HRS Care Home

Type of visit: Required - 1 Year

On 3/13/2026 at 10:40AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Administrator, Eillen Catilo and explained the purpose of the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 1/22/2026. One week of nonperishable and 2-day of perishable food supplies were available. Hot water was measured at 113.5 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. First Aid kit is complete. Last fire drill was conducted on 3/6/2026. LPA reviewed 5 residents and 4 staff files starting at 11:00AM. LPA reviewed a sample of resident's medications during inspection. At 12:00PM, LPA observed S4 is not associated to the facility. At 12:30PM, LPA observed S4 does not have health screening and TB test on file during record review. At 1:00PM, LPA observed S3 and S4 does not have initial training completed. At 1:30PM, LPA observed unlocked medications in the refrigerator. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct deficiencies may result in civil penalties. Exit interview conducted with Eillen Catilo. A copy of this report and appeal rights was provided.the state’s words, verbatim · CDSS document, Mar 13, 2026

The state marks this report as 7 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 3/7/2025 at 11:15AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver/administrator, Eillen Catilo and explained the purpose of the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 1/3/2025. One week of nonperishable and 2-day of perishable food supplies were available. Hot water was measured at 105.3 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. First Aid kit is complete. Last fire and earthquake drill was conducted on 1/2/2025. LPA reviewed 4 residents and 4 staff files starting at 12:45PM. LPA reviewed a sample of resident's medications during inspection. At 11:40AM, LPA observed unlocked paints, fertilizer, and gardening tools in the backyard. Staff locked up the items during inspection. Civil penalty of $250 is being assessed for a repeat violation. At 1:00PM, LPA observed resident's files were incomplete and missing signed admission agreement, preplacement appraisals, personal rights, and current reappraisals. At 3:45PM, LPA observed R3 did not have a PRN medication (Lactulose Solution) available. Administrator stated R3 have not taken the PRN medication in a while and R3 have other medications in place of it. Facility is preparing resident's medications a week in advance. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted with Eillen Catilo. A copy of this report, civil penalties, and appeal rights was provided.the state’s words, verbatim · CDSS document, Mar 7, 2025

The state marks this report as 9 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Facility does not provide a safe environment for residents, employees, and visitors. Facility does not provide activity program to address the needs of residents with dementia. Facility is using a resident's bedroom as passageway to the bathroom. Facility did not have a sample menu.

On 7/29/2024 at 2:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a complaint investigation and deliver findings in regards to the allegations above. LPA met with Administrator, Diosdado De Luna and informed him reason for the visit. During the course of investigation, LPA interviewed a resident, 2 staff and complainant. LPA reviewed resident's medical assessments and obtained resident's emergency information. Facility does not provide a safe environment for residents, employees, and visitors. LPA observed facility had a broken patio table, patio chairs, hospital bed, and broken vase stored in the walkway space of the backyard area. LPA was informed that the patio table was broken last week. (Continue on LIC9099C...) Substantiated Facility does not provide activity program to address the needs of residents with dementia. Interview with staff revealed there's no activities that address the needs of residents with dementia. Facility is using a resident's bedroom as passageway to the bathroom. Interview with staff indicated that both bathrooms are used by everyone. LPA observed facility has a hallway bathroom and a bathroom in R1's room. Interview with resident revealed that R2 have used the bathroom inside R1's room. Facility did not have a sample menu. Interview with staff revealed that facility did not have a sample menu for the facility. Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC 9099D. Exit interview conducted. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Jul 29, 2024 · control 15-AS-20240722141459

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Aug 16, 2024

Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times... This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by having broken furniture, bed and other items in the passageways of the backyard which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Jul 29, 2024

Plan of correction: Administrator has agreed to remove the broken item and storage items out of the passageway. Administrator will submit picture proof to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87705(c)(7) · Plan of correction due date: Aug 16, 2024

Care of Persons with Dementia. An activity program shall address the needs and limitations of residents with dementia... This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not having an activity program to address the needs of residents with dementia which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Jul 29, 2024

Plan of correction: Administrator has agreed to create an activity program to address the needs of each residents with dementia. Administrator will submit the activity program to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(a)(2)(C) · Plan of correction due date: Aug 16, 2024

Personal Accommodations and Services. No bedroom of a resident shall be used as a passageway to another room, bath or toilet. This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by using R1's room as passageway to the bathroom which poses a potential personal rights violation to the persons in care.the state’s words, verbatim · CDSS document, Jul 29, 2024

Plan of correction: Administrator has agreed to conduct training to all staff on not using resident's room as passageway to the bathroom and submit staff sign in sheet to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(6) · Plan of correction due date: Aug 16, 2024

General Food Service Requirements. Facilities licensed for less than sixteen (16) residents shall maintain a sample menu... This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not having a sample menu which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Jul 29, 2024

Plan of correction: Administrator has agreed to create a facility sample menu and submit a copy to CCLD by POC date.

Type of visit: Required - 1 Year

On 3/25/2024 at 9:50AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Roy Catilo and explained the purpose of the visit. Administrator, Diosdado De Luna arrived 15 minutes later. The facility’s fire clearance was approved for 6 non-ambulatory residents of which 1 resident maybe under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 1/29/2024. One week of nonperishable and 2-day of perishable food supplies were available. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. First Aid kit is complete. Last fire drill was conducted on 1/15/2024. LPA reviewed 3 residents and 3 staff files starting at 10:45AM. LPA reviewed a sample of resident's medications starting at 1:00PM. LPA interviewed 2 residents and 2 staff at around 2:30PM. At 10:10AM, LPA observed the swimming pool gate was unlocked during inspection. Administrator locked the gate during inspection. Civil penalty of $500 is being assessed. At 10:15AM, LPA observed unlocked knives in the kitchen cabinet. Staff locked up knives during inspection. At 10:30AM, LPA measured hot water temperature at 131.9 degrees F in the hallway bathroom. Staff lowered hot water temperature and LPA re-measured hot water at 107.1 degrees F. At 10:50AM, LPA observed R1, R2, and R3 did not have current medical assessment on file. (Continue on LIC809C...) At 11:20AM, LPA observed S4 did not have fingerprint clearance and was at the facility during visit. S4 left the facility during inspection. Civil penalty of $100 is being assessed. At 11:30AM, LPA observed staff did not have current annual training. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct deficiencies may result in civil penalties. Exit interview conducted with Diosdado De Luna. A copy of this report, civil penalties, and appeal rights was provided.the state’s words, verbatim · CDSS document, Mar 25, 2024

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.