Lerwick Home Care

Type of visit: Case Management - Deficiencies

On 07/6/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct case management visit for the purpose of checking on the health and safety of residents in care. LPA introduced self, stated the purpose of the visit, and requested to meet with administrator. LPA met with Licensee/ Administrator Socorro Ann Telmo. The purpose of the visit is to address incident that has occurred where R1 left the facility without staff without staff supervision. Interviews were conducted and records were received. The information provided will be reviewed; a follow up case management will be conducted if necessary for the incident report. Exit Interview conducted. A copy of this report was provided to Licensee, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Jul 6, 2026

Type of visit: Case Management - Incident

On 05/05/26, Licensing Program Analyst (LPA) M. Yang conducted case management visit to the facility. The purpose of the visit is to follow up on case management visit that was conducted on 03/26/26. LPA met with Licensee/ Administrator Socorro Ann Telmo. No recurrence of AWOL and elopement by R1. Facility have a plan in place to redirect R1 to prevent behavior of AWOL and elopement. No deficiency issued during visit. Exit Interview conducted. A copy of this report was provided to Licensee, whose signature confirms receipt of this report.the state’s words, verbatim · CDSS document, May 5, 2026

Type of visit: Case Management - Deficiencies

On 03/26/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct case management visit for the purpose of checking on the health and safety of residents in care. LPA introduced self, stated the purpose of the visit, and requested to meet with administrator. LPA met with Licensee/ Administrator Socorro Ann Telmo. LPA conduct tour with Licensee. A knife was observed in the kitchen sink unlock. Chemicals were observed unlocked under kitchen sink and in the laundry room. Cleaning solutions and chemicals were observed in the garage cabinet unlocked. A deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached Lic 809D. A civil penalty is being assessed see attached Lic 421IM. Exit Interview conducted. POC was discussed with Licensee during visit. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Mar 26, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a) · Plan of correction due date: Mar 27, 2026

87202 (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement is not met as evidenced by: Based on records, the licensee did not comply with the section cited above when the California Department of Health Care Services (DHCS) conducted facility visit on 03/24/26, two emergency fire exits were found obstructed, which an immediate health and safety risk which poses an immediate health, safety or personal rights risk to persons in care..the state’s words, verbatim · CDSS document, Mar 26, 2026

Plan of correction: Licensee will submit written statements detailing how the facility will ensure that all fire exits are free of obstruction to the department by POC due date 03/27/26.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87309(a) · Plan of correction due date: Mar 27, 2026

87309(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on observation, the Licensee did not comply with the section cited above when LPA observed cleaning chemicals unlock under kitchen sink, chemicals unlock in laundry room and in garage cabinet accessible to the residents in care, this poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 26, 2026

Plan of correction: Licensee immediately locked chemicals during visit. POC cleared during visit.

Allegation investigated: Staff did not prevent a resident from eloping from the facility.

On 02/26/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation. LPA was greeted by Hospice nurse Fely Farrish and staff Jose Neusca at the garage. LPA introduced self, stated the purpose of the visit and requested to meet with Administrator. Licensee/ Administrator Socorro Ann Telmo was called and arrived shortly. The department conducted interviews, toured the facility, received copies of records, and copies of R1 files. On 02/16/26, R1 eloped from the facility. S1 attempted to redirect R1 back to the facility and was unsuccessful. S1 continued to monitor R1 until police arrived. Based on interviews conducted and observation, the preponderance of evidence standard has not been met, therefore, the above allegations are found to be UNSUBTANTIATED. Exit interview conducted. A copy of this report was provided to Licensee, whose signature confirms receipt of report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 26, 2026 · control 24-AS-20260220165725

Type of visit: Case Management - Deficiencies

On 02/26/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation. LPA was greeted by Hospice nurse Fely Farrish and staff Jose Neusca at the garage. LPA introduced self, stated the purpose of the visit and requested to meet with Administrator. Licensee/ Administrator Socorro Ann Telmo was called and arrived shortly. Upon arrival LPA observed front door locked and secure with padlock. A deficiency and an immediate Civil Penalty of $500 was assessed. See Lic 421IM is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. An exit interview was conducted. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Feb 26, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a) · Plan of correction due date: Feb 27, 2026

87202 (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above when LPA observed the front door locked and secured with a metal padlock, which an immediate health and safety risk which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 26, 2026

Plan of correction: Licensee immediately unlocked and removed lock. POC cleared during visit.

Type of visit: Required - 1 Year

On 12/23/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. introduce self, stated the purpose of the visit and met Licensee/ Administrator (L1) Socorro Ann Telmo. LPA toured facility with L1. All residents were present during inspection of which 3 residents are receiving hospice care. Residents were observed sitting in the common areas and in the bedroom during tour. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. All residents’ and a sample of staff files were reviewed. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature is maintained at 36 degrees F and freezer at 0 degrees F. Chemicals were observed locked under kitchen sink. Knives were observed locked under kitchen counter. Medications were observed locked in kitchen shelves. MARs were reviewed. First aid kit observed with required items. Fire extinguisher was observed with a service date of: 04/19/25. All bedrooms were observed to have the required furnishings and with adequate lightning. Extra linens were observed. The bathrooms were toured and observed with non-skid mat and grabbed bars. Outside of facility toured and observed to be free of debris. Side gate observed self-closing and self-latching. Adequate outdoor seating was available for residents. Carbon monoxide and smoke detector operational during visit. A deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached Lic 809D Exit interview conducted. LPA received copies of Lic 308, Lic 500, Lic 610E, current liability insurance, and current Administrator certificate. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Dec 23, 2025

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 01/21/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. introduce self, stated the purpose of the visit and met Licensee/ Administrator (L1) Socorro Ann Telmo. LPA toured facility with L1. All residents were present during inspection of which 3 residents are receiving hospice care. Residents were observed sitting in the common areas and in the bedroom during tour. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. An adequate supply of perishable and non-perishable food was observed. At 12:25PM, LPA observed expired perishable foods and snacks in the pantry. Refrigerator temperature is maintained at 36 degrees F and freezer at 0 degrees F. Chemicals were observed locked under kitchen sink. LPA and L1 observed cleaning chemicals stored in garage cabinet unlock. A shovel was observed placed next on the outside of the garage cabinet. A bug spray bottle and car oil bottles were observed stored in the back of the garage unlock. LPA continue toured inside the facility LPA and L1 observed a tool ranch stored unlock in the kitchen drawer. Knives were observed lock under kitchen counter. Medications were observed locked in kitchen shelves. MARs were reviewed and medications were checked. Fire extinguisher was observed with a service date of: 03/08/24. Last fire drill completed on 01/18/25. All bedrooms were observed to have the required furnishings and with adequate lightening. Extra linens were observed. The bathrooms were toured and observed operational during inspection. Non-skid mat and grabbed bars were observed. Hot water temperature was tested at 118.6 degree F in the bathroom 1 and 119.3 degree F in bathroom 2. Outside of facility toured and observed to be free of debris. Side gate observed self-closing and self-latching. Adequate outdoor seatings available for residents. All residents’ and a sample of staff files were reviewed. Carbon monoxide and smoke detector operational during visit. Technical Support Program (TSP) assistance was offered to Licensee. Licensee will make a decision and reach out the department regarding acceptance. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit interview conducted. The following documents are requested and submitted to Fresno CCL by: 01/27/25. The following updated forms were requested: Lic 500, Lic 610E, and current liability insurance. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of these report.the state’s words, verbatim · CDSS document, Jan 21, 2025

Type of visit: Office

On 03/12/24 a Non-Compliance Conference (NCC) was held at Fresno Regional Center Office. Regional Manager (RM) Brenda White, Licensing Program Manager (LPM) See Moua, and Licensing Program Analyst (LPA) Mai Yang met with Licensees Socorro Ann Telmo and Dio Telmo. The following issues were discussed: -Complaint received on 01/22/2024 -Deficiency issued on 01/31/24 for complaint -Deficiency issued for 87405(d)(2) Administrator - Qualifications and Duties - Knowledge of and ability to conform to the applicable laws, rules and regulations. Licensee agreed to accept Technical Support Program (TSP) services, and the department will begin the process of initiating TSP services. Exit interview conducted. Report and appeals provided to Licensees during meeting.the state’s words, verbatim · CDSS document, Mar 12, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87405(d)(2) · Plan of correction due date: Mar 12, 2024

Administrator - Qualifications and Duties - Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidenced by: Based on interviews conducted, the Administrator admitted to using the resident debt card, withdrawing cash from ATM with resident debit card, and writing checks out from the resident’s check book.the state’s words, verbatim · CDSS document, Mar 12, 2024

Plan of correction: POC discussed during NCC.

Allegation investigated: alleged physical abuse

On 01/31/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. LPA met with caregiver Reynald Ignacio. Administrator Socorro Ann Telmo was called and arrived shortly. During the course of the investigation, interviews were conducted, and records were reviewed. Allegation of alleged physical abuse, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the above allegation is UNSUBSTANTIATED. Exit interview was conducted. A copy of this report was provided to Administrator, whose signature confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 31, 2024 · control 24-AS-20231226102403

Allegation investigated: Facility staff financially abused resident

On 01/31/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit, and met with Administrator Socorro Ann Telmo. During the course of the investigation, the Department conducted interviews and reviewed records. Administrator had stated the Administrator had Resident 1(R1)’s debit card and check book. Administrator admitted to the department, the Administrator had been using the resident’s debit card to make multiple withdrawals and had wrote checks out from the resident’s bank account. Based on records reviewed and interviews conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, is being cited on the attached Lic 9099D. An exit interview was conducted. A copy of this report and appeal rights was provided to Administrator, whose signature confirms receipt of this report. Substantiatedthe state’s words, verbatim · CDSS document, Jan 31, 2024 · control 24-AS-20240122102719

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.50(a)(4) · Plan of correction due date: Feb 1, 2024

HSC 1569.50(a)(4) Conduct that is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of the State of California. This requirement was not met as evidenced by: Based on records reviewed and interviews conducted, Administrator admitted to writing checks from a resident’s personal account, keeping the resident’s debit card, and making withdrawals from the resident’s account, which poses an immediate Health, Safety, and Personal Rights risk to the resident.the state’s words, verbatim · CDSS document, Jan 31, 2024

Plan of correction: Licensee is to return R1’s checks and debit card to the resident or responsible party/family and reimburse the resident for the money spent and withdraw by the POC due date. Confirmation of checks, debit card, and money reimbursement given back to the resident/ responsible party shall be submitted to Fresno CCL office by POC due date 02/01/24.

Type of visit: Required - 1 Year

On 1/31/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and met with Administrator Socorro Ann Telmo was called and arrived shortly and conduct tour with LPA. All five residents were present during the inspection. The tour started in the kitchen into the common areas to the residents’ rooms. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. Kitchen knives were observed unlock in kitchen drawer. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature maintained at 37 degrees F and freezer maintained at 0 degree F. Fire extinguisher was observed with a service date of: 03/24/23. Medications were checked and observed kept locked in kitchen cabinet. Residents’ MARS was reviewed. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are observed with securely fastened grab bars and non-skid mat. Hot water temperature was tested 110.8 degrees F. in bathroom 1 and 115.3 degrees F. in bathroom 2. Cleaning chemicals was observed stored and locked under kitchen sink and in the garage. Outside of facility toured. Adequately seating was observed outside for resident. Side gate was self-closing and self-latching. All resident and staff files reviewed to have all the required documents. Carbon monoxide and smoke detectors were tested and observed to be operational. A deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached 809D. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 02/06/24. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, control of property, current Administrator certificate, and current liability insurance. A copy of this report and appeal rights was provided to Administrator, whose signature on this form confirms receipt of these report.the state’s words, verbatim · CDSS document, Jan 31, 2024

Type of visit: Case Management - Other

On 1/26/24, Licensing Program Analyst (LPA) Yang arrived unannounced to facility to return the resident 1 (R1)’s files which was removed on 01/23/24. LPA met with Administrator Socorro Telmo. The completed files were received by the Administrator. Exit interview conducted. Signed report on file.the state’s words, verbatim · CDSS document, Jan 26, 2024