Advanced Home Care Senior Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 10:35AM. LPA was greeted at the door by staff and the reason for the visit was explained. Administrator Catherine Santos arrived at the facility at 11:04AM. Entrance interview conducted. At 11:05AM, the LPA along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: The LPA inspected the kitchen/food service area at 11:05AM. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility had a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for expiration dates and food labels had expiration date clearly marked. Knives and chemicals were locked inaccessible in kitchen drawer and cabinet. Fire extinguishers were fully charged and last serviced 08/15/2025. BEDROOMS: There are six (6) bedrooms total of which four (4) are for single resident-use, one (1) is for shared resident-use, and one (1) is for staff-use. LPA observed resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Staff room was observed locked. RESTROOMS: There are four (4) restrooms of which two (2) are shared between resident rooms and two (2) are in the hallway. Restrooms were clean, sanitary, and in operating condition with grab bars and slip-resistant surfaces. Hot water temperatures were measured in restrooms and were between 107.2-108.1 degrees F, which is within the required range. Report Continued on LIC 809-C COMMON AREAS: At the time of the visit, living room and dining room furniture were observed to be in good condition. The facility maintained a comfortable temperature. At 11:29AM, smoke detector(s), carbon monoxide detector, and fire doors were tested and were operational at the time of the visit. Auditory exit alarms were functioning at the time of the visit. LPA observed required postings throughout the common spaces. OUTDOOR AREA: LPA observed the back and front patio which has a covered outdoor area for resident use. There is a gate on the side of the house designated for an emergency exit. The property is gated. Passageways were free and clear from obstruction. There are no bodies of water on the premises. There are two (2) locked storage sheds. The property has an ADU behind the facility. RECORD REVIEW: Beginning at 11:35AM, LPA reviewed five (5) out of five (5) resident files and four (4) personnel files for documents including but not limited to: medical records, care plans, resident Admission Agreement, TB test, health screening, staff training and fingerprint clearance. All resident and personnel files were in order. During the visit, LPA obtained copies of valid liability insurance, LIC 500, and resident roster. MEDICATION REVIEW: At 01:12PM, LPA reviewed medications for two (2) residents. Medications are centrally stored and locked in the kitchen. All medications including PRNs were labeled, stored, and locked inaccessible to residents. PRNs have physicians order on file. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today's visit, LPA reviewed the facility's infection control policy as well as the emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan is updated annually as required. Emergency drills are conducted quarterly as is required, with the last drill conducted on 08/06/2025. Administrator stated a drill for the current quarter will be conducted. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Jan 6, 2026

The state marks this report as 7 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 10:06AM. LPA was greeted at the door by staff and the reason for the visit was explained. Administrator Catherine Santos arrived at the facility at 10:45AM. Entrance interview conducted. At 10:08AM, the LPA along with staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. BEDROOMS: There are six (6) bedrooms total of which four (4) are for single resident-use, one (1) is for shared resident-use, and one (1) is for staff-use. LPA observed resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Staff room was observed locked. RESTROOMS: There are four (4) restrooms of which two (2) are shared between resident rooms and two (2) are in the hallway. Restrooms were clean and sanitary and in operating condition with grab bars and slip-resistant surfaces. The restrooms were sufficiently stocked with supplies and paper towels; towels and washcloths are not shared. Between 10:14AM – 10:16AM, hot water temperatures were measured in resident restrooms and were between 111.4 degrees F – 116.3 degrees F, which is within the required range. KITCHEN: The LPA inspected the kitchen/food service area at 10:19AM. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for expiration dates and food labels had expiration date clearly marked. Knives and chemicals were locked inaccessible in kitchen drawer and cabinet. Fire extinguishers were fully charged and last serviced 08/12/2024. Report Continued on LIC 809-C COMMON AREAS: At the time of the visit, living room and dining room furniture were observed to be in good condition. The facility maintained a comfortable temperature. At 10:30AM, smoke detector(s) and carbon monoxide detector tested and were operational at the time of the visit. Auditory exit alarms were functioning at the time of the visit. LPA observed required postings throughout the common spaces. OUTDOOR AREA: At 10:22AM, LPA observed the back and front patio which has a covered outdoor area for resident use. There is a gate on the side of the house designated for an emergency exit. The property is gated. Passageways were free and clear from obstruction. There are no bodies of water on the premises. There are two (2) locked storage sheds. The property has an ADU behind the facility. RECORD REVIEW: Beginning at 10:31AM, LPA reviewed six (6) out of six (6) resident files and four (4) personnel files for documents including but not limited to: medical records, care plans, resident Admission Agreement, TB test, health screening, staff training and fingerprint clearance. All resident and personnel files were in order. During the visit, LPA obtained copies of valid liability insurance, LIC 500, and resident roster. MEDICATION REVIEW: At 11:47AM, LPA reviewed medications for three (3) residents. Medications are centrally stored and locked in the kitchen. All medications including PRNs were labeled, stored, and locked inaccessible to residents. PRNs have physicians order on file. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today's visit, LPA reviewed the facility's infection control policy as well as the emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan is updated annually as required. Emergency drills are conducted quarterly as is required, with the last drill conducted on 11/12/2024. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Jan 3, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Emily Peraldi and Valeria Conway arrived at the facility unannounced to conduct a required annual visit. At 10:35 a.m., the LPAs met with staff and explained the reason for the visit. At 10:57 a.m., the Administrator, Catherine Santos arrived at the facility. At 11:20 a.m., the LPAs, along with the Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations. BEDROOMS: The facility is a single-story residential home with six (6) bedrooms, five (5) for resident use and one (1) for staff use and four (4) bathrooms. The LPAs observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. Starting 11:25 a.m., hot water measured between 105.7 and 112.0-degree Fahrenheit. The sinks had sufficient liquid soap, and paper towels. Signs are posted throughout the facility restrooms to promote handwashing. Cleaning solutions, toxins, chemicals and hazardous items were inaccessible and locked away in the restroom cabinets. KITCHEN: The LPAs observed the kitchen/dining area. Knives are stored in a locked kitchen drawer. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 11:56 a.m., hot water measured at 114.9-degree Fahrenheit. Medications are located in a locked filing cabinet in the kitchen. Laundry units are located next to the kitchen. Continued on LIC-809-C. OUTDOOR SPACE: At 11:41 a.m., the LPA observed the back and front patio which has a covered outdoor area for resident use. There is a gate on the side of the house designated for an emergency exit. The property is gated. Passageways were free and clear from obstruction. There are no bodies of water on the premises. There are two unlocked storage sheds, however no hazardous or dangerous items were observed in the sheds. The property has an ADU behind the facility. COMMON AREAS: The LPAs observed common areas to be relatively clean and properly furnished. The LPAs observed the fire extinguisher to be fully charged and last serviced on 08/07/2023. At 1:30 p.m., fire alarms/carbon monoxide detectors were tested and functioned properly. All exits have functioning auditory devices and were operational at the time of the visit. Facility telephone was observed during the time of the visit. Starting at 11:32 a.m., the LPAs conducted interviews with four (4) out of five (5) residents and three (3) staff. RECORD REVIEWS: Between 12:00 p.m. and 1:20 p.m., the LPAs conducted a file review for all residents and staff regularly scheduled and observed the following: Staff have current first aid and training documentation showing required training completed. Resident records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All files were in order. The Administrator’s certificate is active and expires on 05/03/2024. Copy of valid liability insurance and Facility Emergency Plan was provided to the LPAs during the visit. A copy of LIC 9020A, LIC 308, LIC 500 and Infection Control Plan was provided to the LPAs as well. Between 2:38 p.m. and 4:00 p.m., the LPAs conducted a review of medication and medication documentation with staff for four (4) out of five (5) residents and observed that all medications were properly documented and assisted with as prescribed. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Jan 24, 2024

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.