A Plus Elderly Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Evelin Rios arrived to the facility mentioned above to conduct an unannounced required annual visit. LPA was greeted by a staff who granted entry. Staff contacted the administrator, Marita Amorsolo to inform her LPA was at the facility. In the facility LPA observed a second staff in the kitchen and three (3) residents in the dining area. LPA briefly spoke with the residents. LPA met with the administrator shortly after and explained the reason for the visit. This is a Residential Care Facility for the Elderly (RCFE) with an approved fire clearance for six (6) bedridden residents for a total capacity of six (6) and a hospice waiver for four (4). At 9:20 AM LPA initiated a physical plant tour of the facility inside and out and the following was observed: At the entrance of the facility LPA observed a sign in log for visitors, a digital thermometer affixed to the wall and PPE supplies. Along a wall leading to the common area LPA observed required postings such as a facility sketch with marked emergency exits and an assembly point. The administrator certificate was also posted and active. The facility has an open-concept layout that connects the kitchen, living room, and dining area. LPA observed cameras in the common areas. There are two (2) fire extinguishers, both fully charged with purchase receipts dated 3/11/2026. In the kitchen LPA observed the kitchen to be clean and clear of clutter. Appliances and fixtures were functional. LPA observed a sufficient amount of two-day perishable and seven day non-perishable food in the refrigerator and pantry. Knives and sharps were stored in a locked drawer inaccessible to residents. Centrally stored medication and a fully supplied first aid is stored in a locked kitchen cabinet. In the living room and dining area LPA observed the furniture to be in good repair and sit the capacity of the facility. (Continue to LIC809-C) In the living room LPA observed a fireplace not in use properly secured. There is a television, activity books and games for residents. LPA did not observe any tripping hazards. Doors leading to the outside have auditory alarms there were on and functioning properly during the visit. Through a locked door by the kitchen, there is access to the staff rooms and the attached garage. Inside the garage, LPA observed a washer and dryer. All detergents and cleaning supplies are stored locked in the garage. LPA also observed a second refrigerator used to store an overflow of food. The garage is also used as a storage area and contains the facility’s supply of emergency water. In the hallway leading to the four (4) resident bedrooms, LPA observed a carbon monoxide detector. At 9:30 AM, the detector was tested and found to be functioning properly. In the hallway cabinet, LPA observed extra linens. Bedroom #1 is shared. Bedrooms designated for residents were furnished with a bed, night stand, chair, dresser, bedding, sufficient lighting and closet space. The facility has two (2) bathrooms for residents. Bedroom #1 has a private bathroom. The other bathroom is located in the hallway. LPA observed the bathrooms had functioning plumbing and fixtures equipped with grab bars, and non-skid mats. The hot water delivered in the common bathroom and private bathroom was measured at approximately 9:44 AM and read between 108 and 111 degrees Fahrenheit, within regulation. The backyard has two (2) shaded areas with appropriate outdoor furniture. LPA observed the passageway to the exit was clear of obstruction. There is a sufficient amount of outdoor space for residents. There is no swimming pool or bodies of water. There is a locked shed used for storage. At 10:45 AM LPA reviewed and obtained copies of the Emergency Disaster Plan (LIC610E), active Liability Insurance, and Personnel Report (LIC500). At 11:29 AM LPA reviewed staff and resident records along with centrally stored medication and medication records. LPA conducted a file review of five (5) resident files to ensure licensing forms were complete and in compliance. LPA also conducted a file review of three (3) staff records to insure training documents are in compliance and complete. Medication and Medication Records were reviewed for proper storage and documentation. LPA observed the administrator test smoke detectors at 1:00 PM and they were observed functioning properly. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during today's visit. Exit Interview was conducted and a copy of the report was provided to the Administrator.the state’s words, verbatim · CDSS document, Mar 27, 2026

Type of visit: Required - 1 Year

On 01/15/2025 at 2:07 p.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility mentioned above to conduct an unannounced Required Annual inspection. LPA was greeted by Staff #1 (S1). LPA signed in and checked temperature by entry. S1 called the administrator. Lily Anne Gagarin the administrator designee met LPA shortly after. LPA explained the reason for the visit. This is a Residential Care Facility for the Elderly (RCFE) with an approved fire clearance for 6 bedridden residents with a hospice waiver for 4. The inspection tool was used to complete the visit. At 2:12 p.m. LPA began a physical plant tour of the facility inside and out and the following was observed: Kitchen: LPA observed required postings on a wall leading to the office. LPA observed the kitchen to be clean and clear of clutter. All appliances were operative. LPA observed an adequate amount of tableware for the capacity of the facility. Knives are kept locked in a kitchen drawer inaccessible to residents. LPA observed a 2-day perishable and 7-day non perishable food supply; properly stored and labeled. The fire extinguisher was observed by the kitchen, fully charged with a receipt of purchase from 03/04/2024. Dining / Living Area: The dining and living area were clean and clear of clutter. Furniture appeared clean and in good repair. A fireplace located in the living area was not in use and secured with a glass screen. LPA observed the thermostat at a comfortable temperature of 71°F. Bedrooms: A fire extinguisher was observed in the hallway leading to the bedrooms and was fully charged. There are four (4) bedrooms designated for resident use. One (1) out of the four (4) rooms is shared. All resident rooms are furnished with required lighting, dresser, chair, bed, and linens. LPA observed a built in closet with extra linens. Auditory alarms on exit doors were functioning properly. (Continued on LIC809-C) (Continued from LIC809) Bathrooms: There are two (2) bathrooms designated for resident use. One (1) bathroom is located in the shared bedroom and the other bathroom is accessible to all residents. Both bathrooms were well lit, clean, had grab bars, nonskid mats and trash bins with lids. LPA observed a sufficient supply of hand soup, paper towels and toilet paper. At approximately 2:26 p.m. water temperature in the main bathroom was measured at 112.1 degrees Fahrenheit, within regulation. LPA observed dual smoke and carbon monoxide detectors through out the facility that are interconnected. At 2:38 p.m. smoke and carbon detectors were tested by staff and were observed to be functioning properly. Surrounding Grounds: There were no visible hazards, and passageways were free from obstruction. There is a covered patio space to provide shade and appropriate outdoor seating for residents. LPA observed one shed in the backyard being used for storage. There are no bodies of water. Laundry Room/Garage: Washer and dryer are located in the garage and it is kept locked. LPA observed a washing machine and dryer that appeared operative. Laundry detergent is kept locked in the garage. LPA observed a second facility refrigerator. Medication requiring refrigeration is kept in a refrigerator in the garage inaccessible to residents. Resident/Staff/Facility Records: At approximately 3:06 p.m. LPA reviewed The Emergency and Disaster Plan (LIC610E), Fire and Earthquake drills, Certification of Liability, Personnel Report (LIC500) and Infection Control Plan. LPA provided PIN to designee to pay licensing fee online. At 3:20 p.m. LPA reviewed five (5) out five (5) resident records and (2) staff records were reviewed to ensure compliance. Medications: Centrally stored medications are maintained locked in a kitchen cabinet. Medication Records were reviewed for proper documentation. Medication records were complete and up to dated. LPA observed a fully stocked first aid kit. No deficiencies were observed during todays visit. Exit interview conducted. Copy report provided.the state’s words, verbatim · CDSS document, Jan 15, 2025

Type of visit: Required - 1 Year

On 01/22/2024 at 2:00 p.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility mentioned above to conduct a Required Annual inspection. LPA was greeted by Staff #1 (S1). S1 asked LPA to sign in. S1 called the administrator Marita Samaniego. Marita met LPA shortly after. LPA explained the reason for the visit. The inspection tool was used to complete the visit. At 2:10 p.m. LPA began a physical plant tour of the facility and the following was observed: Kitchen: LPA observed required postings on a wall leading to the office. LPA observed the kitchen to be clean and clear of clutter. All appliances were operative. Knives are kept locked in a kitchen drawer inaccessible to residents. LPA observed a 2-day perishable and 7-day non perishable food supply; properly stored. The fire extinguisher was observed by the kitchen, fully charged with a receipt of purchase from 04/18/2023. Dining / Living Area: The dining and living area were clean and clear of clutter. Furniture appeared clean and in good repair. A fireplace located in the living area was not in use and secured with a glass screen. LPA observed the thermostat at a comfortable temperature of 72°F. Bedrooms: A fire extinguisher was observed in the hallway leading to the bedrooms and was fully charged. There are four (4) bedrooms designated for resident use. One (1) out of the four (4) rooms is shared. All resident rooms are furnished with required lighting, dresser, chair, bed, and linens. Auditory alarms on exit doors were functioning properly. LPA observed smoke detectors through out the facility that are interconnected. At 2:30 p.m. smoke and carbon detectors were tested and were observed to be functioning properly. (Continued on LIC809-C) Bathrooms: There are two (2) bathrooms designated for resident use. One (1) bathroom is located in the shared bedroom and the other bathroom is accessible to all residents. Both bathrooms were well lit, clean, had grab bars, had hand washing signs, nonskid mats and trash bins with lids. LPA observed a sufficient supply of hand soup, paper towels and toilet paper. At approximately 3:30 p.m. water temperature in the main bathroom was measured at 111 degrees Fahrenheit. Surrounding Grounds: There were no visible hazards, and passageways were free from obstruction. Gate on the side of the house was closed but unlocked. There is a covered patio space to provide shade and appropriate outdoor seating for residents. LPA observed one shed in the backyard being used for storage. There are no bodies of water. Laundry Room: Laundry room is kept locked. LPA observed a washing machine and dryer that appeared operative. Laundry detergent is kept locked in laundry room. Resident/Staff Records: At approximately 3:00 p.m. five (5) out five (5) resident records and (2) staff records were reviewed to insure compliance. Medications: Centrally stored medications are maintained locked in a kitchen cabinet. Medication requiring refrigeration is kept in a refrigerator in the garage inaccessible to residents. Medication Records were reviewed for proper documentation. Medication records were complete and updated. No deficiencies were observed during todays visit. Exit interview conducted. Copy report provided.the state’s words, verbatim · CDSS document, Jan 22, 2024