Divine Mercy Care Homes II

Type of visit: Required - 1 Year

On 01/07/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. LPA met with caregiver John Baniage. Licensee/ Administrator (L1) Neil Orillosa was called and stated unable to attend meeting. L1 informed LPA manager (S1) Jade Gomez will arrive shortly and L1 authorized S1 to sign and receive report. LPA toured facility with S1. 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. 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. Washer and dryer was operational during visit. 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 35 degrees F and freezer at -1 degrees F. Cleaning solutions were observed locked under kitchen sink with a broken lock. A small knife was observed locked in the kitchen drawer. Medications were observed locked in kitchen shelves. MARs were reviewed and medications were checked. First aid kit was checked. Fire extinguisher was observed with a service date of: 03/31/25. All bedrooms were observed to have the required furnishings and with adequate lightning. R1 was observed laying in bedroom using full rails and R3 bed was observed with half rails up. Extra linens and towels were observed. The bathrooms were toured and observed with non-skid mats and grabbed bars. Hot water tested at 105.2 and 105.5 degrees F in the bathroom in master bedroom, and 105.2 degrees F in hall bathroom. 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. Technical Support Program (TSP) assistance was offered. Licensee will make a decision and reach out the department regarding acceptance. A deficiency and an immediate Civil Penalty was assessed. See Lic 421BG is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6 see attached Lic 809D. Exit interview was conducted. The following documents are requested and submitted to Fresno CCL by: 01/13/26. Forms requested: Lic 308, Lic 500, Lic 610E, and current liability insurance. Plan of correction was discussed with Licensee/ Administrator via telephone. Manager, whose signature on this form. A copy of reports and appeal rights was emailed to Licensee per request.the state’s words, verbatim · CDSS document, Jan 7, 2026

The state marks this report as 9 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.

Type of visit: Prelicensing

On 02/13/25, Licensing Program Analyst (LPA) M. Yang arrived announced to conduct a follow-up Pre-Licensing inspection. LPA met with Licensee 1(L1) Neil Orillosa. LPA observed all bathrooms with grabbed bars for use of shower and toilet and night light in hallway. Bedroom were toured and observed with blankets and individual chairs in each room. First aid kit was observed will all required items. Component III was conducted during today's pre-licensing visit. I have found that the applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued. A copy of this report was provided to Licensee.the state’s words, verbatim · CDSS document, Feb 13, 2025

Type of visit: Prelicensing

On 02/11/25, Licensing Program Analysts (LPA) M. Yang conducted an announced Pre-licensing / Component III Inspection. LPA introduced self, stated the purpose of the visit and was allowed entry into the facility. LPA met with Licensee 1(L1) Neil Orillosa. LPA toured the facility with L1. The facility is a 3 bedroom, and 2 bathroom home and fire clearance were granted for 6 non-Ambulatory for a total capacity of 6. There are no residents present during this inspection. Facility was free from ground obstructions and odor free. Common areas were observed to have adequate seating and lighting available. Medications and sharps will be locked and stored in kitchen shelf. First aid kit was observed and did not contain all required items. Kitchen was toured and observed to have dishes, plates, and utensils. Knives will be kept locked in kitchen drawer. Refrigerator temperature maintained at 35 degrees F and freezer maintained at 0 degree F. Adequate non-perishable food observed. Perishable food supplies will be purchased prior to resident reside at facility. LPA observed an extra supply of bed linens and towels. Bedrooms were toured. Bedroom observed with mattress, bedspread, top sheet, and bottom sheet with pillow. Bathroom observed operational and functional. Bathroom observed with non-skid mat. Hot water temperature tested at 115.3 degrees F in bathroom and 117.6 in master bathroom. A fire extinguisher was observed and had a service date of 09/16/24. Outside of facility toured. Exits were open and free of obstructions. LPA observed side gate to be self-latching and free debris. Smoke detectors and carbon monoxide were observed to be operational during this inspection. Facility phone number 661-412-7100. The following observed will need to be brought into compliance: 1. Night light in hallway 2. First aid kit did not have all required items 3. All bedrooms have no blankets 4. Bedroom furniture observed with no chair 5. All bathroom have no grabbed bar in the shower/ tub. A follow up inspection will be scheduled once all above items are in compliance.the state’s words, verbatim · CDSS document, Feb 11, 2025