Rinaldi Guest Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the assistant administrator, Clyde Acabal and explained the reason for the visit. At approximately 10:00am, LPA took a tour of the physical plant. The facility is a one story building that houses level 4C clients. Required postings were observed in the entry area. The smoke alarms are hard wired and battery operated. Pull chord to alert the fire department is also active. The carbon monoxide detector is located in between rooms #1 and #2. There are two (2) fire extinguishers, located in the kitchen and lounge. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food sealed and properly stored. Knives and cleaning supplies were locked and inaccessible during the visit. Bedrooms: The facility has six (6) bedrooms. Rooms #1 and #3 are private. Rooms #5 and #6 are shared. Rooms #2 and #4 are reserved for staff. The bedrooms designated for resident use were observed to be properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are four (4) bathrooms designated for both resident and staff use. Currently, there are two bathrooms under renovation, but the other two are in use. Bathrooms eligible for use were properly supplied and had functional fixtures. Hot water temperature was measured between 107 and 109 degrees Fahrenheit. No cleaning supplies were observed in any of the bathrooms during the visit. Common Areas: These included the living room, lounge and dining area. The living room is furnished with sufficient seating of couches, chair, table and television. The dining room table is large enough to seat the six residents. The lounge area is located by rooms #4 and #5. The lounge has two more couches for additional seating of the residents. Surrounding Grounds: The patio at the backyard had furniture appropriate for outdoor use. There is a locked storage space in the patio area for an additional supply of non-perishable food. Ramps and rails are maintained. There is also a locked storage space for cleaning supplies in the backyard. Garage: The garage is not attached to the building. It is located at the backyard of the home. The garage is used for additional storage space for supplies. The garage is locked and inaccessible to the clients. Laundry area: The laundry area is located adjacent to the kitchen. No cleaning supplies or detergents were observed during the day's inspection. Staff Workstation/Office: There is a staff workstation located by the laundry area where client and staff records are kept. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: The medication cart is stationed in the lounge area. The cart is kept locked when medications are not being administered. Medication and Medication Records were reviewed for storage and proper documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued.the state’s words, verbatim · CDSS document, May 15, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with staff, Claro Salomon and explained the reason for the visit. At approximately 11:45am, LPA took a tour of the physical plant. The facility is a one story building that houses level 4C clients. Required postings were observed in the entry area. The smoke alarms are hard wired and battery operated. Pull chord to alert the fire department is also active. The carbon monoxide detector is located in between rooms #1 and #2. There are two (2) fire extinguishers, located in the kitchen and lounge. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food sealed and properly stored. Knives and cleaning supplies were locked and inaccessible during the visit. Bedrooms: The facility has six (6) bedrooms. Rooms #1 and #3 are private. Rooms #5 and #6 are shared. Rooms #2 and #4 are reserved for staff. The bedrooms designated for resident use were observed to be properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are four (4) bathrooms designated for both resident and staff use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured between 112 and 114 degrees Fahrenheit. No cleaning supplies were observed in any of the bathrooms during the visit. Common Areas: These included the living room, lounge and dining area. The living room is furnished with two couches, chair and tv. The dining room table is large enough to seat six individuals. The lounge is located by rooms #4 and #5. The lounge had two couches and a tv. Furniture and floors were clean and in good repair. Hallways, entrance/exits were clear of obstruction. Surrounding Grounds: The patio at the backyard had furniture appropriate for outdoor use. There is a locked storage space in the patio area for an additional supply of non-perishable food. Ramps and rails are maintained. There is also a locked storage space for cleaning supplies in the backyard. Garage: The garage is not attached to the building. It is located at the backyard of the home. The garage is used for additional storage space for supplies. The garage is locked and inaccessible to the clients. Laundry area: The laundry area is located adjacent to the kitchen. No cleaning supplies or detergents were observed during the day's inspection. Staff Workstation/Office: There is a staff workstation located by the laundry area where client and staff records are kept. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: There is a medication cart stationed in the dining room. The cart was locked. Medication and Medication Records were reviewed for storage and proper documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued.the state’s words, verbatim · CDSS document, May 20, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the assistant administrator, Clyde Acabal and explained the reason for the visit. At 09:25am, with the assistance of staff, LPA took a tour of the physical plant. The facility is a one story building that houses level 4C elderly clients. Required postings were observed in the entry area. The smoke alarms are hard wired and battery operated. Pull chord to alert the fire department is also active. The carbon monoxide detector is located in between rooms #1 and #2. There are two (2) fire extinguishers, located in the kitchen and lounge. The last fire drill was held on 05/08/24 and the last earthquake drill on 04/05/24. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food sealed and properly stored. Knives and cleaning supplies were locked and inaccessible during the visit. Bedrooms: The facility has six (6) bedrooms. Rooms #1 and #3 are private. Rooms #5 and #6 are shared. Rooms #2 and #4 are reserved for staff. The bedrooms designated for resident use were observed to be properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are four (4) bathrooms designated for both resident and staff use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured between 108 and 111 degrees Fahrenheit. No cleaning supplies were observed in any of the bathrooms Common Areas: These included the living room, lounge and dining area. The living room is furnished with two couches, chair and tv. The dining room table is large enough to seat six individuals. The lounge is located by rooms #4 and #5. The lounge had two couches and a tv. Floors were mopped and clean. Exits and passageways were clear of obstruction. Surrounding Grounds: Entry/exits to the front and back of the home were free of obstruction. The patio at the backyard had furniture appropriate for outdoor use. There is a locked storage space in the patio area for an additional supply of non-perishable food. Ramps and rails were checked to be installed firm and in place. There is also a locked storage space for cleaning supplies in the backyard. Garage: The garage is not attached to the building. It is located at the backyard of the home. The garage is used for additional storage space for medical and PPE supplies. The garage is locked and inaccessible to the clients. Laundry area: The laundry area is located adjacent to the kitchen. Toxins and detergents not present at this time. Staff Workstation/Office: There is a staff workstation located by the laundry area where client and staff records are kept. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: There is a medication cart stationed in the dining room. The cart was locked. Medication and Medication Records were reviewed for storage and proper documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued.the state’s words, verbatim · CDSS document, May 29, 2024

Allegation investigated: Licensee did not comply with the terms and condition of Admission Agreement.

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegation. It was reported that a regularly annual visit was made on or around October 27, 2023, and at the time of that review, the facility lacked the required documentation to support staff training and resident services. Today's investigation consisted of interviews with staff and residents, and a record review of six (6) resident records and two (2) staff records. In addition, LPA also conducted a plant inspection to insure the health and safety of the residents in care. Although the licensee has began to comply with regulation, and is curretnly working on their Corrective Action Plan (CAP) to satisfy their record keeping for staff training and resident services, the above allegation is Substantiated based on the Annual Review that was made on or around October 27, 2023. Citations issued on the 9099D. Exit interview conducted. A copy of this report and appeal right issued. Substantiatedthe state’s words, verbatim · CDSS document, Jan 16, 2024 · control 31-AS-20240108151253

From the deficiency page — Deficiency type: Type B · Section cited: CCR 80065(f) · Plan of correction due date: Jan 23, 2024

Personnel Requirements: All personnel shall be given on-the-job training or shall have related experience which provides knowledge of and skill in the following areas, as appropriate to the job assigned and as evidenced by safe and effective job performance. This requirement was not met as evidenced by: An annual review made on or around 10/27/23. At the time of that review, direct care staff, staff 1 (S1) failed to meet continuing education units from their hire date. This poses a potential health and safety risk to the resident in care.the state’s words, verbatim · CDSS document, Jan 16, 2024

Plan of correction: The licensee was given a corrective action plan (CAP) to comply with Title 17 section 56054, due by 01/20/24. As POC, the licensee will submit a copy of that CAP, to confirm that S1 has satsified their continuing education, to the licensing agency by January 23, 2024.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 80070(a) · Plan of correction due date: Jan 23, 2024

Client Record: The licensee shall ensure that a separate, complete, and current record is maintained in the facility for each client. This requirement was not met as evidenced by: An annual review made on or around 10/27/23. At the time of that review, there was no documentation available to support the services, nor hours provided to the residents. This poses a potential health and safety risk to the residents in care.the state’s words, verbatim · CDSS document, Jan 16, 2024

Plan of correction: The licensee was given a corrective action plan (CAP) to comply with Title 17 section 56054, due by 01/20/24. As POC, the licensee will submit a copy of that CAP to the licensing agency by January 23, 2024.