closet containing misc. detergent/cleansers, chemicals, etc.,3.) Unlocked cabinet under kitchen sink containing knives & misc. detergent/cleansers, chemicals,etc.; 4.) Back/side yard with trailer unlocked & 1/2 gate Leaving gasoline, propane, motor oil, misc power tools etc. accessible.the state’s words, verbatim · CDSS document, May 14, 2024

Plan of correction: L/A removed trimmer & locked cabinet @ front porch area & under kitchen sink. Remaining issues & challenges to be discussed during Informal Office visit or NCC - to be determined (TBD)

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: May 17, 2024

Incidental Medical and Dental Care. ...medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for... medication. L/A's bedroom observed to be unlocked with multiple misc. medications accessible.the state’s words, verbatim · CDSS document, May 14, 2024

Plan of correction: Medications removed &/or stored in inaccessible area. DEFICIENCY CLEARED.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87307(d)(2) · Plan of correction due date: May 14, 2024

Personal Accommodations and Services. ...all facilities...shall be maintained in a state of good repair &...provide a safe and healthful environment. Toilet in resident bathroom did not have a toilet seat. This poses an immediate risk of fall &/or injury, etc.the state’s words, verbatim · CDSS document, May 14, 2024

Plan of correction: A toilet seat was installed on toilet in resident bathroom DEFICIENCY CLEARED.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(a) · Plan of correction due date: May 14, 2024

General Food Service Requirements. All food shall be selected, stored, prepared and served in a safe and healthful manner. 1.) Meat being defrosted on countertop; 2.) Food being stored in empty pickle jar;the state’s words, verbatim · CDSS document, May 14, 2024

Plan of correction: Defrosting meat & storage in used containers addressed by L/A. DEFICIENCY CLEARED

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(21) · Plan of correction due date: May 14, 2024

General Food Service Requirements. ...refrigerators...shall be kept clean & food stored to enable adequate air circulation to maintain...temperatures. Refrigerator very full posing potential rish of impeding air circulation necessary to maintain appropriate temperature.the state’s words, verbatim · CDSS document, May 14, 2024

Plan of correction: L/A moved items to another refrigerator during visit. DEFICIENCY CLEARED

From the deficiency page — Deficiency type: Type B · Section cited: CCR87303(a) · Plan of correction due date: May 14, 2024

Maintenance & Operations. The facility shall be clean, safe, sanitary & in good repair at all times. 1.) Resident bathroom requires cleaning @ base of toilet, toilet front sides bowl to floor, bulbs over sink dusted/cleaned; plunger stored on floor to back/side of toilet to be stored in a healthful manner; 2.) Hallway: ceiling vent dusty/dirty; doors & doorjams dirt/soild around doorknobs & surfaces at doorknob level; wals & doorframes have black markings/scraped paint most likely from wheelchaire use, & baseboards, etc., in need of repair &/or painting, etc.; 3.) Outside area in need of clean-up & removal of items including non-op appliances @ front, metal fencing @ side, materials behind shed, & other misc items.the state’s words, verbatim · CDSS document, May 14, 2024

Plan of correction: Immediate bathroom & ceiling vent issues addressed by L/A. Remaining issues & challenges to be discussed during Informal or NCC to be determined (TBD) Remaining issues & challenges to be discussed during Informal Office visit or NCC - to be determined (TBD)

Type of visit: Required - 1 Year

An unannounced Annual visit was conducted by Licensing Program Analyst (LPA) K. McClurg. LPA met with Licensee/Administrator (L/A) Raquel Catacutan. LPA introduced self, provided business card, stated purpose of visit, & was allowed to proceed with visit. Client on front porch area smoking - designated by facility as smoking area. Front door area fenced with gate with no lock on gate. Physical plant toured. LPA & L/A discussed multiple issues & concerns. Visit to be continued @ a later date. Exit interview conducted L/A. Report provided.the state’s words, verbatim · CDSS document, Apr 24, 2024