Paula's Guest Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced annual visit today. LPA met with Ernie Balud, Caregiver, and the reason for the visit was explained. Administrator, Dr. Michael Roach, arrived thereafter and continued to facilitate the visit. The facility is licensed to serve six (6) non-ambulatory residents ages 60 and over; facility may retain five (5) Hospice residents. The home is in a residential area of Whittier and consists of living room/dining area, kitchen/office area, staff room, (4) client bedrooms, (2) full bathrooms, laundry room, detached garage, front and backyard and shaded area. During today’s visit, the following was observed: Facility is clean inside and out. Passageways, walkways and exits are free of debris and obstruction. Living room and dining area have sufficient seating and furniture is in good repair. Kitchen area and appliances are kept clean. Food is kept properly stored and within expiration limits. Facility has sufficient 2-day perishable and 7-day non-perishable food supply. Sharps and cleaning products are kept locked and inaccessible to clients. Bedrooms have the required furniture and bedding. Closets have ample space and rooms have appropriate lighting. Bathrooms are kept clean and sanitary. Showers have anti-slip surfaces and sufficient hygiene products were observed. Water temperature was tested and measured within 115 - 116.3 degrees, which is within compliance range. ***Continues on LIC 809-C*** Laundry appliances were observed operational, and detergents are also kept locked. Front and backyard are kept clean and garden is maintained. Facility’s shaded area has sufficient seating, and patio furniture is in good repair. Facility is equipped with a charged fire extinguisher which was last inspected on 7/30/2026. Facility conducts drills every month. Last drill was conducted on 9/20/2026. Interconnected/combination smoke and carbon monoxide detectors were tested and were working properly. Emergency and Disaster Plan is current. Medication is kept centrally stored. Medication was observed to be administered by doctors’ orders. Four (4) staff and (6) resident files were reviewed. Staff files contain criminal background clearances, health screenings and training information. Resident files contain physician reports, appraisals, admissions agreements, bed rail orders and care plans. Facility maintains liability insurance. Per California Code of Regulations, Title 22, and California Health and Safety Code, no deficiencies observed during the visit. Exit interview was held and a copy of the report was provided.the state’s words, verbatim · CDSS document, Sep 21, 2026

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Erik Zaragoza and Gabriela Castro conducted an unannounced Required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with Ernie Balud, caregiver for the facility, and explained the purpose of the visit. Administrator Chona Cruz arrived shortly thereafter. There are six (6) residents currently living in the facility. The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Resident Rights/Information, Resident Records/Incident Reports, Food Service, Planned Activities, Incident Medical and Dental, Disaster Preparedness, and Residents with Special Health Needs. Infection Control: · Infection control plan is on file. Physical Plant/Environment Safety: · The facility is a single-story home located in a residential neighborhood. It is licensed for a capacity of six (6) residents, all six (6) of whom may be non-ambulatory and a hospice waiver approved for five (5) residents. The facility consists of a kitchen, a dining room, a living room, two (2) staff rooms, four (4) resident bedrooms, a backyard with shaded area, and two bathrooms of which Restroom #1 had a hot water temperature reading of 105.5 Degrees Fahrenheit, and Restroom #2 which had a hot water temperature reading of 105.4 Degrees Fahrenheit. There were chemicals and cleaning solutions kept unsecured in an unlocked cabinet in the dining room, and they were relocated to the laundry room. The facility was observed to be in good repair. ·The interior and exterior physical plant was inspected. Exit doors are free of any obstruction. The facility has a fully charged fire extinguisher kept in the facility. Operational Requirements: · The Program Design was reviewed. · Care and supervision to meet the clients’ needs was observed. Staffing: · Eight (8) full-time staff members provide care and supervision to the clients. Personnel Records/Staff Training: · Five (5) staff files were reviewed for criminal background clearance and training. · All Five (5) staff records reviewed have a health screening with a Tuberculosis clearance, and five (5) staff have First Aid/CPR trainings that are active. · The administrator’s certificate expires on 1/24/2027. Resident Rights/Information: · Physician orders were reviewed for five (5) resident files. · Medications were also reviewed for five (5) residents. Resident Records/Incident Reports: · Five (5) resident files were reviewed containing admission agreements, Physician's Report, medical/functional assessments, Needs and Services Plans, TB clearance, Appraisal/Needs and Services Plan, personal rights, medical consent, and medication records were reviewed. Food Service: · The kitchen was inspected and has sufficient supply of 2-day perishable & 7-day non-perishable food. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. Incident Medical and Dental: · All residents have an Appraisal/Needs and Services Plan on file. · Staff training was on file. Disaster Preparedness: · Emergency and Disaster Plan (LIC610E) was posted in the facility. · The last emergency and disaster drill was conducted on 9/25/2025. Planned Activities: · Sufficient Space is provided to accommodate both indoor and outdoor activities. · Sufficient equipment and supplies are provided to meet the requirements of the activity program. Residents with Special Health Care Needs · There is an adequate number of staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her appraisal. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiency observed during the visit is documented on the LIC809D page. Exit interview held and a copy of the report was provided.the state’s words, verbatim · CDSS document, Sep 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced Required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with Mila De La Cruz, caregiver for the facility, and explained the purpose of the visit. Administrator Chona Cruz arrived shortly thereafter. There are five (5) non-ambulatory residents residing within the home. The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Resident Rights/Information, Resident Records/Incident Reports, Food Service, Planned Activities, Incident Medical and Dental, Disaster Preparedness, and Residents with Special Health Needs. Infection Control: · Infection control practices were observed. · Infection control plan is on file. Physical Plant/Environment Safety: · The facility is a single-story home located in a residential neighborhood. It is licensed for a capacity of six (6) non-ambulatory residents, as well as a hospice waiver approved for five (5) residents. The facility consists of a kitchen, dining room, living room, four (4) resident bedrooms, a backyard area complete with multiple shaded areas, and two (2) resident bathrooms of which Restroom #1 (R1) had a hot water temperature reading of 108.4 degrees Fahrenheit, and Restroom #2 measured at 107.7 degrees Fahrenheit, and two (2) staff bedrooms. The facility was observed to be in good repair. · The interior and exterior physical plant was inspected. Exit doors are free of any obstruction. The facility has two (2) fully charged fire extinguishers in the facility. · Water temperature readings for one of the bathrooms in the home did not fall within the required range of 105 - 120 degrees Fahrenheit. Operational Requirements: · The Program Design was reviewed. · Fire clearance was approved by LA County Fire Department for a capacity of six (6) non-ambulatory residents, as well as a hospice waiver approved for five (5) residents. · Care and supervision to meet the clients’ needs was observed. Staffing: · Four (4) full-time staff members provide care and supervision to the clients. Personnel Records/Staff Training: · Four (4) staff files were reviewed for criminal background clearance and training. · All staff records reviewed have health a health screening with a Tuberculosis clearance, and all staff have First Aid/CPR trainings that are active. · The administrator’s certificate expires on 6/28/2025. Resident Rights/Information: · Physician orders were reviewed for five (5) resident files. · Medications were also reviewed for five (5) residents. Resident Records/Incident Reports: · Five (5) resident files were reviewed containing admission agreements, Physician's Report, medical/functional assessments, Needs and Services Plans, TB clearance, Appraisal/Needs and Services Plan, personal rights, medical consent, and medication records were reviewed. Food Service: · The kitchen was inspected and has sufficient supply of 2-day perishable & 7-day non-perishable food. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. Incident Medical and Dental: · All residents have an Appraisal/Needs and Services Plan on file. · Staff training was on file. Disaster Preparedness: · Emergency and Disaster Plan was publicly posted and found within the facility. · The last emergency and disaster drill was conducted on 7/19/2024. Planned Activities: · Sufficient Space is provided to accommodate both indoor and outdoor activities. · Sufficient equipment and supplies are provided to meet the requirements of the activity program. Residents with Special Health Care Needs: · There are three (3) residents who receive services from home health agencies, and the facility has the agreement with the home health agencies documented and on file. · There is an adequate number of staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her appraisal. Per California Code of Regulations, Title 22, and California Health and Safety Code, no deficiencies were observed during the visit. Exit interview held and a copy of the report was provided.the state’s words, verbatim · CDSS document, Aug 26, 2024