Close to Home Residential Care

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) B. Miranda conducted an unannounced visit today for the facility’s annual inspection. LPA introduced themselves and was allowed entrance into the facility. LPA met with House Lead Janay Gonzalez. Facility is licensed for 6 residents and has a current census of 5. There is 1 resident on hospice and 2 on health care. Water temperature was checked in the kitchen which read at 105 degrees Fahrenheit and in the common bathroom which read at 105.2 degrees Fahrenheit. Fire Extinguishers still have charge, but need to be serviced. Licensee will follow-up. Smoke and carbon monoxide detectors were tested and in working order. Emily Ambriz Administrator's Certification expires November 4, 2026. Staff files were reviewed, training needs to be updated and conducted for hoyer lift & oxygen. Resident files were reviewed. Resident files are missing hospice care plans and home health care plans. Facility did not previously obtain prior approval to have a resident with oxygen. Facility does not have a correct log for disaster drills that are conducted quarterly (facility conducts drills monthly). First aid kit on site and complete. Toxins and cleaning supplies are locked and inaccessible. There is a locked storage for medications. LPA reviewed resident's centrally stored medication log which is not complete or current for residents. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, medication storage, kitchen, garage and outdoor areas. Bedrooms were clean, properly furnished, with adequate lighting, and in good repair. Food supply is adequate for 2-day perishable and 7-day nonperishable. Deficiencies observed or cited during today's inspection per California Code of Regulations, Title 22. Licensee will provided proof of liability insurance, a picture of fixed light switch in common bathroom, and changed lock for additional space connected to the garage. Due by 1/16/2026 Exit interview conducted a copy of this report LIC809, LIC809D, and appeal rights were provided to House Lead Janay Gonzalez.the state’s words, verbatim · CDSS document, Jan 14, 2026

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced Post Licensing Inspection on this date. LPA was met by care giver Janay Gonzales. Administrator was away from the home. Residents were observed at the facility. Positive interactions between staff and residents were observed. The CARE tool was not accessible so was not utilized in today's inspection. Facility was observed at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. The tour started in the residents' rooms. Residents bedrooms were observed to be adequately furnished with bed, dresser, chair and adequate lightning. Bathrooms were properly equipped with non-skid mats and securely fastened grab bars. Hot water thermometer was not working so water temperature was not tested. Common areas were properly furnished and well-lit throughout. The built in pool in back yard is appropriately fenced. Back yard was clean and exit fences are self closing and operating properly. Fire extinguisher was observed with a current date of service. Carbon monoxide and smoke detectors observed to be operational. Cleaning supplies and chemicals were observed in the locked cabinets in the garage and overflow food is stored in 2 extra refrigerators located in garage as well. First Aid Kit was checked and observed to have the required supplies. The tour concluded in the kitchen. A sufficient supply of perishable and non-perishable food were observed. Medications are kept in a locked cabinet off the kitchen. LPA reviewed medications, and MARS and observed to be in compliance. The following post licensing topics will be discussed at a later visit: *Mandatory Reporting of Abuse, *In-Service Training, *Medication Procedures, *Personal Rights, and *Records Reviewed. At today's visit LPA left handout for Technical Services Program (TSP) as well as instructions for submitting IR's. No deficiencies were observed. Exit Interview conducted. A copy of this report will be provided to the Administrator via email. Signature of Caregiver was authorized by Administratorthe state’s words, verbatim · CDSS document, Jan 6, 2025

Type of visit: Prelicensing

On 12/6/2024, Licensing Program Analyst (LPA) Rachel Bruce arrived at the facility to conduct a Pre-Licensing Inspection. LPA met with Administrator (AD) Emily Ambriz. This facility has been operating since July 2023. There was a substantiated complaint of unlicensed care and as a result the application process has been completed. Today's visit is considered pre-licensing and that care tool was utilized at today's visit. Subsequent post licensing visit will be conducted as soon as license is provided and areas of concern are addressed. LPA began the tour by entering through the front door of the 4 bedroom - 2 bathroom – one story home. All required postings were hung. Common areas were found to be well lit. Furniture was observed to be properly spaced and in good condition. Flooring is intact throughout the home. Smoke and Carbon Monoxide detectors were tested and found to be in working order. The Fire Extinguishers (located near kitchen and in garage) were serviced May 2024. LPA observed additional supply of paper products, bed linens, towels, personal hygiene/grooming products. Resident rooms are found to be in good repair and contained required linens, furnishings, adequate closet space and lighting. The resident bathrooms are clean, in good repair with grab bars and faucets delivering hot water at 110 degrees. The kitchen was observed to have a supply of dishes, plates, utensils and cooking items. Food storage areas are clear and appropriate for food preparation. Cleaning supplies, chemicals, and sharps/knives are all locked as required. Appliances were found to be in working order. Resident medications will be stored and locked in kitchen closet. The First aid kit contains all the required items. Doors and passageways are unobstructed throughout the inside and outside of the home. continued Outside of the facility was toured. There is a covered seating area and plenty of space to recreate. There is a built in pool which has an appropriate secured fence. There is a storage shed in the backyard. AD unlocked the shed and LPA observed inside. Garage contains two refrigerators for overflow of food, and locked cabinets to store soap, chemicals and cleaning supplies. Emergency Disaster and Infection Control Plans were reviewed and COMP III was conducted during this visit with AD. LPA counseled AD on issues that need to be addressed before licensure. The following issues are to be addressed immediately. Once completed AD will contact LPA for post licensing visit/inspection. Food supply- there were 2 days of perishable fresh food but there was not a seven day supply of non-perishible items for 4 residents Exit gate is not self latching. AD will shave the bottom of the gate to ensure it closes without assistance.\ Camera in front bedroom is non-fuctioning but still needs to be de-installed and removed. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued. An exit interview was conducted and a copy of this report was left with AD, whose signature confirms receipt of these documents.the state’s words, verbatim · CDSS document, Dec 6, 2024