Royalty Guest Home

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA), Leslie Ngo-Castaneda conducted an unannounced required 1-year inspection at this facility at approximately. LPA were greeted by staff, Mae Tacal and was explained the reason for the visit. At 1:41PM the administrator, Elena Angusta, arrived and was disclosed the purpose of the visit. LPA conducted a tour of the physical plant at approximately 1:51 PM to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. Common areas were observed for the ability to safely serve the needs residents. These included the kitchen, dining room area and living room. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed to be furnished appropriately. LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the six (6) residents currently residing there. Two (2) days of perishable food observed. The freezer is stocked with meats and frozen vegetables. S Laundry room is outside the facility. The appliances observed to be functional. Due to time constraints this required annual will be completed at a later time. Exit interview conducted/Copy of report giventhe state’s words, verbatim · CDSS document, Jun 2, 2026

Type of visit: Case Management - Other

On 9/12/2025 Licensing Program Analyst (LPA) Perchui Milena Khurshudyan conducted an unannounced Case Management visit to the facility in order to amend the deficiency page that was issued during the visit conducted on 4/17/2018. Upon arrival, LPA was greeted by the Administrator Elena Angustia and explained the reason for the visit. LPA conducted a physical plant walk through to ensure that the facility is in compliance with rules and regulations under California Code of Regulations, Title 22. During today's visit, LPA provided the facility with the amended deficiency page to replace the one originally issued on 4/17/2018. The amendment was necessary to correct clerical/technical error on the previously issued form. No new deficiency was observed and issued during today's case management visit. An exit interview was conducted and copy of this report and the new amended deficiency page were provided to the facility.the state’s words, verbatim · CDSS document, Sep 12, 2025

Type of visit: Required - 1 Year

On 6/19/25 an unannounced annual visit was conducted by Licensing Program Analyst (LPA) Perchui Milena Khurshudyan. Upon arrival, LPA met with the facility Administrator Elena Angustia, who granted access to the facility. LPA introduced herself by showing her badge and explained the reason for the visit. LPA Khurshudyan reviewed the required postings on a wall throughout the facility. The inspection tool was used to complete today's visit. During today's visit, LPA conducted a physical plant walk through at approximately 10:55am, to ensure that the facility is in compliance with rules and regulations under California Code of Regulations, Title 22.The following was observed: The facility is a single-story home and is licensed for capacity of six (6) residents, of which six (6) may be non-ambulatory and of which fire clearance for one (1) Bedridden. Facility also has a hospice waiver for one (1) resident. There are five (5) bedrooms designated for residents’ use. All bedrooms observed to be appropriately furnished and have appropriate lighting. There are two (2) bathrooms in the facility designated for residents’ and staff use. LPA observed bathrooms have soap, paper towels and hand washing signs. The hot water temperature measured at 11:15am to be 123.1°F. Extra towels and linens were readily available in the linen closet located in the hallway. There are grab bars for each toilet and shower, bathrooms have non-skid mats. All trash cans in bathrooms had fitted lids to protect from cross contamination. LPA observed facility alarms were present on all exit doors and signals were operational. SMOKE DETECTORS/CARBON MONOXIDE. The smoke detectors and carbon monoxide are hard wired, inter-connected and were located throughout the facility. At 12:30pm they were tested and observed to be operational. The facility has two (2) fire extinguishers that was last purchased on 7/16/2024. Continue on LIC809-C KITCHEN: The facility has a Kitchen area that is equipped with a two (2) refrigerators, microwave oven, dish washer and sink. The kitchen appliances and fixtures were functional. LPA observed the kitchen area to be dirty and not sanitary. There was sufficient stock of one-week non-perishable foods and two days of perishable foods. Stored foods were not properly labeled. Food storage and preparation areas observed to be cluttered and unorganized. LPA observed that sharp objects were stored inside the unlocked kitchen cabinet and accessible to residents in care. LPA also observed chemical bug spray on the kitchen floor and informed by the caregiver that there is a cockroach in the facility. Extra emergency food was also stored inside the kitchen cabinets. Temperature was measured at 12:35pm to be 81°F. MEDICATION: LPA observed centrally stored medication unlocked inside one of the staff’s unlocked room and numerous medications openly placed on the kitchen table. First Aid kit was locked inside the hallway storage cabinet, inaccessible to residents in care and it was checked by the LPA to be complete. Facility has two (2) staff for AM shift and one (1) awake caregiver for PM shift. COMMON AREAS: LPA observed the living room and the dining room to be generally clean and furnished, however, the area was cluttered by files, documents, papers etc. Facility has land line; LPA checked its operational. There is a fireplace, which is blocked by the sofa and LPA was informed that the fireplace is not-operational. LAUNDRY ROOM: Laundry machines are located outside of the facility inside locked fenced area. LPA observed chemicals stored openly in the kitchen and staff room areas, available to residents residing in the facility. LPA discussed the importance of keeping potentially dangerous items locked at all times. SURROUNDING GROUNDS: LPA observed sufficient yard space with fenced backyard. LPA discussed the importance of maintaining the care and supervision to meet the needs of clients. Exit doors were unlocked however, obstructions were observed on the exit areas. The facility does not have a swimming pool or body of water. FILE REVIEW: Between 11:00am to 12:30pm, LPA reviewed records and files of two (2) residents and three (3) staff/caregivers. A review of staff and resident records appeared to be not complete. There are no residents with prohibited conditions residing at the facility. Continue on LIC809-C An emergency exit plan/sketch along with other posting requirements are posted on the wall by the entrance area. Medications Review: At approximately 12:35pm LPA reviewed Centrally Stored Medication Destruction Records for proper documentation. All medications were properly recorded, however, PRN medications did not have written orders from a physicians. LPA collected LIC500, LIC9020, copy of Liability Insurance Certificate. Deficiencies issued during today’s visit. Exit interview conducted and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Jun 19, 2025

Type of visit: Required - 1 Year

At 9:50 AM Licensing Program Analyst (LPA), Huma Rahimi, conducted an unannounced annual inspection at the facility mentioned above. LPA met with the Administrator, Elena Angustia and explained the reason for the visit. At 10:20 AM, physical tour was conducted with the Administrator and LPA observed the following: Kitchen: At approximately, 10:21 AM LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. LPA observed a scissor in one of the drawers in the kitchen accessible to residents in care. LPA also observed roaches crawling on the kitchen food, utensils, walls, and inside the fridge. LPA also observed a think pile of grease/dust in the kitchen. A spray of Ant & Roach (Raid Brand) was also observed and accessible to residents in care. Other knives were observed locked. All trash cans were observed without a tight-fitting lids. Medications: At approximately, 10:22 AM LPA observed medications are centrally stored and locked in a kitchen cabinet. LPA observed over the counter medication for severe congestion & cough in Bedroom # five (5), and two full bottles of Lactulose 10 Gram in Bedroom # two (2) accessible to residents in care. Additionally, review of R1's random medication revealed that the facility has a full completely sealed bottle of Atorvastatin 10MG to prevent heart attack, or stroke which was filled on 10/30/2023, with 100 tablets. A second empty bottle of Atorvastatin 10MG with one hundred (100) tablets, date filled on 02/20/2024, was observed empty. LPA did not observe any new bottle or any discontinuation notes on the Centrally Stored Medication and Destruction Record (LIC 622). LPA asked the Administrator and the staff for explaining and both staff could not provide any answers. A deficiency will be cited. Continue on LIC 809C Bedrooms: The facility has five (5) resident bedrooms of which three (3) were vacant. There was one room designated for staff. All resident bedrooms, including the vacant rooms, were properly furnished and supplied with appropriate bedding and linens. Rooms observed to have bedspread, sheets, pillowcase, LPA observed roaches in the resident’s bedrooms as well as spider webs in the ceiling. One of the vacant bedrooms also had a leak in the corner of the closet in the ceiling and the upper portion of the wall. Trash cans did not have any tight-fitting lids. Bathrooms: LPA observed two (2) bathrooms and both needed to be clean. The sink in one of the bathrooms was clogged. LPA also observed two (2) bottles of Cloralen with bleach sprays in the bathroom cabinet accessible to residents in care. The bathrooms were properly supplied with toilet papers, soap and paper towels. LPA observed appropriate grab bar and resident's bathroom had non-skid mat. At 10:41 AM, hot water temperature measured at 150°F. Common Areas: The facility maintains a comfortable temperature at 78°F. The living room and dining area did not appear clean. They were furnished. The living room has a television, comfortable furniture. No obstructions and or tripping hazards throughout the facility. The fire extinguisher by the front door and in the kitchen were expired and were dated from 12/06/2018. Outside areas: At approximately, 10:45 AM, LPA toured the outside area of the facility. There was a locked fenced area designated for laundry and laundry detergents were observed locked. The facility has four separate storage rooms. Two out of four storage rooms were observed unlocked of which one storage room had paints and other chemicals. All windows and door paths from inside and outside needed cleaning. Smoke detectors/carbon monoxide. Smoke detectors were located throughout the facility, and at 10:55 AM they were tested and observed to be operational. Carbon monoxide was located in a hallway and was also tested and observed to be operational. Continue on LIC 809C Between 11:30 AM, to 1:00 PM, LPA reviewed records of two (2) residents and two (2) staff. LPA observed two out of two resident records were incomplete and missing forms. Appraisal/Needs and Services Plan (LIC 625) and Physician Report (LIC 602A) were missing. LPA observed that two (2) out of two (2) staff did not have valid/current First Aid/CPR training on file. Residents and staff records did not appear to be complete and updated. Administrative: LPA collected Certificate of Liability Insurance, and LIC500. Deficiencies cited during today’s visit. Appeal rights explained. Exit interview conducted and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Jul 15, 2024